Ability to work independently in a remote environment. * Ability to work with those in other time ... Medical Coding certification. To all current Molina employees: If you are interested in applying ...
Ability to work independently in a remote environment. * Ability to work with those in other time ... Medical Coding certification. To all current Molina employees: If you are interested in applying ...
Senior Analyst, Medical Economics - REMOTE
Long Beach, CA · Remote
$96K - $127K/yr
... standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding/billing (UB04/1500 form). Demonstrated understanding of key managed care concepts and provider reimbursement ...
Senior Analyst, Medical Economics - REMOTE
Long Beach, CA · Remote
$96K - $127K/yr
... standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding/billing (UB04/1500 form). Demonstrated understanding of key managed care concepts and provider reimbursement ...
Senior Analyst, Medical Economics - REMOTE
Long Beach, CA · On-site +1
$59K - $129K/yr
... code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding/billing (UB04/1500 form). • Demonstrated understanding of key managed care concepts and provider reimbursement principles ...
Senior Analyst, Medical Economics - REMOTE
Long Beach, CA · On-site +1
$59K - $129K/yr
... code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding/billing (UB04/1500 form). • Demonstrated understanding of key managed care concepts and provider reimbursement principles ...
Ability to work independently in a remote environment. * Ability to work with those in other time ... Medical Coding certification. To all current Molina employees: If you are interested in applying ...
Ability to work independently in a remote environment. * Ability to work with those in other time ... Medical Coding certification. To all current Molina employees: If you are interested in applying ...
Analyst, Business - SQL (Remote in Florida)
Long Beach, CA · On-site +1
$49K - $97K/yr
Ability to work independently in a remote environment. * Ability to work with those in other time ... Medical Coding certification. To all current Molina employees: If you are interested in applying ...
Analyst, Business - SQL (Remote in Florida)
Long Beach, CA · On-site +1
$49K - $97K/yr
Ability to work independently in a remote environment. * Ability to work with those in other time ... Medical Coding certification. To all current Molina employees: If you are interested in applying ...
Analyst, Business - SQL (Remote in Florida)
Long Beach, CA · Remote
$49K - $97K/yr
Ability to work independently in a remote environment. * Ability to work with those in other time ... Medical Coding certification. To all current Molina employees: If you are interested in applying ...
Analyst, Business - SQL (Remote in Florida)
Long Beach, CA · Remote
$49K - $97K/yr
Ability to work independently in a remote environment. * Ability to work with those in other time ... Medical Coding certification. To all current Molina employees: If you are interested in applying ...
Business Analyst, Provider Network (Salesforce Needed) Remote
Long Beach, CA · On-site +1
$44K - $97K/yr
Ability to work independently in a remote environment. * Ability to work with those in other time ... Medical Coding certification. To all current Molina employees: If you are interested in applying ...
Business Analyst, Provider Network (Salesforce Needed) Remote
Long Beach, CA · On-site +1
$44K - $97K/yr
Ability to work independently in a remote environment. * Ability to work with those in other time ... Medical Coding certification. To all current Molina employees: If you are interested in applying ...
Ability to work independently in a remote environment. * Ability to work with those in other time ... Medical Coding certification. To all current Molina employees: If you are interested in applying ...
Ability to work independently in a remote environment. * Ability to work with those in other time ... Medical Coding certification. To all current Molina employees: If you are interested in applying ...
Business Analyst
Long Beach, CA · Remote
Ability to work independently in a remote environment, collaborate across time zones, and utilize ... Medical coding knowledge (CPT/HCPCS/ICD) or coding certification To all current Molina employees:
Business Analyst
Long Beach, CA · Remote
Ability to work independently in a remote environment, collaborate across time zones, and utilize ... Medical coding knowledge (CPT/HCPCS/ICD) or coding certification To all current Molina employees:
Coder II - Surgical (Remote)
Los Angeles, CA · Remote
$20.25 - $23.25/hr
Under general direction of the Coding Supervisor, (using knowledge of CSMC and Official Coding guidelines, medical terminology, anatomy and physiology, and pathological basis of disease, documented ...
Coder II - Surgical (Remote)
Los Angeles, CA · Remote
$20.25 - $23.25/hr
Under general direction of the Coding Supervisor, (using knowledge of CSMC and Official Coding guidelines, medical terminology, anatomy and physiology, and pathological basis of disease, documented ...
Coder II - Surgical (Remote)
Los Angeles, CA · On-site +1
$31.98 - $49.57/hr
Under general direction of the Coding Supervisor, (using knowledge of CSMC and Official Coding guidelines, medical terminology, anatomy and physiology, and pathological basis of disease, documented ...
Coder II - Surgical (Remote)
Los Angeles, CA · On-site +1
$31.98 - $49.57/hr
Under general direction of the Coding Supervisor, (using knowledge of CSMC and Official Coding guidelines, medical terminology, anatomy and physiology, and pathological basis of disease, documented ...
Facility Inpatient Surgical and Claims Edit Auditor
Los Angeles, CA · Remote
$29.25 - $33.50/hr
... and American Medical Association (AMA) coding references, local, State, and Federal Coding ... Approved Remote States: Arizona, California, Colorado, Florida, Georgia, Minnesota, Nevada, Oregon ...
Facility Inpatient Surgical and Claims Edit Auditor
Los Angeles, CA · Remote
$29.25 - $33.50/hr
... and American Medical Association (AMA) coding references, local, State, and Federal Coding ... Approved Remote States: Arizona, California, Colorado, Florida, Georgia, Minnesota, Nevada, Oregon ...
Biller
Culver City, CA · Remote
$25 - $29/hr
Prior medical billing experience required * Working knowledge of CPT/ICD-10 codes * Experience with ... Remote position * Full-time, weekday schedule * Competitive pay based on experience If you enjoy ...
Quick apply
Biller
Culver City, CA · Remote
$25 - $29/hr
Prior medical billing experience required * Working knowledge of CPT/ICD-10 codes * Experience with ... Remote position * Full-time, weekday schedule * Competitive pay based on experience If you enjoy ...
Investigator, Special Investigative Unit Coding (Remote)
Long Beach, CA · On-site +1
$19.64 - $42.55/hr
Independently re-evaluates medical claims and associated records by applying knowledge of advanced coding, all relevant and applicable Federal and State regulatory requirements, and Molina policies.
Investigator, Special Investigative Unit Coding (Remote)
Long Beach, CA · On-site +1
$19.64 - $42.55/hr
Independently re-evaluates medical claims and associated records by applying knowledge of advanced coding, all relevant and applicable Federal and State regulatory requirements, and Molina policies.
Independently re-evaluates medical claims and associated records by applying knowledge of advanced coding, all relevant and applicable Federal and State regulatory requirements, and Molina policies.
Independently re-evaluates medical claims and associated records by applying knowledge of advanced coding, all relevant and applicable Federal and State regulatory requirements, and Molina policies.
Chief Medical Officer Location: This is a remote role with meaningful travel required. LA-based ... Drive cross-functional execution across Clinical, Product, Marketing, Finance, RCM, People, and ...
Quick apply
Chief Medical Officer Location: This is a remote role with meaningful travel required. LA-based ... Drive cross-functional execution across Clinical, Product, Marketing, Finance, RCM, People, and ...
Business Analyst
Long Beach, CA · Remote
Ability to work independently in a remote environment. * Ability to work with those in other time ... Medical Coding certification. To all current Molina employees: If you are interested in applying ...
Business Analyst
Long Beach, CA · Remote
Ability to work independently in a remote environment. * Ability to work with those in other time ... Medical Coding certification. To all current Molina employees: If you are interested in applying ...
Medical Science Liaison Immunology - Admilparant (Los Angeles, CA, HI) Los Angeles - CA - US R1[...]
Los Angeles, CA · On-site +1
## Medical Science Liaison Immunology - Admilparant (Los Angeles, CA, HI)Los Angeles - CA - USFind out ... The MSL will use various channels for interactions (1:1, group presentations, remote, etc.
Medical Science Liaison Immunology - Admilparant (Los Angeles, CA, HI) Los Angeles - CA - US R1[...]
Los Angeles, CA · On-site +1
## Medical Science Liaison Immunology - Admilparant (Los Angeles, CA, HI)Los Angeles - CA - USFind out ... The MSL will use various channels for interactions (1:1, group presentations, remote, etc.
Remote, but only considering candidates in PST. FLSA Status: Exempt Travel Requirement: None ... Review medical records for quality clinical documentation and compliance with licensing ...
Quick apply
Remote, but only considering candidates in PST. FLSA Status: Exempt Travel Requirement: None ... Review medical records for quality clinical documentation and compliance with licensing ...
Lead day-to-day Medical Affairs Operations, ensuring smooth execution across programs and ... Knowledge of anti-kickback statute, Sunshine Reporting, and PhRMA Code * Knowledge of Good Clinical ...
Lead day-to-day Medical Affairs Operations, ensuring smooth execution across programs and ... Knowledge of anti-kickback statute, Sunshine Reporting, and PhRMA Code * Knowledge of Good Clinical ...
Remote R1 Rcm Medical Coding information
See Los Angeles, CA salary details
$17.10 - $18.91
6% of jobs
$20.20 is the 25th percentile. Wages below this are outliers.
$18.91 - $20.72
26% of jobs
The median wage is $21.75 / hr.
$20.72 - $22.53
31% of jobs
$22.53 - $24.35
7% of jobs
$25.12 is the 75th percentile. Wages above this are outliers.
$24.35 - $26.16
11% of jobs
$26.16 - $27.97
6% of jobs
$27.97 - $29.79
5% of jobs
$29.79 - $31.60
3% of jobs
$31.60 - $33.41
2% of jobs
$33.41 - $35.23
1% of jobs
$35.23 - $37.04
1% of jobs
$17
$24
$37
How much do remote r1 rcm medical coding jobs pay per hour?
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Molina Healthcare rating
8.1
Based on 193 frontline employees who took The Breakroom Quiz
134th of 281 rated insurance
Job description
JOB DESCRIPTION
Job Summary
Responsible for accurate and timely intake and interpretation of regulatory and/or functional requirements related to but not limited to coverage, reimbursement, and processing functions to support systems solutions development and maintenance. This role includes coordination with stakeholders and subject matter experts on partnering teams and supporting governance committees where applicable.
JOB DUTIES
- Develops and maintains requirement documents related to coverage, reimbursement and other applicable system changes in areas to ensure alignment to regulatory baseline requirements and any health plan developed requirements.
- Monitors sources to ensure all updates are aligned.
- Leads coordinated development and ongoing management /interpretation review process, committee structure and timing with key partner organizations.
- Conducts analysis to identify root cause and assist with problem management as it relates to state requirements.
- Communicates requirement interpretations and changes to health plans/product team and various impacted corporate core functional areas for requirement interpretation alignment and approvals as well as solution traceability through regular meetings and other operational process best practices.
- Provides support for requirement interpretation inconsistencies and complaints.
- Self-organized reporting to ensure health plans/product team and other leadership are aware of work efforts and impact for any prospective or retrospective requirement changes that can impact financials.
- Engages with operations leadership and Plan Support functions to review compliance-based issues for benefit planning purposes.
KNOWLEDGE/SKILLS/ABILITIES
- Maintains relationships with Health Plans/Product Team and Corporate Operations to ensure all end-to-end business requirements have been documented and interpretation is agreed on and clear for solutioning.
- Ability to meet aggressive timelines and balance multiple lines of business, states, and requirement areas.
- Strong interpersonal and (oral and written) communication skills and ability to communicate with those in all positions of the company.
- Ability to concisely synthesize large and complex requirements.
- Ability to organize and maintain regulatory data including real-time policy changes.
- Self-motivated and ability to take initiative, identify, communicate, and resolve potential problems.
- Ability to work independently in a remote environment.
- Ability to work with those in other time zones than your own.
JOB QUALIFICATIONS
Required Qualifications
- At least 2 years of experience in previous roles in a managed care organization, health insurance or directly adjacent field, or equivalent combination of relevant education and experience.
- Policy/government legislative review knowledge.
- Strong analytical and problem-solving skills.
- Robust knowledge of Office Product Suite including Word, Excel, Outlook and Teams.
- Previous success in a dynamic and autonomous work environment.
Preferred Qualifications
- Project implementation experience
- Knowledge and experience with federal regulatory policy resources including Centers for Medicare & Medicaid Services (CMS) and the Affordable Care Act (ACA).
- Medical Coding certification.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
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About Molina Healthcare
Sourced by ZipRecruiter
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others.
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
Long Beach, CA, US
Year founded
1980