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3 results for Credentialing Specialist in Laguna Niguel, CA

Medical Coder Specialist

Los Angeles, CA
remote
Temporary / Contract
35 - 39 USD / Hourly
Job Responsibilities:<ul><li>Reviews medical record documentation and accurately assigns appropriate ICD-10 diagnoses and procedure codes leading to the assignment of the correct Medicare Severity-Diagnosis Related Group MS-DRG or All Patient Refined Diagnosis Related Group APR-DRG. The Inpatient Coding Specialist I is responsible for verification of the patient’s discharge disposition assigning the correct sources of admission for state regulation reporting purposes and ensuring the appropriate present on admission POA indicators are assigned to each code. The assigned codes must support the reason for the visit that is documented by the provider in order to support the care provided.</li><li>Correctly abstracts required data per facility specifications.</li><li>Responsible for monitoring Discharged Not Billed accounts and as a team ensures timely compliant processing of inpatient accounts through the revenue cycle.</li><li>Collaborates with Clinical Documentation Specialists CDSs and members of the medical staff to ensure completeness of documentation in the medical records so that appropriate codes and ultimately the correct Diagnosis Related Group DRG may be assigned.</li><li>Responsible for ensuring accuracy and maintaining established quality and productivity standards.</li><li>Demonstrates a high degree of independence in performance of responsibilities working effectively without direct supervision. Exhibits strong time management problem solving and communication skills.</li><li>Possesses critical thinking good judgment and decision making skills</li><li>Demonstrates excellent written and oral communication skills</li><li>Remains abreast of current Centers for Medicare and Medicaid Services CMS requirements as well as Correct Coding Initiative CCI edits Hospital Acquired Conditions HACs Patient Safety Indicators PSIs and when applicable National Coverage Determinations NCDs and Local Coverage Determinations LCDs including the addition of appropriate modifiers to ensure a clean claim the first time through.</li><li>Maintains competency and accuracy while utilizing tools of the trade such as the 3M encoder 3M Audit Expert process 3M AES 3M Clinical Documentation Improvement System 3M CDIS and abstracting systems as well as all reference materials.</li><li>Attends required system hospital and departmental meetings and educational sessions as established by leadership as well as completion of required annual learning programs to ensure continued education and growth.</li><li>Employees must abide by all Joint Commission requirements including but not limited to sensitivity to cultural diversity patient care patients rights and ethical treatment safety and security of physical environments emergency management teamwork respect for others participation in ongoing education and training communication and adherence to safety and quality programs sustaining compliance with National Patient Safety Goals and licensure and health screenings.</li></ul>
2026-07-27T00:00:00Z

Benefits Specialist

El Segundo, CA
onsite
Temporary / Contract
18.05 - 24 USD / Hourly
<ul><li>Process employee benefit enrollments, life event changes, and terminations</li><li>Answer employee questions regarding medical, dental, vision, life insurance, disability, HSA, and retirement benefits</li><li>Assist with open enrollment and employee communications</li><li>Maintain accurate employee records and ensure compliance</li><li>Coordinate with insurance carriers, brokers, and internal departments</li><li>Cross-train on 401(k) administration with an experienced team member</li><li>Utilize UKG and other HR systems (training provided as needed)</li></ul>We're Looking For<ul><li>Entry-level candidates interested in Human Resources or Benefits are encouraged to apply</li><li>Some exposure to HR, benefits, payroll, office administration, or customer service is helpful</li><li>Strong Microsoft Office skills</li><li>Excellent attention to detail and organizational skills</li><li>Friendly, professional communication skills</li><li>Ability to learn new systems quickly</li><li>Experience with UKG Pro or PlanSource is a plus but not required</li></ul>
2026-07-30T00:00:00Z

Quality Assurance Specialist

Costa Mesa, CA
onsite
Temporary to Hire
38 - 44 USD / Hourly
We are looking for a Quality Assurance Specialist to support incoming quality operations in California. This contract position with permanent potential focuses on keeping materials moving efficiently through inspection, testing, and cross-site coordination so production timelines stay on track. The ideal candidate is highly organized, proactive in resolving delays, and comfortable working in a fast-paced environment where accuracy, urgency, and accountability are essential. Responsibilities: • Oversee the flow of incoming hardware and materials, identifying priority items that require immediate quality review or expedited handling. • Coordinate the full movement process for parts needing additional inspection, metrology review, functional testing, or specialized processing before final release. • Work closely with materials and warehouse teams to ensure receipts, transfers, staging activities, and inventory transactions are completed correctly and on schedule. • Arrange and carry out movement of parts between facilities, including preparing items for transport and ensuring timely delivery to the appropriate site. • Partner with quality, production, and site leaders to align daily priorities, remove bottlenecks, and maintain expected turnaround times. • Monitor open material flow activities across locations, provide routine status updates to leadership, and escalate issues that could impact delivery or inspection timelines. • Maintain accurate part traceability by updating location and status records and resolving inventory discrepancies as they arise. • Contribute to process improvement efforts focused on reducing cycle time, strengthening handoff practices between sites, and improving overall material flow performance. • Handle and package hardware according to company standards to protect product integrity during storage and transport. • Investigate and troubleshoot inventory variances or related escalations to support operational accuracy and continuity.
2026-07-30T00:00:00Z