7 results for Certified Professional Coder in Long Beach, CA

Certified Payroll Administrator

Irvine, CA
onsite
Temporary
38 - 44 USD / Hourly
We are looking for a detail-oriented Certified Payroll Administrator to join our team in Irvine, California. This is a long-term contract position ideal for someone with expertise in payroll reporting, prevailing wage compliance, and union regulations, particularly within the construction industry. The role requires a strong understanding of labor laws and advanced documentation practices to ensure accuracy and compliance in payroll processes. Responsibilities: • Prepare and submit weekly certified payroll reports, such as Form WH-347, to government agencies to ensure compliance. • Verify worker classifications and pay rates to meet the requirements of the Davis-Bacon Act and prevailing wage laws. • Review subcontractor payroll submissions to maintain accuracy and adherence to compliance standards. • Maintain detailed records of prevailing wages, fringe benefits, and union deductions for auditing purposes. • Ensure payroll processes align with multi-state regulations and company policies. • Utilize construction-specific payroll software, including ADP Workforce Now, to manage full-cycle payroll for 101-500 employees. • Monitor and address discrepancies in payroll data to resolve issues promptly. • Provide guidance on labor law compliance and best practices to internal teams and subcontractors.
2026-04-03T00:00:00Z

Credentialing Specialist

West Hollywood, CA
onsite
Temporary
25 - 45 USD / Hourly
The Credentialing Specialist is responsible for supporting the credentialing, re‑credentialing, and provider enrollment processes to ensure healthcare professionals meet all regulatory, payer, and organizational requirements. This role plays a key part in maintaining compliance, supporting provider onboarding, and ensuring accurate and up‑to‑date credentialing records. The Credentialing Specialist works closely with internal teams, providers, and external agencies to collect, verify, and track required documentation.<ul><li>Coordinate and manage initial credentialing and re‑credentialing for healthcare providers</li><li>Collect, review, and maintain provider documentation (licenses, certifications, education, work history, malpractice coverage, etc.)</li><li>Perform primary source verification in accordance with regulatory and organizational standards</li><li>Track license, certification, and enrollment expiration dates to ensure ongoing compliance</li><li>Maintain accurate provider records within credentialing databases and internal systems</li><li>Communicate with providers and internal stakeholders regarding application status and missing documentation</li><li>Assist with payer enrollment and revalidation processes, as assigned</li><li>Support audits and ensure credentialing files are complete and compliant</li><li>Maintain confidentiality and comply with HIPAA and regulatory requirements</li><li>Perform additional administrative or credentialing support duties as needed</li></ul>Benefits: Medical, Dental and Vision Insurance. 401K Retirement, Sick Time Off and Tuition Reimbursement.
2026-03-21T00:00:00Z

Medical Billing Specialist

Van Nuys, CA
onsite
Temporary
25 - 35 USD / Hourly
We are seeking an experienced Medical Billing Specialist to manage end‑to‑end billing functions for a multi‑specialty healthcare practice. This role is responsible for claim submission, payer follow‑up, collections, and quality control across multiple providers, with exposure to concierge and out‑of‑network billing models. The ideal candidate is detail‑oriented, payer‑savvy, and comfortable managing both payer and patient communications while driving A/R resolution. Key Responsibilities:<ul><li>Manage end‑to‑end medical billing, including claim submission, follow‑ups, payment resolution, and collections</li><li>Review charges and support coding accuracy for approximately 3–4 multi‑specialty providers prior to claim submission</li><li>Perform quality control and audit reviews of billing work completed by the billing team</li><li>Handle courtesy out‑of‑network (OON) billing and support concierge‑model practices</li><li>Manage high‑volume phone and email correspondence with insurance payors and patients</li><li>Follow up on unpaid, denied, or underpaid claims to reduce A/R backlog</li><li>Support sales collections and reimbursement initiatives</li><li>Maintain accurate billing documentation and detailed account notes</li><li>Ensure compliance with payer requirements, internal workflows, and industry best practices</li></ul>Benefits: Medical, Dental and Vision Insurance. 401K Retirement, Sick Time Off and Tuition Reimbursement.
2026-03-31T00:00:00Z

Medical Billing Specialist

La Puente, CA
onsite
Contract / Temporary to Hire
23.75 - 28.23 USD / Hourly
A Larger Medical Center in the La Puente Area is in the need of a d Medical Billing Specialist with strong Medi-Cal insurance experience. The Medical Billing Specialist will play a key part in managing the revenue cycle and ensuring accurate billing for Medi-Cal programs. The Medical Billing Specialist must have expertise to maintain compliance with provider guidelines and optimize reimbursement processes. Experience in OBGYN and/or Perinatal Services is a bit plus. Responsibilities:• Verify patient eligibility for Medi-Cal and confirm Managed Care Plan assignments for services rendered.• Prepare and submit claims accurately using appropriate coding and modifiers, including electronic equivalents of CMS-1500 forms.• Post payments, reconcile accounts, and ensure adjustments and write-offs align with contractual requirements.• Analyze denied or underpaid claims, identify issues, and resubmit them to secure proper reimbursement.• Manage appeals by reviewing Explanation of Benefits and engaging with the appeals process to resolve claim discrepancies.• Maintain secure and compliant records of Protected Health Information used in billing activities.• Assist healthcare providers with billing inquiries and support case management practices to enhance revenue.• Ensure all billing activities align with Medi-Cal Provider Manual and Managed Care Plan guidelines.• Collaborate with internal teams to streamline billing processes and improve efficiency.
2026-04-03T00:00:00Z

Medical Billing Specialist

Van Nuys, CA
onsite
Contract / Temporary to Hire
25.3365 - 29.337 USD / Hourly
We are looking for a skilled Medical Billing Specialist to join our team in Los Angeles, California. This Contract to permanent position offers an exciting opportunity to manage comprehensive billing operations for a multi-specialty healthcare practice, with a focus on Ear, Nose, and Throat services. The ideal candidate will have expertise in claim submission, collections, and patient communications, as well as experience with out-of-network and concierge billing models. Responsibilities: • Manage the full cycle of medical billing processes, including claim submissions, payer follow-ups, payment resolutions, and collections. • Review and ensure the accuracy of coding and charges for services provided by multi-specialty healthcare providers. • Conduct quality assurance checks and audits of billing tasks performed by team members. • Handle out-of-network billing and provide support for concierge-model practices. • Investigate and resolve unpaid, denied, or underpaid claims to minimize accounts receivable backlog. • Assist with collections and reimbursement strategies to optimize revenue. • Maintain detailed and accurate billing records, including comprehensive account documentation. • Ensure compliance with payer policies, industry standards, and internal workflows. • Utilize systems such as Kareo/Tebra and eClinicalWorks effectively to streamline billing operations.
2026-04-01T00:00:00Z

Surgery Medical Billing Collections Specialist

Los Angeles, CA
onsite
Temporary
24.91 - 31.01 USD / Hourly
A Surgery Center in Los Angeles is in the need of a Surgery Medical Billing Collections Specialist.The Surgery Medical Billing Collections Specialist must have at least 2 years of experience in the healthcare industry. The Surgery Medical Billing Collections Specialist must be able to work review aged EOBs and resolve denials. DUTIES AND RESPONSIBILITIES -Performs full cycle billing and collection functions for Surgical professional fees -Verify patient eligibility, authorization status and primary payer information via CareConnect and Insurance portals prior to claim submission -Performs all data entry and charge posting functions for surgical services as needed -Performs all third party follow-up functions for all products and surgical procedures. -Reviews EOBS and Denials. Make corrections as required and resubmit the claim for payments -Work on the Athena Work Dashboard / Claim list on a daily basis for all services assigned -Performs daily review of Urgent Care provider chart notes to assure that documentation is complete and supportive of submitted charges prior to billing. -Provides the correct ICD-10M code to identify the provider's narrative diagnosis -Provides the correct HCPCS code to identify medications and supplies -Provides the correct CPT code to accurately identify the services performed based on the provider's documentation. - Reviews all surgical operative reports and assigns appropriate CPT codes and tCD-10-CM codes for services performed by staff surgeons
2026-04-03T00:00:00Z

Medical Billing Specialist - Hospital

Los Angeles, CA
onsite
Temporary
25.12 - 31.91 USD / Hourly
A Hospital in Los Angeles that is dedicated to highest level of patient care is seeking a Medical Billing Collections Specialist to join its hospital team. This role focuses on ensuring accurate and timely collections of medical claims for acute care facilities, using your expertise in UB-04 claims processing. Key Responsibilities:<ul><li>Manage and process collections for medical insurance claims, including HMO and PPO plans.</li><li>Handle UB-04 claims for acute care facilities, ensuring claims are completed accurately and timely.</li><li>Follow up with insurance carriers to resolve unpaid claims and address denials or payment discrepancies.</li><li>Communicate effectively with internal departments and external payers to resolve outstanding accounts.</li><li>Ensure compliance with all HIPAA, insurance, and regulatory requirements.</li><li>Maintain accurate records and documentation of claim statuses within systems.</li></ul>
2026-04-03T00:00:00Z