<p>A Hospital in Los Angeles is looking for a Medical Coder with experience in Surgery experience. The Medical Coder role will focuses on accurate coding for surgical and related outpatient services, helping ensure clean claims, reliable reimbursement, and strong compliance with payer and regulatory standards. The person in the Medical Coder role will work closely with revenue cycle partners, clinical teams, and leadership to resolve coding issues, improve documentation quality, and maintain consistent coding performance. This position is a remote Monday - Friday. CPC or CCS licence is a MUST for consideration. This role is remote Monday - Friday with equipment provided.</p><p><br></p><p>Responsibilities:</p><p>• <u>Orthopedic Surgical Coding, Surgical Abstracting, and MediCal & CCS coding and billing guidelines (Top Requirements) </u></p><p>• Examine surgical charge documentation and clinical records to assign accurate diagnosis, procedure, and modifier codes for billing and reimbursement activities.</p><p>• Validate charge capture details, correct coding discrepancies, and confirm proper linkage between diagnoses and procedures before claims move forward.</p><p>• Apply ICD-10 and CPT coding standards to surgical and designated diagnostic cases, including review of complex encounters requiring careful interpretation.</p><p>• Manage daily claim and coding work queues, monitor ticket volume, and help maintain timely and accurate claim submission processes.</p><p>• Review scanned charge documents for completeness and coding accuracy, escalating unusual or high-risk issues when necessary.</p><p>• Support reporting and trend analysis by tracking coding errors, identifying recurring issues, and sharing findings with management for process improvement.</p><p>• Collaborate with revenue cycle staff, physicians, clinicians, and departmental leadership to address questions, resolve escalations, and strengthen coding quality.</p><p>• Maintain working knowledge across multiple specialties and remain current on payer rules, Medi-Cal guidance, CCS, Medicare requirements, and other compliance expectations.</p><p>• Participate in audits, department meetings, and ongoing education activities while assisting with coding records management and other assigned duties.</p><p><br></p><p>TO APPLY, ONLY send resume directly to Mike Romero at Mike [dot] Romero [at] RobertHalf [dot] [com]</p>
<p>A Hospital system in Los Angeles is looking for an experienced Revenue Cycle Coding Manager. The Revenue Cycle Coding Manager will lead coding and charge capture performance, guide operational oversight, and partner with clinical and compliance stakeholders to strengthen accuracy, productivity, and reimbursement outcomes. The ideal Revenue Cycle Coding Manager candidate must bring deep knowledge of revenue cycle operations, medical coding standards, and team leadership within a fast-paced healthcare environment. This is a hybrid remote role Monday - Friday with equipment provided. </p><p><br></p><p>Responsibilities:</p><p>• Direct daily coding operations by assigning work, reviewing team output, and ensuring tasks are completed accurately, efficiently, and in alignment with established procedures.</p><p>• Analyze weekly and monthly performance results using key operational and quality indicators, then present trends and improvement opportunities to senior leadership.</p><p>• Supervise coding work queues and charge capture activity to confirm diagnosis, procedure, and billing details are properly documented and coded.</p><p>• Ensure urgent coding requests are prioritized and completed within required turnaround expectations.</p><p>• Partner with physicians, surgeons, and clinical leadership to address coding questions, resolve workflow issues, and escalate concerns when broader intervention is needed.</p><p>• Coordinate with compliance and coding leadership to support audits, communicate findings, implement corrective actions, and reinforce timely staff education.</p><p>• Lead team meetings, provide coaching on complex coding scenarios, and promote consistent adherence to departmental policies and quality standards.</p><p>• Oversee updates to charge documents, procedure listings, and code requests while supporting coding system conversions and related operational changes when required.</p><p>• Monitor regulatory updates, payer guidance, and industry developments, and communicate relevant coding changes to internal stakeholders.</p><p>• Conduct quality reviews, operational studies, and other assigned analyses to improve coding accuracy, team performance, and revenue cycle effectiveness.</p>
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.<br><br>DUTIES AND RESPONSIBILITIES<br>-Performs full cycle billing and collection functions for Surgical professional fees<br>-Verify patient eligibility, authorization status and primary payer information via CareConnect and Insurance portals prior to claim submission<br>-Performs all data entry and charge posting functions for surgical services as needed<br>-Performs all third party follow-up functions for all products and surgical procedures.<br>-Reviews EOBS and Denials. Make corrections as required and resubmit the claim for payments<br>-Work on the Athena Work Dashboard / Claim list on a daily basis for all services assigned<br>-Performs daily review of Urgent Care provider chart notes to assure that documentation is complete and supportive of submitted charges prior to billing.<br>-Provides the correct ICD-10M code to identify the provider's narrative diagnosis<br>-Provides the correct HCPCS code to identify medications and supplies<br>-Provides the correct CPT code to accurately identify the services performed based on the provider's documentation.<br>- Reviews all surgical operative reports and assigns appropriate CPT codes and tCD-10-CM codes for services performed by staff surgeons
<p>A Hospital in Los Angeles is in the immediate need of a Medical Insurance Collections Specialist to support its hospital-based revenue cycle team. The Medical Insurance Collections Specialist role is ideal for someone who understands insurance follow-up, hospital claims, denials management, appeals and reimbursement workflows in a fast-paced healthcare setting. The Medical Insurance Collections Specialist will help drive payment resolution by researching claim issues, addressing payer delays, resolve denials and working closely with internal teams to improve collection results.</p><p><br></p><p>Responsibilities:</p><p>• Manage follow-up activities for unpaid or underpaid hospital insurance claims, with attention to high-volume payer accounts and timely reimbursement.</p><p>• Review UB04 hospital claims for accuracy, completeness, and billing compliance before pursuing collection resolution.</p><p>• Research denials, rejections, delayed payments, and partial reimbursements to determine the next steps needed for account resolution.</p><p>• Prepare and submit corrected claims, appeal packages, and supporting documents to resolve outstanding balances efficiently.</p><p>• Work aging accounts receivable inventories and maintain daily productivity aligned with departmental expectations.</p><p>• Record all account actions, payer conversations, and status updates clearly within the billing system.</p><p>• Partner with billing, coding, and patient financial services teams to resolve claim discrepancies and reduce reimbursement barriers.</p><p>• Track recurring payer issues and escalate patterns that negatively affect collection performance or payment turnaround times.</p>