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Coding Jobs in Rancho Cucamonga, CA

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Coding • rancho cucamonga ca

Last updated: 8 days ago

Remote Risk-adjustment / HCC coding leader - AI Trainer ($110-$110 per hour)

MercorOntario, California, US
Remote
Full-time

Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced Risk Adjustment and HCC Coding leaders to evaluate AI tools des... Show more

Claims Adjuster - Workers Compensation

MindlanceOntario, CA, United States
Full-time

Claims Adjuster - Workers Compensation.PRIMARY PURPOSE: To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involvi... Show more

Remote Coding Manager / HIM Coding Leader - AI Trainer ($80-$80 per hour)

MercorOntario, California, US
$80.00 hourly
Remote
Full-time

Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced Coding Managers and HIM Coding leaders to evaluate AI-powered c... Show more

Accounts Payable Clerk

PrideStaffOntario, CALIFORNIA, US
$17.00 hourly
Full-time +1

This is a temp-to-hire position with an opportunity to grow.Please see the job requirements below to be considered.Shift: Monday – Friday, 7:00 am to 4:00 pm.The Accounts Payable Clerk is responsib... Show more

Claims Examiner - Workers Compensation - Remote / Telecommute

Cynet SystemsRancho Cucamonga, CA, United States
$45.00 hourly
Full-time

Credit security clearance, confirmed via a background credit check, is required for this position.Analyzes and processes complex or technically difficult workers' compensation claims by investigati... Show more

Claims Examiner - Workers Compensation

eTeamRancho Cucamonga, CA
Full-time

Job Title: Claims Examiner - Workers Compensation.Location: Remote (within California).Work location: onsite/hybrid (if residing within miles from client office) or remote (within California).To an... Show more

Vice President of Health Plan Operations and Claims

Prime HealthcareOntario, CA, United States
$150,000.00 yearly
Full-time +1

Vice President Of Health Plan Operations And Claims.Prime Healthcare is an award-winning health system headquartered in Ontario, California.Prime Healthcare operates 54 hospitals and has more than ... Show more

Remote Revenue-cycle analytics / decision-support / RCM reporting leader - AI Trainer ($100-$100

MercorChino, California, US
Remote
Full-time

Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced Revenue Cycle Analytics and Decision-Support leaders — includin... Show more

Medical Billing and Coding - Entry Level Training Program

Dreambound Inc.Fontana, California, United States
Full-time

Note : This is an educational program, not a job.Successful completion of the program does not guarantee employment but will equip you with valuable skills for the healthcare job market.Looking to ... Show more

Remote Clinical Documentation Integrity (CDI) Leader - AI Trainer ($84-$84 per hour)

MercorOntario, California, US
$84.00 hourly
Remote
Full-time

Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced Clinical Documentation Integrity (CDI) managers and leaders to ... Show more

Remote Medical Revenue Manager - AI Trainer ($88-$88 per hour)

MercorOntario, California, US
Remote
Full-time

Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced Charge Capture, Charge Integrity, and Revenue Integrity profess... Show more

Accounts Payable Clerk

Nexgrill Industries IncChino, CA, US
Full-time
Quick Apply

We are seeking an Accounts Payable Clerk to support full-cycle AP processing, including invoice entry, 3-way matching, GL coding, and payment processing.This role also manages vendor inquiries, cre... Show more

Accounts Payable Administrator

California Steel IndustriesFontana, CA, US
$23.51 hourly
Full-time

Division: California Steel Industries.Location: Fontana, CA, United States.Other Available Locations: N/A.The Accounts Payable Coordinator is responsible for ensuring all vendor invoices are accura... Show more

Remote Denials Management & Appeals Manager - AI Trainer ($93-$93 per hour)

MercorUpland, California, US
$93.00 hourly
Remote
Full-time

Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced Denials Management and Appeals Managers to evaluate AI tools de... Show more

Remote Revenue-cycle Executive (VP/Sr. Director Revenue Cycle, or RCM-focused Finance Leader) - AI

MercorChino, California, US
Remote
Full-time

Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced Revenue Cycle Executives — including VP of Revenue Cycle, Sr.Di... Show more

Claims Examiner - Workers Compensation

eTeamOntario, CA, United States
Full-time

Claims Examiner - Workers Compensation.Experience: Minimum 3 years of experience is needed.Public entity and County of Los Angeles experience is a plus.Primary Purpose: To analyze complex or techni... Show more

General Manager TownePlace Suites Ontario Airport

WS ManagementRancho Cucamonga, CA, USA
$80,000.00 yearly
Full-time
Quick Apply

At the heart of our company is a culture that prioritizes both our employees and our guests.We recognize that our employees are our greatest asset, and we strive to create an environment where they... Show more

Nurse Supervisor

WEST CENTRAL SERVICES INCClaremont, US
Full-time

Behavioral health nursing is not background work.It is the connective tissue of care the place where medication management meets human complexity, where clinical judgment and compassionate presence... Show more

Hotel - Director of Sales - Ontario Selected Hilton Hotel

GreensOntario, CA, United States
Full-time

We are currently looking for a highly motivated, determined, well-spoken, and experienced hotel Director of Sales with a minimum of 3 years of hotel industry experience who understands the meaning ... Show more

Remote Denials Management & Appeals Manager - AI Trainer ($93-$93 per hour)

MercorChino, California, US
$93.00 hourly
Remote
Full-time

Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced Denials Management and Appeals Managers to evaluate AI tools de... Show more

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Remote Risk-adjustment / HCC coding leader - AI Trainer ($110-$110 per hour)

Remote Risk-adjustment / HCC coding leader - AI Trainer ($110-$110 per hour)

MercorOntario, California, US
22 days ago
Job type
  • Full-time
  • Remote
Job description
Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems. We are seeking experienced Risk Adjustment and HCC Coding leaders to evaluate AI tools designed to improve risk score accuracy and coding completeness in Medicare Advantage, Medicaid managed care, and ACA markets. Your expertise in hierarchical condition category (HCC) methodology, RADV audit preparation, and risk adjustment coding will directly shape AI systems that enhance documentation capture and risk score integrity. **Responsibilities** - Lead risk adjustment and HCC coding operations across Medicare Advantage, Medicaid, and/or ACA risk adjustment programs. - Evaluate AI-generated HCC coding assignments and risk adjustment recommendations for clinical accuracy and regulatory compliance. - Review medical records to ensure complete and accurate capture of HCC-eligible conditions supported by clinical documentation. - Conduct and oversee retrospective and prospective chart reviews for risk score optimisation. - Manage RADV (Risk Adjustment Data Validation) audit preparation and response processes. - Monitor risk adjustment KPIs including HCC capture rates, risk score accuracy, and chart retrieval rates. - Collaborate with clinical, coding, and compliance teams to improve documentation and coding for risk adjustment purposes. - Ensure compliance with CMS risk adjustment guidelines (RAPS, EDGE submissions) and Official Coding Guidelines. - Annotate AI outputs and provide structured coding feedback to support AI training datasets. **Requirements** - 5+ years of experience in risk adjustment coding, HCC coding, or Medicare Advantage coding operations, with at least 2 years in a leadership role. - Deep expertise in CMS-HCC, RxHCC, and/or ACA HHS-HCC risk adjustment methodologies. - Strong knowledge of ICD-10-CM coding guidelines as applied to HCC risk adjustment. - Experience with RADV audit preparation and CMS compliance requirements. - Familiarity with RAPS and EDGE submission processes. - Exceptional written and verbal English communication skills. - High attention to detail with the ability to identify coding inaccuracies and documentation gaps in AI-generated outputs. **Preferred Qualifications** - CRC (Certified Risk Coder), CCS, CPC, or RHIA credential. - Experience with risk adjustment analytics platforms and chart retrieval systems. - Background in health plan, Medicare Advantage organisation, or value-based care setting. - Familiarity with AI-assisted HCC coding tools and comfort evaluating AI-generated risk adjustment content. - Experience presenting risk adjustment performance to actuarial or executive teams. **Why Join?** - Contribute to the development of frontier AI systems in healthcare. - Collaborate with a world-class AI research organisation. - Gain exposure to cutting-edge AI workflows in risk adjustment and value-based care. - Opportunity to work on high-impact projects shaping the future of healthcare AI.