Coding Compliance SpecialistVirtualVocations • Santa Ana, California, United States
[error_messages.no_longer_accepting]
Coding Compliance Specialist
VirtualVocations • Santa Ana, California, United States
[job_card.variable_days_ago]
[job_preview.job_type]
- [job_card.full_time]
[job_card.job_description]
A company is looking for a Coding Compliance Specialist responsible for overseeing and evaluating Risk Adjustment Data Validation medical record review work.
Key Responsibilities
Ensure adherence to CMS RADV payment and risk adjustment policies
Provide expert guidance on coding and documentation standards
Review escalated Medicare RADV medical record cases and resolve complex issues
Required Qualifications
RADV experience required
Minimum 5 years of supervisory experience in medical record review, preferably RADV
Proven expertise in reviewing escalated Medicare RADV medical record cases
Medical Coding Certification from an accredited entity (e.g., AAPC, AHIMA)
Advanced knowledge of coding systems and compliance regulations
[job_alerts.create_a_job]
Coding Specialist • Santa Ana, California, United States
[internal_linking.similar_jobs]
We are currently seeking a highly motivated Risk Adjustment Coding Specialist.Manager - Risk Adjustment and enable us to continue to scale in the healthcare industry.
May be open to considering Leve...[show_more]
Job Description : Providing for loved ones, planning rewarding retirements, saving enough for whatever lies ahead - our policyholders count on us to be there when it matters most.It's a big ask, bu...[show_more]
Hybrid / Remote (Throughout California).Full-time, Monday-Friday, 8 : 00 AM - 4 : 30 PM.Elevate Your Career by Joining a Premier, Award-Winning Healthcare Organization.
Option 1 Staffing is seeking an exp...[show_more]
NASDAQ : EOLS) is a performance beauty company with a customer-centric approach focused on delivering breakthrough products.
We are seeking an experienced, collaborative Senior Counsel - Commercial &...[show_more]
Medical Accounts Receivable Collector.Addison Group is actively recruiting on behalf of a well-respected healthcare organization for a.
Medical Accounts Receivable Collector.This is a contract to hi...[show_more]
To thrive as a Worker's Compensation Specialist, you bring a thoughtful, organized, and people-focused approach to supporting employees through occupational injuries while helping maintain accurate...[show_more]
Job Summary : In addition to the responsibilities listed below, the position is responsible for serving as a compliance subject matter expert related to coding functions within assigned settings of...[show_more]
Job ID : 2503884 Job Description : Role Summary / Purpose : The VP, Fraud / GEN AI Validation COE is responsible for performing model validation for all the fraud models, and ensure they are meeting the r...[show_more]
A leading facilities management company in California is seeking a Billing Specialist to manage the billing process effectively.
Responsibilities include generating invoices, reconciling billing dat...[show_more] Job Description : Providing for loved ones, planning rewarding retirements, saving enough for whatever lies ahead - our policyholders count on us to be there when it matters most.It's a big ask, bu...[show_more] 
A reasonable estimate for this position is $55,000-$194,800.See table Specialist Series - Exempt.Friday, Nov 7, 2025 at 11 : 59pm (Pacific Time).
Applications received after this date will be reviewed...[show_more]
Compliance Analyst (IT / Cybersecurity Focus) opportunity in Huntington Beach, CA Are you an IT professional with a strong cybersecurity background who enjoys bridging technology and compliance? Fa...[show_more]
The Billing and Collections Specialist is responsible for managing complex billing and collections processes, including third-party insurance claims, patient account reviews, eligibility verificati...[show_more]
When you join the Huntington Hospital team, you are aligning yourself with an organization whose values drive our philosophy of compassionate community care.
Over the past 129 years, we've grown fro...[show_more]
They made it easier for me to live, breathe, eat, and stay clean.Without them, I'd be waiting somewhere, waiting for someone to give me a chance to live.
What You Will Do to Change Lives.The Billing...[show_more]
About Mach Industries Founded in 2022, Mach Industries is a rapidly growing defense technology company focused on developing next-generation autonomous defense platforms.At the core of our mission...[show_more]
Telecare's mission is to deliver excellent and effective behavioral health services that engage individuals in recovering their health, hopes, and dreams.
Telecare continues to advance cultural dive...[show_more]
As the Time & Materials (T&M) Billing Specialist you will report directly to the Billing Manager.You'll spend about 70% of your time with T&M billings.
another 25% assisting Project managers with C...[show_more]
Quality Risk Adjustment Coder (San Gabriel Valley, CA)
Astrana Health, Inc. • Monterey Park, California, US
[job_card.full_time]
[filters_job_card.quick_apply]
[last_updated.last_updated_variable_days]
Compliance Consultant
Pacific Life • Newport Beach, CA, United States
[job_card.full_time]
[last_updated.last_updated_variable_hours] • [promoted] • [new]
Charge Capture Specialist
Option 1 Staffing Services, Inc. • Anaheim, CA, US
[job_card.full_time]
[last_updated.last_updated_variable_days] • [promoted]
Sr. Counsel - Commercial & Compliance
Evolus, Inc. • Newport Beach, CA, United States
[job_card.full_time]
[last_updated.last_updated_variable_hours] • [promoted] • [new]
AR Specialist
Addison Group • Anaheim, United States
[job_card.full_time]
[last_updated.last_updated_variable_hours] • [promoted] • [new]
Worker's Compensation Specialist
Behr Process Corporation • Santa Ana, CA, United States
[job_card.full_time]
[last_updated.last_updated_variable_hours] • [promoted] • [new]
Compliance Consultant III, Risk Adjustment Medical Coding
Kaiser Permanente • Pasadena, CA, United States
[job_card.full_time]
[last_updated.last_updated_variable_hours] • [promoted] • [new]
VP, Model Validation and Validation COE
Synchrony Financial • Costa Mesa, California, United States
[job_card.full_time]
[last_updated.last_updated_variable_hours] • [promoted] • [new]
Billing & AR Specialist Detail-Driven Process Optimizer
Facility Solutions Group • Placentia, CA, United States
[job_card.full_time]
[last_updated.last_updated_variable_days] • [promoted]
Senior Compliance Analyst
Pacific Life • Newport Beach, CA, United States
[job_card.full_time]
[last_updated.last_updated_variable_hours] • [promoted] • [new]
Specialist Series Pool Ad
University of California - Irvine • Orange, CA, United States
[job_card.full_time]
[last_updated.last_updated_30] • [promoted]
Compliance Analyst
Precision Resource • Huntington Beach, CA, United States
[job_card.permanent]
[last_updated.last_updated_variable_hours] • [promoted] • [new]
Billing and Collection Specialist
JWCH Institute • Commerce, CA, United States
[job_card.full_time]
[last_updated.last_updated_variable_days] • [promoted]
Compliance Specialist - This position is on site Monday through Friday
Huntington Hospital • Pasadena, CA, United States
[job_card.full_time]
[last_updated.last_updated_variable_hours] • [promoted] • [new]
Billing Specialist - Mental Health 189
Telecare Corporation • Costa Mesa, CA, United States
[job_card.full_time]
[last_updated.last_updated_30] • [promoted]
Finance and Compliance Analyst
Mach Industries • Huntington Beach, CA, United States
[job_card.full_time]
[last_updated.last_updated_variable_hours] • [promoted] • [new]
Billing Specialist : Multi Sites - Orange County Region
Telecare Corporation • Santa Ana, CA, United States
[job_card.full_time]
[last_updated.last_updated_1_day] • [promoted]
T&M Billing Specialist
ACCO Engineered Systems • Pasadena, CA, United States
[job_card.full_time]
[last_updated.last_updated_variable_days] • [promoted]