Jobs
>
Rancho Cucamonga

    Medical Record Reviewers - Rancho Cucamonga, CA, United States - Inland Empire Health Plan

    Inland Empire Health Plan
    Inland Empire Health Plan Rancho Cucamonga, CA, United States

    3 weeks ago

    Default job background
    Full time Healthcare
    Description
    *What you can expect
    Find joy in serving others with IEHP We welcome you to join us in "healing and inspiring the human spirit" and to pivot from a "job" opportunity to an *authentic experience
    • Under general supervision, the Special Investigations Unit Medical Reviewer (SIU Medical Reviewer) performs reviews of medical records and healthcare claims to substantiate or refute the accuracy and compliance with federal and state regulations and contractual requirements of codes billed to identify coding errors and billing discrepancies in relation to incidents of suspected healthcare fraud, waste, and abuse (FWA) reported to IEHP's Compliance Special Investigations Unit (SIU).

    *Perks
    • IEHP is not only committed to healing and inspiring the human spirit of our Members; we also aim to match our Team Members with the same energy by providing prime benefits and more.
    • CalPERS retirement
    • 457(b) option with a contribution match
    • Generous paid time off- vacation, holidays, sick
    • State of the art fitness center on-site
    • Medical Insurance with Dental and Vision
    • Paid life insurance for employees with additional options
    • Short-term, and long-term disability options
    • Pet care insurance
    • Flexible Spending Account – Health Care/Childcare
    • Wellness programs that promote a healthy work-life balance
    • Career advancement opportunities and professional development
    • Competitive salary with annual merit increase
    • Team bonus opportunities

    *Education & Experience
    • A minimum of two (2) years of experience performing medical reviews of medical records and claims in a healthcare setting
    • Bachelor's degree in medical billing or medical coding, nursing, healthcare administration, or other related field from an accredited institution required
    • Certified Professional Coder (CPC) required.

    Job Type:
    Full-time


    Pay:
    $71, $93,038.40 per year


    Benefits:

    • 401(k)
    • 401(k)
    matching

    • 457(b)
    • Dental insurance
    • Employee assistance program
    • Flexible schedule
    • Flexible spending account
    • Health insurance
    • Health savings account
    • Paid time off
    • Parental leave
    • Professional development assistance
    • Referral program
    • Tuition reimbursement
    • Vision insurance

    Schedule:

    • 8 hour shift
    • Day shift
    • Monday to Friday

    Application Question(s):

    • This position requires onsite work in Rancho Cucamonga, Tu-Th with remote flexibility on Mondays and Fridays. Standard business hours are Mon-Fri, 8am - 5pm. Are you fine with this schedule?

    Education:

    • Bachelor's (Required)

    Experience:
    * medical rcord review and claims: 2 years (Required)


    Ability to Relocate:

    • Rancho Cucamonga, CA 91730: Relocate before starting work (Required)

    Work Location:
    Hybrid remote in Rancho Cucamonga, CA 91730 % % %%medinfo%%
  • Inland Empire Health Plan

    Medical Record Reviewers

    3 days ago

    Inland Empire Health Plan Rancho Cucamonga, CA, United States Full time

    *What you can expect * · Find joy in serving others with IEHP We welcome you to join us in "healing and inspiring the human spirit" and to pivot from a "job" opportunity to an *authentic experience* · Under general supervision, the Special Investigations Unit Medical Reviewer (SI ...

  • Alura Workforce Solutions

    Contract Specialist

    3 weeks ago

    Alura Workforce Solutions Rancho Cucamonga, United States

    Position · Procurement Contract Specialist · (Public Works/Municipality Experience Required) · Contract Assignment · 6-Months, possibly longer. · ***Candidates Must Reside in Southern California. Out of State Candidates will Not be Considered*** · Description · Ignite your ca ...

  • InsideHigherEd

    Athletic Eligibility Specialist

    3 weeks ago

    InsideHigherEd Rancho Cucamonga, United States Administrative Jobs ,

    · Athletic Eligibility Specialist · Chaffey College · Salary: $4,665.00 Monthly · Job Type: Classified Contract · Job Number: 23-24/00127 · Location: Rancho Cucamonga, CA · Department: Athletics · Closing: 5/28/2024 11:59 PM Pacific · Position Description · Under general supervi ...

  • Best Option Mortgage Inc

    Loan Officer

    1 week ago

    Best Option Mortgage Inc Rancho Cucamonga, United States

    Company Description · We suggest you enter details here · Role Description · This is a full-time on-site role for a Loan Officer at Best Option Mortgage located in Rancho Cucamonga, CA. The Loan Officer is responsible for evaluating and approving/denying loan applications, provid ...

  • InsideHigherEd

    Director, Admissions and Records

    3 days ago

    InsideHigherEd Rancho Cucamonga, United States Administrative Jobs ,

    · Director, Admissions and Records · Chaffey College · Salary: $11,634.00 Monthly · Job Type: Management-Classified · Job Number: 23-24/00134 · Location: Rancho Cucamonga, CA · Department: Enrollment Services and Student Support · Closing: 6/16/2024 11:59 PM Pacific · Position D ...

  • Inland Empire Health Plan

    Engineer III

    2 days ago

    Inland Empire Health Plan Rancho Cucamonga, CA, United States

    _*A reasonable salary expectation is between $103, $132,225.60, based upon experience and internal equity.*_ · _*Hybrid Schedule *_ · *Position Summary/Position* · The Engineer III - Problem & Configuration will be reporting to the Manager, IT Service Management and will be respo ...

  • Daevon Parks - State Farm Agent

    Insurance and Financial Services Position

    2 weeks ago

    Daevon Parks - State Farm Agent Rancho Cucamonga, United States Full time

    Position Overview · Successful State Farm Agent is seeking a qualified professional to join their winning team for the role of Insurance and Financial Services Position - State Farm Agent Team Member. We seek an energetic professional interested in helping our business grow throu ...

  • National Community Renaissance

    Roving Affordable File Specialist

    3 weeks ago

    National Community Renaissance Rancho Cucamonga, United States

    The Roving Affordable File Specialist reports directly to the Vice President of Property Management. The Roving Affordable File Specialist is responsible, for ensuring that properties are brought to a current status with annual recerts, and vacant units or other special projects ...

  • HD Supply

    Graveyard Warehouse Inventory Associate- 9:30pm SUN-THURS

    4 weeks ago

    HD Supply Rancho Cucamonga, United States Full time

    Preferred Qualifications · Prior experience working in inventory control. · Previous experience operating material handling equipment. · Job Summary · Serves as a point-of-contact for inventory-related tasks and issues in a distribution center. Operates material handling equipm ...

  • Loyal Source Government Services

    Audiologist

    4 weeks ago

    Loyal Source Government Services Rancho Cucamonga, United States

    Give Back to Those that Gave to Us · We offer full- and part-time positions with excellent benefits – opportunities for growth – and an amazing way to give thanks to those who've given so much. Both new grads and experienced professionals are encouraged to apply and make a real d ...

  • Gentex Corporation

    Senior Program Manager

    6 days ago

    Gentex Corporation Rancho Cucamonga, United States

    :GENTEX AT A GLANCE: · At Gentex Corporation, we've created an environment where great ideas and great people can thrive. Leveraging a history that spans over 125 years, Gentex is a global leader in personal protection and situational awareness solutions for defense forces, emer ...

  • Gentex Corporation

    Senior Program Manager

    3 weeks ago

    Gentex Corporation Rancho Cucamonga, United States

    :GENTEX AT A GLANCE: · At Gentex Corporation, we've created an environment where great ideas and great people can thrive. Leveraging a history that spans over 125 years, Gentex is a global leader in personal protection and situational awareness solutions for defense forces, emer ...

  • Steelscape

    Process Engineer

    1 week ago

    Steelscape Rancho Cucamonga, United States Full time

    Job Description · Primary Purpose & Value of the Department & Position · Manufacturing is responsible for supporting safety, quality and production of all coated steel products processed in their assigned department(s) at the Steelscape facility. The Process Engineer plays an act ...

  • Steelscape

    Process Engineer

    2 weeks ago

    Steelscape Rancho Cucamonga, United States Full time

    Job Description · Primary Purpose & Value of the Department & Position · Manufacturing is responsible for supporting safety, quality and production of all coated steel products processed in their assigned department(s) at the Steelscape facility. The Process Engineer plays an act ...

  • Merrill Gardens at Rancho Cucamonga

    Senior Living Garden House Director- LVN

    2 weeks ago

    Merrill Gardens at Rancho Cucamonga Rancho Cucamonga, United States Full time

    Highly competitive pay · A free daily meal · Starting pay: · Merrill Family of Senior Living Communities, a privately-owned family company with a proud history of success, is currently hiring a Garden House (Memory Care) Director at Merrill Gardens at Rancho Cucamonga in Rancho ...

  • Merrill Gardens at Rancho Cucamonga

    Senior Living Garden House Director- LVN

    4 weeks ago

    Merrill Gardens at Rancho Cucamonga Rancho Cucamonga, United States

    Merrill Gardens at Rancho Cucamonga - Highly competitive pay · A free daily meal · Starting pay: · Merrill Family of Senior Living Communities, a privately-owned family company with a proud history of success, is currently hiring a Garden House (Memory Care) Director at Merrill ...

  • Bank of America

    Business Solutions Advisor

    2 weeks ago

    Bank of America Rancho Cucamonga, United States

    Business Solutions Advisor - The Mills Financial Center page is loaded · Business Solutions Advisor - The Mills Financial Center · Apply · locations · Rancho Cucamonga · time type · Full time · posted on · Posted 3 Days Ago · job requisition id · Job Description:At Bank ...

  • IEHP

    Special Investigations Unit Medical Reviewer

    2 weeks ago

    IEHP Rancho Cucamonga, United States

    What you can expect · Find joy in serving others with IEHP We welcome you to join us in "healing and inspiring the human spirit" and to pivot from a "job" opportunity to an authentic experience · Under general supervision, the Special Investigations Unit Medical Reviewer (SIU Med ...

  • Inland Empire Health Plan

    Special Investigations Unit Medical Reviewer

    2 weeks ago

    Inland Empire Health Plan Rancho Cucamonga, United States

    What you can expect · Find joy in serving others with IEHP We welcome you to join us in "healing and inspiring the human spirit" and to pivot from a "job" opportunity to an authentic experience · Under general supervision, the Special Investigations Unit Medical Reviewer (SIU Me ...

  • IEHP

    Senior Special Investigations Unit Medical Reviewer

    2 weeks ago

    IEHP Rancho Cucamonga, United States

    What you can expect · Find joy in serving others with IEHP We welcome you to join us in "healing and inspiring the human spirit" and to pivot from a "job" opportunity to an authentic experience · Under minimal supervision, the Senior Special Investigations Unit Medical Reviewer ( ...