- 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
- 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.
- 401(k)
- 401(k)
- 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
- 8 hour shift
- Day shift
- Monday to Friday
- 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?
- Bachelor's (Required)
- Rancho Cucamonga, CA 91730: Relocate before starting work (Required)
-
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 ...
-
Special Investigations Unit Medical Reviewer
1 week ago
IEHP Rancho Cucamonga, United StatesWhat 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 ...
-
Special Investigations Unit Medical Reviewer
1 week ago
Inland Empire Health Plan Rancho Cucamonga, United StatesWhat 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 ...
-
Special Investigations Unit Medical Reviewer
20 hours ago
Inland Empire Health Plan Rancho Cucamonga, United StatesJob 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 Medica ...
-
IEHP Rancho Cucamonga, United StatesWhat 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 ( ...
-
Inland Empire Health Plan Rancho Cucamonga, United StatesWhat 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 ...
-
Coordinator - Itc
2 days ago
Inland Empire Health Plan Rancho Cucamonga, United StatesOverview: · **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 the general direction of the Manager and Supervisor in the ...
-
Coordinator - Itc
2 days 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 the general direction of the Manager and Supervisor in the Integrated ...
-
Chiropractor - Rancho Cucamonga, Ca
1 week ago
The Joint Chiropractic Rancho Cucamonga, United States**Looking for a new way of delivering quality chiropractic care?** · **The right adjustment is all it takes.** · Here at The Joint Chiropractic, we got your back. As one of our doctors, you will find that our unique operating model gives you all the support you need to focus on d ...
-
Plumbing Purchasing Clerk
1 week ago
SEMP Rancho Cucamonga, United States: · **Responsibilities** · - Accurately enter data into the databases · - Review and verify data for accuracy and completeness · - Assist with creating plumbing purchase orders · - Communicate with vendors and internal departments regarding updates on materials · - Assist with in ...
-
Claims Assistant
17 hours ago
Sedgwick Rancho Cucamonga, United StatesTaking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It's an opportuni ...
-
Athletic Eligibility Specialist
1 day ago
Chaffey College Rancho Cucamonga, United StatesChaffey 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 supervision, perform ...
-
Recruiter
1 week ago
Sumitomo Rubber North America Inc Rancho Cucamonga, United StatesWe are looking for a recruiter to make a direct impact on SRNA culture and impact people's career. Big picture you'll play a key role in building and shaping our team, researching, developing, and implementing effective recruiting and staffing strategies to attract and hire the b ...
-
Auditor - Provider Recovery
2 days 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 the direction of the Provider Claims Resolution & Recovery Supervisor, ...
-
Manager, Facilities Maintenance
1 week ago
Inland Empire Health Plan Rancho Cucamonga, United States**What you can expect** · Under the direction of the Senior Director, Facilities, the Manager, Facilities Maintenance is responsible for managing all technical, mechanical, electrical, plumbing, engineering, janitorial services. The Manager, Facilities Maintenance performs and su ...
-
Auditor - Provider Recovery
2 days ago
Inland Empire Health Plan Rancho Cucamonga, United StatesOverview: · **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 the direction of the Provider Claims Resolution & Recovery ...
-
Ca Claims Specialist
1 week ago
CorVel Corporation Rancho Cucamonga, United StatesThe Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers' compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of ...
-
Human Resources Generalist
2 days ago
Priority Ambulance CA Rancho Cucamonga, United States**Position: Human Resources Generalist** · **Location: Rancho Cucamonga, CA** · - Priority Ambulance California and CONFIRE, a Joint Power Authority, formed by nine-member fire agencies in San Bernardino County, are parties to a public-private alliance model that will provide eme ...
-
Rda
1 week ago
WEST COAST DENTAL ADMINISTRATIVE SERVICES LLC Rancho Cucamonga, United StatesRegistered Dental Assistant, RDA - Fantastic Career OpportunitiesHigh-end compensation in the industry- · - Large, diverse patient base of all payor types- · - Provide general, specialty and orthodontic services in all offices- · - Established organization committed to quality an ...
-
Program Readiness Coordinator
1 day ago
Universal Technical Institute Rancho Cucamonga, United StatesOverview: · The Program Readiness Coordinator (PRC) partners with the Admissions Representative and Financial Aid Advisor to ensure students complete all necessary steps to successfully start school. The PRC guides, creates awareness, encourages engagement, and fosters student ex ...
Special Investigations Unit Medical Reviewer - Rancho Cucamonga, CA, United States - Inland Empire Health Plan
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).
Job Type:
Full-time
Pay:
$71, $93,038.40 per year
Benefits:
Schedule:
Application Question(s):
Education:
Experience:
* medical rcord review and claims: 2 years (Required)
Ability to Relocate:
Work Location:
Hybrid remote in Rancho Cucamonga, CA 91730