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Clinical Coding Analyst, Experienced – Certified Coder at Blue Shield of California
Los Angeles, California, United States - Full Time
Skills Needed
Clinical Coding, Code Governance, Compliance, Auditing, Provider Billing, Claims Processing, Payment Quality, Data Analysis, Microsoft Excel, Microsoft Word, Microsoft Powerpoint, Healthcare Standards, Workflow Optimization, Quality Assurance
Specialization
Candidates must possess a high school diploma or equivalent and hold professional certifications such as CCS, CCS-P, CPC, or COC. Applicants should have 1 to 3 years of relevant experience in provider billing, payor environments, or healthcare compliance.
Experience Required
Minimum 2 year(s)
Part Time Food Service Supervisor at Trinity Services Group
Akron, Colorado, United States - Full Time
Skills Needed
Food Service Supervision, Food Preparation, Food Safety Regulations, Sanitation, Kitchen Equipment Operation, Team Leadership, Multi Tasking, Time Management, Inventory Management, Menu Execution, Portion Control, Cleaning And Maintenance
Specialization
Candidates must possess a high school diploma or equivalent and be at least 18 years of age. Prior institutional food service or restaurant experience is preferred.
Developmental Disabilities Behavioral Support Specialist at ViaQuest
Cincinnati, Ohio, United States - Full Time
Skills Needed
Therapeutic Behavioral Services, Service Planning, Crisis Prevention, Treatment Planning, Case Management, Intervention, Daily Life Skills Restoration, Behavioral Health Support
Specialization
Requires a high school diploma or a Bachelor's/Master's degree in a related field, or three years of relevant experience. Candidates must be at least 18 years old with a valid driver's license, insurance, and reliable transportation.
Experience Required
Minimum 2 year(s)
Mental Health Therapist Hybrid (LSW or LPC required) Part Time or Full Time at ViaQuest
Baltic, Ohio, United States - Full Time
Skills Needed
Diagnostic Assessments, Treatment Planning, Progress Notes, Therapy, Counseling, Case Management, Psychiatric Services, Patient Care
Specialization
Requires a Bachelor's degree in Social Work or related field with one year of experience, or a Master's degree in Social Work or Professional Counseling. Must hold a valid license (e.g., LSW, LPC) and possess a valid driver's license with reliable transportation.
Experience Required
Minimum 2 year(s)
Certified Middle School Math Teacher (26-27 School Year) at New Paradigm for Education
Detroit, Michigan, United States - Full Time
Skills Needed
Middle School Pedagogy, Mathematics Instruction, Lesson Planning, Classroom Management, Culturally Responsive Teaching, Student Assessment, Relationship Building, Data Driven Instruction, Family Engagement, Interpersonal Communication, Collaborative Planning, Iep Support
Specialization
Candidates must possess a Bachelor's degree and hold or be pursuing a valid Michigan Teaching Certificate. Prior classroom experience and a strong commitment to culturally responsive education and student achievement are highly preferred.
Call Center Agent at Alphabe Insight Inc
Oklahoma City, Oklahoma, United States - Full Time
Skills Needed
Verbal Communication, Active Listening, Customer Service, Data Entry, Crm Systems, Professionalism, Organization, Detail Oriented
Specialization
Candidates should possess strong communication skills and a professional, customer-focused attitude. Basic computer proficiency and CRM experience are required, though entry-level applicants are welcome.
Front Desk Representative at Alphabe Insight Inc
Oklahoma City, Oklahoma, United States - Full Time
Skills Needed
Communication, Interpersonal Skills, Organization, Multitasking, Prioritization, Computer Skills, Email Management, Scheduling Systems, Data Entry, Administrative Support
Specialization
Candidates should possess strong interpersonal skills and a professional demeanor with basic computer proficiency. Entry-level applicants are welcome as training is provided for the role.
Physician - Family Medicine at Kelsey-Seybold
League City, Texas, United States - Full Time
Skills Needed
Patient Care, Diagnosis, Preventive Medicine, Wellness Exams, Outpatient Care, Care Coordination, Corporate Physicals
Specialization
Must hold a Medical Degree (MD or DO) and have completed an accredited Family Medicine Residency. Candidates must be Board Certified or Eligible and licensed to practice in the State of Texas.
Experience Required
Minimum 2 year(s)
Physician - Family Medicine at Kelsey-Seybold
Porter, Texas, United States - Full Time
Skills Needed
Patient Care, Diagnosis, Preventive Medicine, Wellness Exams, Outpatient Care, Corporate Physicals, Care Coordination, Family Medicine
Specialization
Must hold a Medical Degree (MD or DO) and have completed an accredited Family Medicine Residency. Candidates must be Board Certified or Eligible and licensed to practice in the State of Texas.
Experience Required
Minimum 2 year(s)
Physician - Family Medicine at Kelsey-Seybold
Houston, Texas, United States - Full Time
Skills Needed
Patient Care, Diagnosis, Preventive Medicine, Wellness Exams, Outpatient Care, Corporate Physicals, Care Coordination, Family Medicine
Specialization
Must hold a Medical Degree (MD or DO) and have completed an accredited Family Medicine Residency. Candidates must be Board Certified or Eligible and licensed to practice in the State of Texas.
Experience Required
Minimum 2 year(s)
RN - Day Surgery 0.9 FTE Day at Providence Health Care, Inc
Medford, Oregon, United States - Full Time
Skills Needed
Nursing Care, Patient Focused Care, Day Surgery, Bls Certification, Clinical Nursing
Specialization
Must be a graduate of an accredited nursing program with a valid Registered Nurse License and BLS certification from the American Heart Association. Requires at least one year of nursing experience.
Medical Laboratory Scientist at Providence Health Care, Inc
Torrance, California, United States - Full Time
Skills Needed
Specimen Processing, Test Performance, Test Result Reporting, Clinical Laboratory Science, Regulatory Compliance, Patient Care Support
Specialization
Candidates must possess a Bachelor's degree in Science and a valid California Clinical Laboratory Scientist License. At least one year of experience in a clinical laboratory and meeting CLIA requirements for moderate to high complexity testing are required.
RN - Pediatrics - NIGHTS at Providence Health Care, Inc
Olympia, Washington, United States - Full Time
Skills Needed
Pediatric Nursing, Patient Focused Care, Bls, Pals, Clinical Care, Nursing Assessment
Specialization
Requires graduation from an accredited nursing program, a Washington RN license, and BLS and PALS certifications from the American Heart Association. A minimum of one year of nursing experience is required.
Experience Required
Minimum 2 year(s)
RN - Surgery General - Full Time Day at Providence Health Care, Inc
Santa Rosa, California, United States - Full Time
Skills Needed
Surgical Nursing, Patient Care, Bls, Nih Stroke Scale, Acls, Tncc, Ivps, Cpan, Tcar, Acute Care
Specialization
Requires graduation from an accredited nursing program, a California RN license, and BLS certification upon hire. Candidates must have at least one year of nursing experience and obtain NIH Stroke Scale certification within 90 days.
Experience Required
Minimum 2 year(s)
Public Relations Associate at Alphabe Insight Inc
Oklahoma City, Oklahoma, United States - Full Time
Skills Needed
Public Relations, Outreach, Brand Engagement, Professional Communication, Relationship Building, Project Coordination, Organizational Skills, Multitasking, Written Communication, Verbal Communication
Specialization
Candidates should possess strong written and verbal communication skills and a proactive, team-oriented attitude. Entry-level candidates are welcome, provided they have an interest in marketing or public relations.
Communications Agent at Alphabe Insight Inc
Oklahoma City, Oklahoma, United States - Full Time
Skills Needed
Verbal Communication, Active Listening, Organization, Attention To Detail, Multitasking, Computer Proficiency
Specialization
Candidates should possess strong verbal communication skills, a professional demeanor, and basic computer proficiency. Entry-level applicants are welcome as training is provided.
Customer Service Agent at Alphabe Insight Inc
Oklahoma City, Oklahoma, United States - Full Time
Skills Needed
Communication, Interpersonal Skills, Problem Solving, Multitasking, Data Entry, Email, Customer Support, Organizational Skills
Specialization
Candidates should possess strong communication, organizational, and basic computer skills. Entry-level applicants are welcome as training is provided.
Occupational Therapist (Full Time) at Health Care Connectors
Stamford, Connecticut, United States - Full Time
Skills Needed
Patient Assessment, Treatment Planning, Occupational Therapy Interventions, Case Management, Patient Education, Interpersonal Communication, Problem Solving, Critical Thinking, Documentation, Geriatric Care, Post Acute Care, Collaboration
Specialization
Requires a Master's degree in Occupational Therapy and a valid state license or certification. Experience in home health, rehabilitation, or case management is preferred.
Experience Required
Minimum 2 year(s)
Physician - Family Medicine at Kelsey-Seybold
Baytown, Texas, United States - Full Time
Skills Needed
Family Medicine, Patient Care, Preventive Medicine, Diagnosis, Treatment Planning, Outpatient Care, Wellness Exams, Corporate Physicals, Care Coordination
Specialization
Candidates must hold a Medical Degree (MD or DO) and have completed an accredited Family Medicine Residency. Must be Board Certified or Board Eligible and licensed to practice in the State of Texas.
Experience Required
Minimum 2 year(s)
Physician - Family Medicine at Kelsey-Seybold
Humble, Texas, United States - Full Time
Skills Needed
Patient Care, Diagnosis, Preventive Medicine, Wellness Exams, Outpatient Care, Care Coordination, Family Medicine
Specialization
Must hold a Medical Degree (MD or DO) and have completed an accredited Family Medicine Residency. Candidates must be Board Certified or Eligible and licensed to practice in the State of Texas.
Experience Required
Minimum 2 year(s)
Clinical Coding Analyst, Experienced – Certified Coder at Blue Shield of California
Los Angeles, California, United States -
Full Time


Start Date

Immediate

Expiry Date

17 Jul, 26

Salary

54.16

Posted On

18 Apr, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Clinical coding, Code governance, Compliance, Auditing, Provider billing, Claims processing, Payment quality, Data analysis, Microsoft Excel, Microsoft Word, Microsoft PowerPoint, Healthcare standards, Workflow optimization, Quality assurance

Industry

Hospitals and Health Care

Description
Your Role As a Clinical Coding Analyst, Experienced specializing in code governance, you will play a pivotal role in ensuring coding standards, compliance, and best practices across development teams. Your responsibilities will include implementing and maintaining a code governance framework, conducting code reviews, optimizing development workflows, and ensuring adherence to industry standards. You will collaborate with cross-functional teams to establish coding guidelines, automate governance processes, and enhance overall software quality and security. Your expertise will drive efficiency, consistency, and compliance in coding practices, supporting scalable and maintainable solutions. Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow – personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.   About Blue Shield of California As of January 2025, Blue Shield of California became a subsidiary of Ascendiun. Ascendiun is a nonprofit corporate entity that is the parent to a family of organizations including Blue Shield of California and its subsidiary, Blue Shield of California Promise Health Plan; Altais, a clinical services company; and Stellarus, a company designed to scale healthcare solutions. Together, these organizations are referred to as the Ascendiun Family of Companies.  At Blue Shield of California, our mission is to create a healthcare system worthy of our family and friends and sustainably affordable. We are transforming health care in a way that genuinely serves our nonprofit mission by lowering costs, improving quality, and enhancing the member and physician experience.  To achieve our mission, we foster an environment where all employees can thrive and contribute fully to address the needs of the various communities we serve. We are committed to creating and maintaining a supportive workplace that upholds our values and advances our goals. Blue Shield is a U.S. News Best Company to work for, a Deloitte U.S. Best Managed Company and a Top 100 Inspiring Workplace. We were recognized by Fair360 as a Top Regional Company, and one of the 50 most community-minded companies in the United States by Points of Light. Here at Blue Shield, we strive to make a positive change across our industry and communities – join us!   Our Values:  * Honest. We hold ourselves to the highest ethical and integrity standards. We build trust by doing what we say we're going to do and by acknowledging and correcting where we fall short.  * Human. We strive to listen and communicate effectively, showing empathy by understanding others' perspectives. * Courageous. We stand up for what we believe in and are committed to the hard work necessary to achieve our ambitious goals.  Our Workplace Model  We believe in fostering a workplace environment that balances purposeful in-person collaboration with flexibility - providing clear expectations while respecting the diverse needs of our workforce. Our workplace model is designed around intentional in-person interaction, collaboration, connection, creativity and flexibility: * For most teams, this means coming into the office two days per week. * Employees living more than 50 miles from an office location, out of state employees, and employees in certain member-facing roles should work with their manager to determine in-office time based on business need. * For employees with medical conditions that may impact their ability to work in-office, we are committed to engaging in an interactive process and providing reasonable accommodations to ensure their work environment is conducive to their success and well-being. The Company reserves the right to require more presence in the office based on business needs, and requirements are subject to change with periodic reviews.   Physical Requirements: Office Environment - roles involving part to full time schedule in Office Environment. Based in our physical offices and work from home office/deskwork - Activity level: Sedentary, frequency most of work day. Please click here for further physical requirement detail. [https://www.blueshieldca.com/physical-job-requirements]  Equal Employment Opportunity: External hires must pass a background check/drug screen. Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws.
Responsibilities
The Clinical Coding Analyst will implement and maintain a code governance framework while conducting code reviews to ensure compliance and best practices. They will collaborate with cross-functional teams to establish coding guidelines and optimize development workflows to enhance software quality.
Clinical Coding Analyst, Experienced – Certified Coder at Blue Shield of California
Los Angeles, California, United States - Full Time
Skills Needed
Clinical Coding, Code Governance, Compliance, Auditing, Provider Billing, Claims Processing, Payment Quality, Data Analysis, Microsoft Excel, Microsoft Word, Microsoft Powerpoint, Healthcare Standards, Workflow Optimization, Quality Assurance
Specialization
Candidates must possess a high school diploma or equivalent and hold professional certifications such as CCS, CCS-P, CPC, or COC. Applicants should have 1 to 3 years of relevant experience in provider billing, payor environments, or healthcare compliance.
Experience Required
Minimum 2 year(s)
Part Time Food Service Supervisor at Trinity Services Group
Akron, Colorado, United States - Full Time
Skills Needed
Food Service Supervision, Food Preparation, Food Safety Regulations, Sanitation, Kitchen Equipment Operation, Team Leadership, Multi Tasking, Time Management, Inventory Management, Menu Execution, Portion Control, Cleaning And Maintenance
Specialization
Candidates must possess a high school diploma or equivalent and be at least 18 years of age. Prior institutional food service or restaurant experience is preferred.
Developmental Disabilities Behavioral Support Specialist at ViaQuest
Cincinnati, Ohio, United States - Full Time
Skills Needed
Therapeutic Behavioral Services, Service Planning, Crisis Prevention, Treatment Planning, Case Management, Intervention, Daily Life Skills Restoration, Behavioral Health Support
Specialization
Requires a high school diploma or a Bachelor's/Master's degree in a related field, or three years of relevant experience. Candidates must be at least 18 years old with a valid driver's license, insurance, and reliable transportation.
Experience Required
Minimum 2 year(s)
Mental Health Therapist Hybrid (LSW or LPC required) Part Time or Full Time at ViaQuest
Baltic, Ohio, United States - Full Time
Skills Needed
Diagnostic Assessments, Treatment Planning, Progress Notes, Therapy, Counseling, Case Management, Psychiatric Services, Patient Care
Specialization
Requires a Bachelor's degree in Social Work or related field with one year of experience, or a Master's degree in Social Work or Professional Counseling. Must hold a valid license (e.g., LSW, LPC) and possess a valid driver's license with reliable transportation.
Experience Required
Minimum 2 year(s)
Certified Middle School Math Teacher (26-27 School Year) at New Paradigm for Education
Detroit, Michigan, United States - Full Time
Skills Needed
Middle School Pedagogy, Mathematics Instruction, Lesson Planning, Classroom Management, Culturally Responsive Teaching, Student Assessment, Relationship Building, Data Driven Instruction, Family Engagement, Interpersonal Communication, Collaborative Planning, Iep Support
Specialization
Candidates must possess a Bachelor's degree and hold or be pursuing a valid Michigan Teaching Certificate. Prior classroom experience and a strong commitment to culturally responsive education and student achievement are highly preferred.
Call Center Agent at Alphabe Insight Inc
Oklahoma City, Oklahoma, United States - Full Time
Skills Needed
Verbal Communication, Active Listening, Customer Service, Data Entry, Crm Systems, Professionalism, Organization, Detail Oriented
Specialization
Candidates should possess strong communication skills and a professional, customer-focused attitude. Basic computer proficiency and CRM experience are required, though entry-level applicants are welcome.
Front Desk Representative at Alphabe Insight Inc
Oklahoma City, Oklahoma, United States - Full Time
Skills Needed
Communication, Interpersonal Skills, Organization, Multitasking, Prioritization, Computer Skills, Email Management, Scheduling Systems, Data Entry, Administrative Support
Specialization
Candidates should possess strong interpersonal skills and a professional demeanor with basic computer proficiency. Entry-level applicants are welcome as training is provided for the role.
Physician - Family Medicine at Kelsey-Seybold
League City, Texas, United States - Full Time
Skills Needed
Patient Care, Diagnosis, Preventive Medicine, Wellness Exams, Outpatient Care, Care Coordination, Corporate Physicals
Specialization
Must hold a Medical Degree (MD or DO) and have completed an accredited Family Medicine Residency. Candidates must be Board Certified or Eligible and licensed to practice in the State of Texas.
Experience Required
Minimum 2 year(s)
Physician - Family Medicine at Kelsey-Seybold
Porter, Texas, United States - Full Time
Skills Needed
Patient Care, Diagnosis, Preventive Medicine, Wellness Exams, Outpatient Care, Corporate Physicals, Care Coordination, Family Medicine
Specialization
Must hold a Medical Degree (MD or DO) and have completed an accredited Family Medicine Residency. Candidates must be Board Certified or Eligible and licensed to practice in the State of Texas.
Experience Required
Minimum 2 year(s)
Physician - Family Medicine at Kelsey-Seybold
Houston, Texas, United States - Full Time
Skills Needed
Patient Care, Diagnosis, Preventive Medicine, Wellness Exams, Outpatient Care, Corporate Physicals, Care Coordination, Family Medicine
Specialization
Must hold a Medical Degree (MD or DO) and have completed an accredited Family Medicine Residency. Candidates must be Board Certified or Eligible and licensed to practice in the State of Texas.
Experience Required
Minimum 2 year(s)
RN - Day Surgery 0.9 FTE Day at Providence Health Care, Inc
Medford, Oregon, United States - Full Time
Skills Needed
Nursing Care, Patient Focused Care, Day Surgery, Bls Certification, Clinical Nursing
Specialization
Must be a graduate of an accredited nursing program with a valid Registered Nurse License and BLS certification from the American Heart Association. Requires at least one year of nursing experience.
Medical Laboratory Scientist at Providence Health Care, Inc
Torrance, California, United States - Full Time
Skills Needed
Specimen Processing, Test Performance, Test Result Reporting, Clinical Laboratory Science, Regulatory Compliance, Patient Care Support
Specialization
Candidates must possess a Bachelor's degree in Science and a valid California Clinical Laboratory Scientist License. At least one year of experience in a clinical laboratory and meeting CLIA requirements for moderate to high complexity testing are required.
RN - Pediatrics - NIGHTS at Providence Health Care, Inc
Olympia, Washington, United States - Full Time
Skills Needed
Pediatric Nursing, Patient Focused Care, Bls, Pals, Clinical Care, Nursing Assessment
Specialization
Requires graduation from an accredited nursing program, a Washington RN license, and BLS and PALS certifications from the American Heart Association. A minimum of one year of nursing experience is required.
Experience Required
Minimum 2 year(s)
RN - Surgery General - Full Time Day at Providence Health Care, Inc
Santa Rosa, California, United States - Full Time
Skills Needed
Surgical Nursing, Patient Care, Bls, Nih Stroke Scale, Acls, Tncc, Ivps, Cpan, Tcar, Acute Care
Specialization
Requires graduation from an accredited nursing program, a California RN license, and BLS certification upon hire. Candidates must have at least one year of nursing experience and obtain NIH Stroke Scale certification within 90 days.
Experience Required
Minimum 2 year(s)
Public Relations Associate at Alphabe Insight Inc
Oklahoma City, Oklahoma, United States - Full Time
Skills Needed
Public Relations, Outreach, Brand Engagement, Professional Communication, Relationship Building, Project Coordination, Organizational Skills, Multitasking, Written Communication, Verbal Communication
Specialization
Candidates should possess strong written and verbal communication skills and a proactive, team-oriented attitude. Entry-level candidates are welcome, provided they have an interest in marketing or public relations.
Communications Agent at Alphabe Insight Inc
Oklahoma City, Oklahoma, United States - Full Time
Skills Needed
Verbal Communication, Active Listening, Organization, Attention To Detail, Multitasking, Computer Proficiency
Specialization
Candidates should possess strong verbal communication skills, a professional demeanor, and basic computer proficiency. Entry-level applicants are welcome as training is provided.
Customer Service Agent at Alphabe Insight Inc
Oklahoma City, Oklahoma, United States - Full Time
Skills Needed
Communication, Interpersonal Skills, Problem Solving, Multitasking, Data Entry, Email, Customer Support, Organizational Skills
Specialization
Candidates should possess strong communication, organizational, and basic computer skills. Entry-level applicants are welcome as training is provided.
Occupational Therapist (Full Time) at Health Care Connectors
Stamford, Connecticut, United States - Full Time
Skills Needed
Patient Assessment, Treatment Planning, Occupational Therapy Interventions, Case Management, Patient Education, Interpersonal Communication, Problem Solving, Critical Thinking, Documentation, Geriatric Care, Post Acute Care, Collaboration
Specialization
Requires a Master's degree in Occupational Therapy and a valid state license or certification. Experience in home health, rehabilitation, or case management is preferred.
Experience Required
Minimum 2 year(s)
Physician - Family Medicine at Kelsey-Seybold
Baytown, Texas, United States - Full Time
Skills Needed
Family Medicine, Patient Care, Preventive Medicine, Diagnosis, Treatment Planning, Outpatient Care, Wellness Exams, Corporate Physicals, Care Coordination
Specialization
Candidates must hold a Medical Degree (MD or DO) and have completed an accredited Family Medicine Residency. Must be Board Certified or Board Eligible and licensed to practice in the State of Texas.
Experience Required
Minimum 2 year(s)
Physician - Family Medicine at Kelsey-Seybold
Humble, Texas, United States - Full Time
Skills Needed
Patient Care, Diagnosis, Preventive Medicine, Wellness Exams, Outpatient Care, Care Coordination, Family Medicine
Specialization
Must hold a Medical Degree (MD or DO) and have completed an accredited Family Medicine Residency. Candidates must be Board Certified or Eligible and licensed to practice in the State of Texas.
Experience Required
Minimum 2 year(s)
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