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Kadence is partnered with a AI first healthcare company building agentic systems for medical coding. We are looking for an Applied Scientist with strong LLM reasoning and agents background. We need a coder and platform builder, who also has strong research background. Target Compensation is between $160k-220k base (depending on experience), plus equity. Location is Bay Area, SF (hybrid ) What you’ll do • Improve LLM reasoning using post-training (SFT, RL), • Build agentic systems (multi-step, real-world tasks), • Design evaluation frameworks to measure model quality, • Optimize models for performance + cost efficiency What we’re looking for • Strong ML/NLP background with LLMs or transformers (1.5 years+ industry exp.), • Experience with RL, fine-tuning, or evaluation of models, • Solid Python + PyTorch (or similar), • Track record of turning research into real impact, • Ph.D. required in Computer Science, Mathematics, Physics background or similar Bonus • Synthetic data, retrieval systems, or long-context models, • Experience with scalable ML systems

HIMS Full Time 87097BR Job Summary This role will be expected to work onsite 3 days per week. Typically manages multiple or all units in the health information management department. Ensures operations are in place for retention and security of patient care information. Interfaces with departments from across the organization such as clinical, research, legal and reimbursement. Under the direction of UCSF HIMS Leadership and in partnership with the Clinical Documentation Integrity program and related Apex Programs, this position is accountable for driving the implementation of the organizational best practices at UCSF HIMS Health to achieve optimum overall performance. This position is accountable for driving strategic and value programs within UCSF Health HIMS to support a culture of continuous improvement, innovation, and high-value patient care. This position is responsible for overseeing projects and process improvement initiatives at each of the HIMS locations. Ensures operations are in place for retention and security of patient care information. Interfaces with departments across UCSF and BCHO, including clinical, research, legal, and reimbursement. The final salary and offer components are subject to additional approvals based on UC policy. Your placement within the salary range is dependent on a number of factors including your work experience and internal equity within this position classification at UCSF. For positions that are represented by a labor union, placement within the salary range will be guided by the rules in the collective bargaining agreement. The salary range for this position is $98,300 - $180,000 (Annual Rate). To learn more about the benefits of working at UCSF, including total compensation, please visit: ___ Department Description The Health Information Management and Coding department is a dynamic group of individuals, working towards a common goal of excellence. UCSF has a robust outpatient coding department which oversees same day surgeries, observation, emergency department, and simple visit coding. Required Qualifications • Bachelor's degree in a related area and/or equivalent experience/training., • 5+ years in a health information management or coding management position, • Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC), or Certified Coding Specialist - Physician-based (CCS-P) coding certification for AHIMA or AAPC, • Strong knowledge of healthcare coding, revenue cycle operations, concepts, and policies and their impact throughout the organization, with an in-depth understanding of related functions and issues, including ICD-10-CM, CPT 4, and HCPCS coding, billing, reimbursements, and charge capture., • Strong project management skills with the ability to organize, manage multiple priorities, meet deadlines, and delegate assignments efficiently., • Demonstrated leadership and managerial skills, with the ability to create and maintain a goal-oriented climate of teamwork and cooperation across departments for effective problem solving, conflict resolution, support for organizational values, and consistent achievement of targets and objectives, • Strong critical-thinking, project-management, and problem-solving skills, with the ability to troubleshoot, analyze, and interpret complex data and systems, to quickly identify problems and implement solutions., • Associate's degree in health information management, • RHIA, RHIT certification from AHIMA, • Ability to work effectively with leadership on establishing operational goals and providing for technological upgrades, tools, and systems to maximize revenues., • Strong knowledge of metrics, analytics, and data synthesis in healthcare revenue cycle management and their use to identify trends, produce reliable forecasts and projections, and create reports, dashboards, and presentations. At UCSF Health, our mission of innovative patient care, advanced technology and pioneering research is redefining what's possible for the patients we serve - a promise we share with the professionals who make up our team. Consistently ranked among the top 10 hospitals nationwide by U.S. News & World Report - UCSF Health is committed to providing the most rewarding work experience while delivering the best care available anywhere. In an environment that allows for continuous learning and opportunities for professional growth, UCSF Health offers the ideal atmosphere in which to best use your skills and talents. Pride Values UCSF is a diverse community made of people with many skills and talents. We seek candidates whose work experience or community service has prepared them to contribute to our commitment to professionalism, respect, integrity, diversity and excellence - also known as our PRIDE values. In addition to our PRIDE values, UCSF is committed to equity - both in how we deliver care as well as our workforce. We are committed to building a broadly diverse community, nurturing a culture that is welcoming and supportive, and engaging diverse ideas for the provision of culturally competent education, discovery, and patient care. Additional information about UCSF is available at ___ Join us to find a rewarding career contributing to improving healthcare worldwide. Equal Employment Opportunity The University of California is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected status under state or federal law. Organization Health Job Code and Payroll Title 005753 HEALTH INFO MGT MGR 1 Job Category Professional and Managerial, Supervisory / Management Bargaining Unit 99 - Policy-Covered (No Bargaining Unit) Employee Class Career Percentage 100% Location Emeryville, CA Work Style Flexible Shift Days Shift Length 8 Hours Additional Shift Details Monday - Friday

Revenue Management Full Time 87597BR Job Summary The Director of Revenue Management directs all UCSF Health revenue integrity strategy and initiatives across hospital and professional billing environments. The Director oversees the Revenue Integrity (RI) team and has enterprise responsibility for Charge Description Master (CDM) governance, pricing, accurate and compliant charge capture, documentation alignment, revenue monitoring, and proactive identification and mitigation of denial risk. Responsibilities include the structure and maintenance of the CDM and professional fee schedules; development, implementation, and oversight of policies and processes related to compliant charging and coding practices; pricing strategy, analysis, and modeling; and proactive monitoring of gross revenue performance and revenue risk. The Director collaborates extensively with clinical departments, Health Information Management, Patient Financial Services, Compliance, Internal Audit, Health Plan Strategy, Finance, and Information Technology teams to ensure revenue integrity requirements are embedded into operational and technical workflows. This includes partnership with IT and Epic application teams to optimize system design, automation, testing, and validation of charge capture and billing workflows to ensure accuracy, efficiency, and safeguarding of revenue. The Director interacts with executives, other directors, internal and external auditors, compliance leadership, operational leaders, physicians and their staff, and UC system counterparts. External contacts include state and federal agencies, regulatory bodies, vendors, and external auditors. The Director contributes to short- and long-range planning for revenue cycle strategies, processes, tools, and systems; establishes departmental goals, budgets, and staffing plans; and develops policies that affect revenue integrity and revenue cycle functions across UCSF Health. Errors in judgment or failure to achieve objectives may result in significant financial loss, compliance risk, or operational disruption. The final salary and offer components are subject to additional approvals based on UC policy. Your placement within the salary range is dependent on a number of factors including your work experience and internal equity within this position classification at UCSF. For positions that are represented by a labor union, placement within the salary range will be guided by the rules in the collective bargaining agreement. The salary range for this position is $144,200 - $350,000 (Annual Rate). To learn more about the benefits of working at UCSF, including total compensation, please visit: ___ Department Description The Revenue Management Department provides enterprise governance, strategic oversight, and operational leadership for revenue integrity across UCSF Health, encompassing both hospital and professional billing environments. The department is responsible for ensuring compliant, accurate, and defensible revenue practices through oversight of charge capture, documentation alignment, coding integration, pricing governance, and Charge Description Master (CDM) and professional fee schedule management. The department partners closely with clinical leadership, Finance, Compliance, Health Information Management, Patient Financial Services, and Information Technology to embed revenue integrity requirements into operational and technical workflows. This includes supporting system design, automation, analytics, and controls to safeguard revenue, reduce variability, mitigate compliance risk, and support transparent and sustainable reimbursement practices. The Revenue Management Department serves as a strategic liaison between operational and technical teams and plays a critical role in enterprise revenue performance, regulatory readiness, and system-wide initiatives. Required Qualifications • Bachelor's degree in relevant field such as, Business, Management, or Health Administration; or equivalent experience, • Ten (10) years of experience in hospital and professional revenue cycle leadership, charge description master maintenance, clinical charge capture, coding, government/third-party reimbursement, or similar healthcare experience, • Possession of 1 or more of the following certifications:, • CPAM - Certified Professional in Ambulatory Management (MGMA), • CHRI - Certified Healthcare Revenue Integrity (AAPC), • CHC - Certified in Healthcare Compliance (HCCA), • CPC - Certified Professional Coder (AAPC), • CCS - Certified Coding Specialist (AHIMA), • Experience in managing and/or developing charge description master, fee schedules, and charge capture processes, policies, and/or procedures, • Practical experience using hospital information systems, Epic preferred, and computer proficiency with PC applications (e.g. Microsoft Office), • Practical experience and knowledge of Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), and Revenue codes, • In-depth knowledge of overall revenue cycle processes, specifically revenue integrity, including industry trends, • Demonstrated leadership experience in a healthcare setting, preferable within a medical facility or health system, • Knowledge of applicable laws, regulations, requirements, standards and practices pertaining to patient confidentiality and information management, • Demonstrated analytical and decision-making skills, • Demonstrated professional interpersonal and communication skills, • Excellent organizational, time management, and project management skills; ability to manage multiple, competing priorities, • Detail-oriented, good organizational skills, and ability to be self-directed, • Ability to present to and interact with all levels of hospital management and physician leaders At UCSF Health, our mission of innovative patient care, advanced technology and pioneering research is redefining what's possible for the patients we serve - a promise we share with the professionals who make up our team. Consistently ranked among the top 10 hospitals nationwide by U.S. News & World Report - UCSF Health is committed to providing the most rewarding work experience while delivering the best care available anywhere. In an environment that allows for continuous learning and opportunities for professional growth, UCSF Health offers the ideal atmosphere in which to best use your skills and talents. Pride Values UCSF is a diverse community made of people with many skills and talents. We seek candidates whose work experience or community service has prepared them to contribute to our commitment to professionalism, respect, integrity, diversity and excellence - also known as our PRIDE values. In addition to our PRIDE values, UCSF is committed to equity - both in how we deliver care as well as our workforce. We are committed to building a broadly diverse community, nurturing a culture that is welcoming and supportive, and engaging diverse ideas for the provision of culturally competent education, discovery, and patient care. Additional information about UCSF is available at ___ Join us to find a rewarding career contributing to improving healthcare worldwide. Equal Employment Opportunity The University of California is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected status under state or federal law. Organization Health Job Code and Payroll Title 006580 REVENUE CYCLE HC MGR 2 Job Category Accounting / Finance, Financial, Professional and Managerial, Supervisory / Management Bargaining Unit 99 - Policy-Covered (No Bargaining Unit) Employee Class Career Percentage % Location Emeryville, CA Campus Emeryville Work Style Flexible Shift Days Shift Length 8 Hours Additional Shift Details Monday - Friday, 8 a.m. - 5 p.m.

Office of Population Health Full Time 88311BR Job Summary This position requires onsite work as needed. The Health Information Coder I is an entry-level coder with a basic knowledge and skill set to utilize ICD-10-CM, CPT and HCPCS classifications systems to code across various healthcare settings, including outpatient, emergency department, and ancillary services. This role ensures coding accuracy, compliance with regulatory guidelines, and adherence to UCSF policies, supporting proper reimbursement and revenue cycle integrity. The Coder I collaborates with healthcare providers, revenue cycle teams, and compliance departments to resolve documentation issues and maintain high standards of coding performance. The employee will work eight (8) hours per day, excluding meal periods, on five (5) consecutive days within a workweek. The workweek schedule is set between the employee and the manager and may be scheduled to start any day of the week based on manager approval. Join UCSF: Exceptional Benefits, Extraordinary Impact • Sign-on Bonus Eligible, • 14 Paid Holidays in addition to Vacation/PTO and Sick Time, • ___: Health Insurance, Dental Insurance, Pet Insurance, Life Insurance, • ___: Employer Contributions and Supplemental Plans, • ___ : Adoption assistance, Pet Insurance, Legal Insurance and more!, • (Optional- Recruiter to Add one or two points) Examples: Are there any department benefits such as paid professional development or continuing education? Why would somebody want to work in this unit/department? What sets this position apart from the same position at another organization? The final salary and offer components are subject to additional approvals based on UC policy. Your placement within the salary range is dependent on a number of factors including your work experience and internal equity within this position classification at UCSF. For positions that are represented by a labor union, placement within the salary range will be guided by the rules in the collective bargaining agreement. The salary range for this position is $54.67 - $68.08 (Hourly Rate). To learn more about the benefits of working at UCSF, including total compensation, please visit: ___ Department Description The Office of Population Health (OPH) leads UCSF's development of capabilities to improve the value of care we provide at the population level and facilitate implementation of our UCSF Health at-risk contracts and those we enter in partnership with others. The Office includes the following teams: 1) Clinical Programs (including Care Support, Care Transitions Outreach Program, Care at Home, and Medicare Bundled Payment programs), 2) Quality Programs (Including QIP) 3) Analytics & 4) Ambulatory Risk Capture. Required Qualifications • High school graduation or G.E.D., • 1-3 years of healthcare coding or related healthcare experience., • Certified Risk Adjustment Coder (CRC), • Certified Outpatient Coder (COC), Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Coding Specialist - Physician-based (CCS-P), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or other coding certification, or agreement to obtain certification within six months of hire., • Must meet daily production requirement with minimal accuracy rate of 95%., • Basic EHR and encoder skills, • Basic computer skills, including Windows, Word and Excel., • Proven excellent communication and cooperative skills., • Ability to analyze information, make decisions and exercise independent judgment., • Ability to follow written directions., • Ability to prioritize work and manage time effectively., • Ability to meet deadlines and perform well under pressure., • Knowledge of medical terminology, medical abbreviations, disease processes, anatomy and physiology., • Knowledge of HIMS database systems., • Certified Risk Adjustment Coder (CRC) At UCSF Health, our mission of innovative patient care, advanced technology and pioneering research is redefining what's possible for the patients we serve - a promise we share with the professionals who make up our team. Consistently ranked among the top 10 hospitals nationwide by U.S. News & World Report - UCSF Health is committed to providing the most rewarding work experience while delivering the best care available anywhere. In an environment that allows for continuous learning and opportunities for professional growth, UCSF Health offers the ideal atmosphere in which to best use your skills and talents. Pride Values UCSF is a diverse community made of people with many skills and talents. We seek candidates whose work experience or community service has prepared them to contribute to our commitment to professionalism, respect, integrity, diversity and excellence - also known as our PRIDE values. In addition to our PRIDE values, UCSF is committed to equity - both in how we deliver care as well as our workforce. We are committed to building a broadly diverse community, nurturing a culture that is welcoming and supportive, and engaging diverse ideas for the provision of culturally competent education, discovery, and patient care. Additional information about UCSF is available at ___ Join us to find a rewarding career contributing to improving healthcare worldwide. Equal Employment Opportunity The University of California is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected status under state or federal law. Organization Health Job Code and Payroll Title 004735 HEALTH INFO CODER 1 Job Category Administrative Support Bargaining Unit American Federation of State, County and Municipal Employees - Patient Care Technical Unit (AFSCME-EX) Employee Class Career Percentage 100% Location Brisbane, CA Campus Various Work Sites Work Style Flexible Shift Days Shift Length 8 Hours

“When applying, mention the word FarCoder to show you’ve read the job post completely. Employers can look for these words to identify genuine, thoughtful applicants and avoid spam.” About the Company Check is leading a revolution in the payroll industry. Payroll is the backbone of the US economy, and yet it has not undergone significant innovation in decades. We invented the embedded payroll space to change that (see: Check: Solving the $150 Billion Payroll Problem, Bank On It; Episode 438), both for the business owners who spend countless hours per week running payroll and for the millions of Americans who depend on their next paycheck. At Check, our mission is to empower the most innovative software platforms to create new payroll businesses, and enable those businesses to transform the way companies pay their employees. About the job At Check, you’ll merge your engineering know-how with your passion for making a real impact. We build using cloud-native tools managed by IaC, running a Python modular monolith that employs the best principles of distributed systems while maintaining the simplicity and ownership of a mono-repo. Our stack builds on traditional HTTP API paradigms and durable asynchronous execution frameworks to orchestrate complex and dynamic background jobs to do everything from moving money to filing taxes. In this role, you will: Lead end-to-end problem-solving , from conception to implementation, often stepping out of your lane and partnering with new perspectives to land innovative solutions. Build prototypes for creative solutions to the problems you’re solving. Share hot takes and candid, constructive feedback to improve your team Improve your team’s quality bar through contributions, reviews, and team operations Simplify the team's domain by spotting patterns, building expertise within your team’s domain, and questioning the status quo. Make decisions and hone your judgment by documenting clear, critical thinking and evaluating options. Grow your team by building genuine connections , embracing vulnerability, and working transparently. Our Stack: Python/Django for our API React and Typescript for our frontends AWS and Terraform for our cloud infrastructure Postgres for our database Temporal for workflow orchestration GitLab for issue tracking and CI/CD Tools for the job: Experience owning team-wide projects and obsessing over the impact, and managing expectations across stakeholders Experience building complex systems or working within regulated industries , with a focus on scaling Track record of high quality and high velocity decision-making influenced by lessons learned Proficiency in Python or Go (experience with Django, React, or TypeScript is a plus) Travel and Office Policy: Building Together on Common Ground. The Check team is distributed across the US, and we have offices in New York City and San Francisco. While we embrace remote work, time together in person is where we do our best work. We offer ample opportunities and encourage employees to attend team offsites, events, and hackathons a couple of times a year! We expect all employees to attend our annual 3-day company retreat in the fall. For our in-office and hybrid employees, our offices are open all week. We provide meals on Tuesdays and Thursdays and the team hosts regular happy hours, game nights, etc. What we offer: For full-time employees, Check offers company-sponsored medical, dental, vision, short-term/long-term disability, and basic life insurance coverage, effective on their first day of work. We also provide stock options, flexible PTO and sick leave, 16 weeks of fully paid parental leave for all new parents, flexible return-to-work, 9 annual holidays, a 401k retirement plan, and a $100 monthly stipend for home internet and mobile phone expenses. The actual annual salary for this role depends on each candidate’s experience, qualifications, and work location. Most new hires are placed near the midpoint of this range to ensure fairness with our existing team’s compensation. In San Francisco, NYC, LA, and Seattle, the expected range is between $200,000 and $220,000. For all other locations, the expected range is between $180,000 and $198,000. #J-18808-Ljbffr

Ability to analyze information, make decisions and exercise independent judgment.

Job Description POSITION SUMMARY The Commercial & Bay Surgery Center (BSC) Billing Specialist is responsible for the accurate and timely billing, follow-up, appeals, and collections of commercial and facility-based claims for Pain & Rehabilitative Consultants Medical Group (PRCMG) and Bay Surgery Center (BSC). This position plays a critical role in revenue cycle operations by ensuring proper reimbursement, resolving denials and underpayments, managing aging accounts, and maintaining compliance with federal, state, and payer-specific billing regulations. The ideal candidate is highly detail-oriented, experienced in high-volume commercial and facility billing, and demonstrates strong analytical, organizational, and communication skills. ESSENTIAL DUTIES AND RESPONSIBILITIES Billing & Claims Processing Prepare, review, and submit accurate commercial and facility claims for physician and Ambulatory Surgery Center (ASC) services. Review claims for completeness and accuracy; correct errors prior to submission. Ensure compliance with payer guidelines and contractual requirements. Post and reconcile insurance and patient payments accurately. Denials, Appeals & Reimbursement Review Explanation of Benefits (EOBs) for denials, underpayments, and down-coded services. Prepare and submit appeals with appropriate documentation and supporting evidence. Follow up with payers regarding unresolved claims and pending appeals. Identify trends in denials or underpayments and escalate issues as appropriate. Accounts Receivable & Aging Management Review aging reports and prioritize follow-up on outstanding balances. Initiate collection activity for overdue accounts in accordance with policy. Communicate with patients regarding balances, payment arrangements, and billing inquiries. Present accounts to the Billing Manager for lien, collection agency referral, or bad debt determination as necessary. Workers’ Compensation & Regulatory Compliance Submit Second Bill Review (SBR) appeals for underpaid or denied Workers’ Compensation claims when applicable. File liens and required documentation in accordance with California Workers’ Compensation regulations when assigned. Maintain working knowledge of California billing regulations, payer requirements, and fee schedules. Communication & Collaboration Respond professionally to incoming telephone calls and billing inquiries. Provide outstanding customer service to patients, payers, and internal staff. Collaborate with the Billing Manager and revenue cycle team on special projects and process improvements. Attend department meetings and participate in ongoing education and training. Maintain confidentiality of patient and financial information in accordance with HIPAA regulations. Perform other duties and assignments as directed. Qualifications Required (Education, Experience, AND Skills) High School Diploma or GED required Minimum three (3) years of recent medical billing and collections experience in a healthcare setting Experience with commercial payer billing and facility (ASC) claims Demonstrated experience managing denials, appeals, and accounts receivable follow-up Experience working in a high-volume medical practice environment Working knowledge of medical terminology Knowledge of ICD-10, CPT, and HCPCS coding Understanding of commercial, PPO, and HMO billing regulations and guidelines Strong ability to interpret Explanation of Benefits (EOBs) Proficiency in billing software systems Proficiency in Microsoft Office (Word and Excel) Strong attention to detail and accuracy Excellent time management and organizational skills Ability to meet deadlines in a fast-paced environment Strong written and verbal communication skills Ability to work independently and collaboratively Professional, calm, and customer-focused demeanor PREFERRED Experience with Work Comp, Commercial, HMO, PPO or Ambulatory Surgery Center (ASC) facility billing. Workers’ Compensation billing and appeals experience Knowledge of California Official Medical Fee Schedule (OMFS) regulations Experience filing liens and managing regulatory submissions Meditab IMS billing software experience Certified Professional Coder (CPC) certification Advanced Excel skills for reporting and aging analysis Experience in a multi-specialty or pain management practice Company DescriptionPain & Rehabilitative Consultants Medical Group (PRCMG) is a leading Northern California practice providing comprehensive, evidence-based pain management and rehabilitative care through a multidisciplinary team dedicated to improving function and quality of life.Pain & Rehabilitative Consultants Medical Group (PRCMG) is a leading Northern California practice providing comprehensive, evidence-based pain management and rehabilitative care through a multidisciplinary team dedicated to improving function and quality of life.

Job Description POSITION SUMMARY The Medical Billing Specialist is responsible for managing the billing and collections process within established timeframes to ensure timely and accurate reimbursement for services provided by Pain & Rehabilitative Consultants Medical Group (PRCMG). This role reviews and submits insurance claims, resolves billing discrepancies, follows up on unpaid or denied claims, and manages aging accounts within established timeframes to support the organization’s revenue cycle operations. The Medical Billing Specialist works closely with the Billing Manager and other departments to ensure compliance with payer guidelines, including Medicare and Workers’ Compensation. The ideal candidate is detail-oriented, organized, and able to manage multiple priorities in a fast-paced healthcare environment while maintaining a high level of accuracy and professionalism. ESSENTIAL DUTIES AND RESPONSIBILITIES • Prepare, review, and submit accurate insurance claims for services rendered within established timelines to facilitate timely reimbursement., • Review claims for errors or missing information and make necessary corrections prior to submission., • Monitor claim status and follow up with insurance carriers on unpaid, denied, or underpaid claims., • Review Explanation of Benefits (EOBs) to identify denials, underpayments, or coding discrepancies and take appropriate action., • Prepare and submit appeals for denied or incorrectly processed claims and track the status of submitted appeals., • Conduct follow-up with insurance companies regarding pending claims, appeals, and payment discrepancies., • Manage and review assigned accounts on the aging report and take appropriate follow-up actions to resolve outstanding balances., • Prepare tracers and documentation for unanswered appeals and maintain accurate records of follow-up activities., • Process incoming correspondence related to patient accounts, including updated insurance information, payment inquiries, and payer communications., • Update and maintain accurate billing records and patient account information in the billing system., • Work collaboratively with the Billing Manager to address complex billing issues and participate in special billing projects as needed., • Stay informed of current payer guidelines, billing regulations, and reimbursement policies related to Medicare, Medi-Cal, commercial insurance, and Workers’ Compensation., • Attend department meetings and participate in ongoing training or educational opportunities to maintain billing knowledge and compliance., • Maintain confidentiality of patient information and comply with HIPAA and organizational policies., • Perform additional duties and responsibilities as assigned to support the revenue cycle and billing operations. Qualifications Required (Education, Experience, AND Skills) • High school diploma or GED required., • Minimum three (3) years of medical billing experience in a healthcare or medical office setting., • Working knowledge of medical terminology, CPT, and ICD-10 coding., • Experience reviewing Explanation of Benefits (EOBs) and resolving claim denials, underpayments, and billing discrepancies., • Knowledge of Medicare, commercial insurance, PPO, and HMO billing regulations and guidelines., • Proficiency with medical billing software and electronic health record (EHR) systems., • Strong Microsoft Office skills, particularly in Word and Excel., • Strong attention to detail with the ability to maintain accuracy while managing a high volume of accounts., • Ability to manage deadlines and prioritize tasks in a fast-paced environment., • Strong communication and problem-solving skills when interacting with insurance representatives and internal teams., • Ability to work independently and collaboratively within a team environment., • Demonstrated professionalism, reliability, and strong organizational skills. PREFERRED • Workers’ Compensation billing and collections experience., • Working knowledge of OMFS (Official Medical Fee Schedule) and Workers’ Compensation appeals processes., • Experience using MediTab IMS or similar medical billing systems., • Certified Professional Coder (CPC) or similar certification., • Experience working in a multidisciplinary or specialty medical group practice.Company DescriptionPain & Rehabilitative Consultants Medical Group (PRCMG) is a leading Northern California practice providing comprehensive, evidence-based pain management and rehabilitative care through a multidisciplinary team dedicated to improving function and quality of life.Pain & Rehabilitative Consultants Medical Group (PRCMG) is a leading Northern California practice providing comprehensive, evidence-based pain management and rehabilitative care through a multidisciplinary team dedicated to improving function and quality of life.

Job Description Reporting to Director, Compliance & Oversight, the Health Plan Oversight Auditor supports San Francisco Health Plan's (SFHP) Compliance Program by performing assigned audit, monitoring, and investigative activities. You will execute defined audit procedures, analyzes documentation and data and prepares clear workpapers and reports under established methodologies and supervisory guidance. The Health Plan Auditor partners with internal teams to support regulatory compliance, identify control gaps, and contribute to corrective action efforts while building technical knowledge of managed care compliance and program integrity requirements. Please note that while SFHP supports a hybrid work environment, you are required to be onsite and in-office a minimum of 4 days per month. This is a hybrid position, based in our Downtown San Francisco office. Salary: $78,875 - $91,635 WHAT YOU WILL DO: • Perform assigned audits and monitoring reviews of internal departments, providers, vendors, and delegated entities in accordance with established audit plans, procedures, and timelines., • Examines records, reports, workflows, and supporting documentation to assess compliance with applicable laws, regulations, contracts, and internal policies; identify potential control gaps and documents findings., • Complete audit workpapers, testing documentation, and memoranda that reflect procedures performed, evidence reviewed, and conclusions reached., • Helps develop and execute the Annual Audit Workplan by supporting planning activities, data collection, and issue tracking., • Prepare draft audit reports, summaries, and management reports by collecting, analyzing, and synthesizing operational and compliance data., • Communicate audit status and preliminary findings to the Director and designated stakeholders; participates in meetings to review results and clarify issues., • Investigate leads generated by antifraud and monitoring systems; maintains assigned caseloads and prepares summary documentation for management review., • Support monitoring of SFHP's policies and procedures and apply working knowledge of the policy development and approval process during audit activities., • Assist in the development, documentation, and tracking of corrective action plans (CAPs); support follow-up testing to validate remediation., • Coordinate administrative and logistical support for external audits and regulatory examinations, including document compilation and response tracking., • Participate in the Program Integrity Workgroup and support development of the Annual Program Integrity Workplan and required regulatory reports., • Conduct routine provider, vendor, and member reviews and investigations related to compliance, fraud, waste, abuse, and HIPAA concerns, escalating issues., • Provide support to the Compliance Hotline by assisting with intake, research, and documentation of reported concerns., • Monitor regulatory and industry developments and escalates potential compliance impacts to the Director., • Maintain working knowledge of state and federal healthcare regulations and managed care requirements applicable to publicly funded programs., • Bachelor's degree in business administration, healthcare administration, or a related field, or an equivalent of combined education or experience., • Minimum of three (3) years of experience in healthcare operations, compliance, auditing, or program integrity., • Knowledge of state healthcare programs, regulatory compliance, and antifraud activities., • Professional certification such as Certified Professional Coder (CPC), Accredited Healthcare Fraud Investigator (AFHI), Certified Internal Auditor (CIA), or healthcare compliance certification preferred. WHAT WE OFFER: • Health Benefits, • Medical: You'll have a choice of medical plans, including options from Kaiser and Blue Shield of California, heavily subsidized by SFHP., • Dental: You'll have a choice of a basic dental plan or an enhanced dental plan which includes orthodontic coverage., • Vision: Employee vision care coverage is available through Vision Service Plan (VSP)., • Retirement – Employer-matched CalPERS Pension and 401(a) plans, 457 Plan., • Time off – 23 days of Paid Time Off (PTO) and 13 paid holidays. Established in 1997, San Francisco Health Plan (SFHP) is an award-winning, managed care health plan whose mission is to provide affordable health care coverage to the underserved low and moderate-income residents in San Francisco County. SFHP is chosen by eight out of every ten San Francisco Medi-Cal managed care enrollees and its 175,000+ members have access to a full spectrum of medical services including preventive care, specialty care, hospitalization, prescription drugs, and family planning services. San Francisco Health Plan is proud to be an equal opportunity employer. We are committed to a work environment that supports, inspires, and respects all individuals and in which our people processes are applied without discrimination on the basis of race, color, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, or other protected characteristics. Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. San Francisco Health Plan is an E-Verify participating employer. Hiring priority will be given to candidates residing in the San Francisco Bay Area and California. #LI-Hybrid (Hybrid remote/in-office)

Job DescriptionAbout Us We’re building the AI infrastructure powering the future of financial operations - starting with automating the most painful and complex workflows in loan servicing. * Backed by a16z and Y Combinator, with $65M raised in Series A funding. * 8-figure ARR < 2 years already serving > 20% of the auto lending industry, and processing millions of real customer calls and transactions daily. * Fully deployed with major financial institutions - not just PoCs. * We are expanding into new financial services segments! * In-person office culture in San Francisco, CA. We're fully integrated with our customers, own the full stack, and are moving fast to bring modern AI into regulated industries where precision, reliability, and performance matter most. About the Role We're seeking a Forward Deployed Software Engineer to work directly with our customers to implement our technology and build any required customizations. In this role, you will apply your problem-solving ability, creativity, and technical skills to be a customer’s first resource for implementing AI agents in their company. This role is critical in helping us deliver reliable, compliant, and efficient customer service solutions to millions of borrowers. Responsibilities * You will own the end-to-end implementation and execution of high-stakes customer engagements and projects, determining what the customer requirements are and how best to apply our Voice AI Agent solution * Implement and build new features with customers, and implement them in the core engineering product Requirements * Relevant college and post-college work experience in a fast moving work environment * Customer-facing polish, with ability to extract requirements and run discovery - strong communicator * Ownership mindset — someone who treats every deployment like a mission-critical project * Strong hands on coder with proven proficiency in programming languages in either Python, Typescript or Javascript * Excellence in technical documentation and cross-team communication * Ability to collaborate with technical and non-technical customers, and comfortable working in a dynamic environment with evolving objectives and many iterations with customers * Ability to work 4 days a week from our San Francisco office (open to candidates willing to relocate) At Salient, we’re building at the edge of AI - fast, focused, and with real ownership. Sprints and major launches move quickly, and we look for people who are energized by that pace and ready to collaborate in person 4 days a week in our San Francisco office with a start time of 8:00 AM. We also offer a benefits package designed to support our full-time employees: medical, dental, and vision coverage, a generous 401(k), and catered lunches. By applying, you acknowledge that your personal information will be processed in accordance with our Privacy Policy. Compensation Range: $140K - $200K

Allegheny Health Network - JobID: CEA877A795A4AF9FC8195BD0A9DFB42E [Medical Records Clerk] As a Senior Coder at Allegheny Health Network, you'll: Analyze medical records to assign accurate codes; Ensure compliance with coding guidelines and regulations; Collaborate with healthcare professionals to c

Coder-Health Information Management.

Allegheny Health Network - JobID: 82EC5AD13D9945768B8FF031B3BBCA33 [Medical Records Clerk] As a Coder at Allegheny Health Network, you'll: Analyze medical records to assign accurate codes; Review documentation to ensure compliance with coding guidelines; Collaborate with healthcare providers to clar

Certified Outpatient Coder (COC), Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Coding Specialist - Physician-based (CCS-P), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or other coding certification, or agree

Allegheny Health Network - JobID: E818B4435F79CA0BA2D0DD560A0F8434 [Medical Records Clerk] As a Coder at Allegheny Health Network, you'll: Analyze medical records to assign accurate codes; Review documentation to ensure compliance with coding guidelines; Collaborate with healthcare providers to clar

The Health Information Coder I is an entry-level coder with a basic knowledge and skill set to utilize ICD-10-CM, CPT and HCPCS classifications systems to code across various healthcare settings, including outpatient, emergency department, and ancillary services. Certified Outpatient Coder (COC), Ce

Allegheny Health Network - JobID: B7721B63734CDF4874B3915669170910 [Medical Records Clerk] As a Coder at Allegheny Health Network, you'll: Analyze medical records to assign accurate codes; Review documentation to ensure compliance with coding guidelines; Collaborate with healthcare providers to clar

The Health Information Coder III is a senior-level inpatient coder with the knowledge and skill set to utilize the ICD-10-CM and ICD-10-PCS classification systems to code acute academic, teaching inpatient cases. Cases are coded to comply with the official guidelines for coding and reporting, practi

The Health Information Coder III is a senior-level inpatient coder with the knowledge and skill set to utilize the ICD-10-CM and ICD-10-PCS classification systems to code acute academic, teaching inpatient cases. Cases are coded to comply with the official guidelines for coding and reporting, practi

Medical Coder Job Duties: Accounts for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements, and complications.

Key Responsibilities: - Review and analyze medical records to accurately assign codes for diagnoses, procedures, and services - Ensure all codes are in compliance with coding guidelines and regulations - Communicate with healthcare providers to clarify documentation and obtain additional information

Docstar is working with a client of ours that is looking for a Pediatric Physician Assistant for a Locum Tenens position in Stockinton, CA.Expenses are covered if not local to Stockton.Asap or 2 weeks from interview.Mon - Fri 8-5pm, 9-6pm, 11-8pm (required once a week), Sat 8-4:30pm (One Saturday a

Are you a compassionate healthcare provider looking to make a difference in the lives of patients? We have an exciting opportunity for Family Practice Physicians, Urgent Care Physicians, Occupational Medicine Physicians, Internal Medicine Physicians, Physician Assistants, and Family Nurse Practition

Enterprise Medical Recruiting is partnering with a PACE program in Modesto, California, to hire a dedicated and compassionate.While prior experience is preferred,.Collaborate with an interdisciplinary team providing patient-centered primary care in an.Work Schedule: Monday-Friday, 8 AM to 5 PM.Care

One Medical is a primary care solution challenging the industry status quo by making quality care more affordable, accessible and enjoyable.But this isn't your average doctor's office.We're on a mission to transform healthcare, which means improving the experience for everyone involve

Join Our National Network as a Primary Care Clinician.Are you ready to advance your career in a dynamic, supportive, and innovative healthcare environment? Join our team as a Primary Care Clinician and discover endless opportunities to grow with us.Whether you?re seeking flexibility or envisioning a

One Medical is a primary care solution challenging the industry status quo by making quality care more affordable, accessible and enjoyable.But this isn?t your average doctor?s office.We?re on a mission to transform healthcare, which means improving the experience for everyone involved - from patien

A reputable Internal Medicine Practice in Palm Springs, California, is seeking an experienced.This is an excellent opportunity to work in a well-established practice, providing high-quality patient care in a beautiful and thriving community.Comprehensive healthcare benefits: Medical, Vision, and Den

One Medical is a primary care solution challenging the industry status quo by making quality care more affordable, accessible and enjoyable.But this isn?t your average doctor?s office.We?re on a mission to transform healthcare, which means improving the experience for everyone involved - from patien

Primary Care Medical Assistant 1 (9253C) University Health Services 84744.At the University of California, Berkeley, we are dedicated to fostering a community where everyone feels welcome and can thrive.Our culture of openness, freedom and belonging make it a special place for students, faculty and

About UsOne Medical is a primary care solution challenging the industry status quo by making quality care more affordable, accessible and enjoyable.But this isn???t your average doctor???s office.We???re on a mission to transform healthcare, which means improving the experience for everyone involved

Billing Specialist Assistant (4722C), Optometry Clinic - 84379.At the University of California, Berkeley, we are dedicated to fostering a community where everyone feels welcome and can thrive.Our culture of openness, freedom and belonging make it a special place for students, faculty and staff.As a

About Us One Medical is a primary care solution challenging the industry status quo by making quality care more affordable, accessible and enjoyable.But this isn???t your average doctor???s office.We???re on a mission to transform healthcare, which means improving the experience for everyone involve

Administrative Assistant (4722C) - 84089.At the University of California, Berkeley, we are dedicated to fostering a community where everyone feels welcome and can thrive.Our culture of openness, freedom and belonging make it a special place for students, faculty and staff.As a world-leading institut

About UsOne Medical is a primary care solution challenging the industry status quo by making quality care more affordable, accessible and enjoyable.But this isn???t your average doctor???s office.We???re on a mission to transform healthcare, which means improving the experience for everyone involved

Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies.We guarantee 15-25 hours per week with an hourly pay of between $25/hr.There is no payment required in order to apply or to work as an In-Home Usage Tester.You do

We're currently looking for individuals across the country to take part in remote paid research, including remote focus groups, product trials, and consumer studies.Earn up to $750 a week in your free time by providing feedback on everyday products and services.If you're comfortable sharing your opi

Quality Temp Staffing is a family-owned, small business.We are proudly Latino and veteran-owned, built on the belief that “we work to live, not live to work.For over 35 years, we’ve proudly served Los Angeles County, committed to our communities—helping our employees and their families by prov

We're currently looking for individuals across the country to take part in remote paid research, including remote focus groups, product trials, and consumer studies.Earn up to $750 a week in your free time by providing feedback on everyday products and services.If you're comfortable sharing your opi