The Claims Auditor ensures the accuracy of claims processing in compliance with department policies, CMS, and DMHC regulations. Responsibilities include conducting pre and post-payment audits, documenting findings for correction, and providing process improvement recommendations to management.
Cedars-Sinai
39 Remote Job Openings at Cedars-Sinai
The Coding Audit Supervisor provides oversight for the management of coding policy and procedures throughout Cedars-Sinai Medical Center. This role may also serve as a liaison for Enterprise Information Systems related to data collection and reporting requirements.
Provides commercial collections support by reviewing and resubmitting claims to third-party payors and performing account follow-up. The role requires interpreting payor contracts and adhering to billing and collections policies to ensure revenue cycle efficiency.
Provide patient relations support by identifying and resolving customer inquiries and concerns regarding financial services. Ensure account payment and resolution while interpreting payor contracts and billing policies.
The analyst provides operational and application build expertise to optimize the MyChart platform and drive patient engagement. Responsibilities include performing workflow analysis, running metric queries, and participating in an on-call rotation for end-user support.
Revenue Cycle Specialist III - Government and Commercial Credits (Remote)
Cedars-Sinai
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Full Time
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15 days ago
Cedars-Sinai
Manage professional fee billing and collections, including reviewing claims, processing credits, and performing account reconciliations. Serve as a subject matter expert to resolve complex cases and provide technical guidance to other team members.
Director, ERP Application Development (Oracle HCM) - Remote
Cedars-Sinai
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Full Time
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15 days ago
Cedars-Sinai
Leads the strategic planning, implementation, and support of ERP application systems, specifically Oracle HCM. Manages departmental budgets, resources, and staff while collaborating with stakeholders to optimize institutional goals.
The Senior Epic Beaker Analyst provides advanced operational and application build expertise to meet customer goals through workflow analysis and documentation. They manage medium to large projects, translating operational requirements into system functionality and collaborating with end-users to re-engineer processes.
Epic Tapestry Analyst (Managed Care Operations) - Remote
Cedars-Sinai
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Full Time
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15 days ago
Cedars-Sinai
The analyst facilitates end-user meetings to translate operational requirements into Epic Tapestry system specifications and configurations. They are responsible for the design, build, and implementation of application projects and the re-engineering of operational workflows.
The Claims Edit Coder reviews ICD-10-CM and CPT codes to resolve claim edit fallouts and validate key billing data. This role involves abstracting coded data into systems like EPIC and communicating with providers to ensure documentation clarity.
The Senior Epic Report Developer is responsible for gathering requirements and designing organization-wide reports, dashboards, and data extracts. They provide ongoing support for production reporting environments and lead cross-functional teams to resolve complex data and analytic issues.
Support registration and operations workflows by providing reporting, system analysis, and troubleshooting to align operational needs with Epic functionality. Serve as a key liaison between leadership, finance, and clinical departments to improve front-end revenue cycle processes.
QI Coordinator RN, Congenital Heart Program - Heart Institute - Full Time - 10hr Days
Cedars-Sinai
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Full Time
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a month ago
Cedars-Sinai
The QI RN reviews patient records for congenital heart procedures to abstract and compile clinical data for internal and external registries. They manage data submissions to national and state bodies to ensure compliance and support performance improvement initiatives.
QI Coordinator RN, Cardiology - Heart Institute - Full Time - 10hr Days
Cedars-Sinai
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Full Time
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a month ago
Cedars-Sinai
The QI RN is responsible for reviewing 100% of patient records for Cath/EP Lab procedures and abstracting clinical data for internal and external registries. The role involves managing data submissions to national and state registries to ensure compliance and support performance improvement efforts.
Client Service Manager (Professional Revenue Cycle)
Cedars-Sinai
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Full Time
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a month ago
Cedars-Sinai
Oversees client relationships for Physician Billing Services and manages the end-to-end professional revenue cycle process. Responsible for personnel management, operational oversight of charge entry, and delivering financial performance reports to executive management.
Revenue Cycle Specialist II (Commercial Collections)
Cedars-Sinai
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Full Time
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a month ago
Cedars-Sinai
Provides commercial collections support by reviewing and resubmitting claims to third-party payors and performing account follow-up. Monitors work queues to resolve accounts accurately and provides feedback to improve department processes.
Design, develop, and implement scalable solutions and custom applications within the ServiceNow platform to support business objectives. This includes managing integrations with third-party systems and maintaining platform health through upgrades and patches.
The specialist provides commercial and government billing and collections support, including submitting multi-specialty claims and resolving complex account issues. They serve as a technical resource for the team while ensuring the integrity of physician reimbursements and patient account data.
Revenue Cycle Specialist III (Professional Billing)
Cedars-Sinai
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Full Time
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a month ago
Cedars-Sinai
The Revenue Cycle Specialist III manages professional fee billing, including claim submission, account follow-up, and payment posting. They serve as a subject matter expert to resolve complex billing issues and ensure accurate charge capture through medical record review.
The Revenue Cycle Specialist III manages professional fee billing, submits claims, and performs account follow-up and reconciliation. They also serve as a subject matter expert, resolving complex cases and identifying coding deficiencies to ensure accurate reimbursement.
Executive Director, Research Informatics (Academic & Translational Science)
Cedars-Sinai
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Full Time
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a month ago
Cedars-Sinai
The Executive Director of Research Informatics leads the strategic development and delivery of research-grade data products, high-performance computing, and AI-driven solutions to support academic research. This role involves collaborating with faculty and administration to align technology initiatives with institutional research goals while managing a high-performing team of technical professionals.
Clinical Research Finance Coordinator II (Remote) Pre-Award
Cedars-Sinai
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Full Time
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a month ago
Cedars-Sinai
The coordinator manages the financial aspects of clinical research studies, including developing complex budgets, negotiating contracts, and ensuring regulatory compliance. They also handle invoicing, account monitoring, and financial reporting to support the successful launch and execution of clinical trials.
Facility Inpatient Surgical and Claims Edit Auditor
Cedars-Sinai
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Full Time
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2 months ago
Cedars-Sinai
The Coding Auditor reviews inpatient encounters to validate coding accuracy, compliance, and data integrity while providing feedback and education to staff. They also assist with billing corrections, produce summary reports, and support peer departments during staffing shortages.
Clinical Research Regulatory Coordinator – Level II (Remote)
Cedars-Sinai
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Full Time
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2 months ago
Cedars-Sinai
The Regulatory Coordinator prepares and submits clinical trial protocols and supporting documentation to various regulatory bodies and committees. They ensure ongoing compliance with federal and local regulations, including FDA and IRB requirements, while maintaining accurate research files.
Clinical Denials Management Program Coordinator RN
Cedars-Sinai
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Full Time
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2 months ago
Cedars-Sinai
The Clinical Denials Management Program Coordinator RN manages clinically based appeals and serves as a liaison between the hospital and payers. They are responsible for identifying denial trends, facilitating educational opportunities, and implementing corrective action plans to improve revenue integrity.
The Revenue Cycle Analyst is responsible for analyzing trends, identifying variances, and developing reports to assess opportunities and risks within the revenue cycle. They will collaborate with management and finance departments to present findings and provide recommendations based on data analysis.
The specialist provides patient relations support by resolving billing inquiries, managing account follow-ups, and ensuring accurate payment collection. They also negotiate payment plans and maintain clear documentation within the hospital's patient accounting systems.
The Associate Director provides enterprise-level governance over payroll system design, configuration integrity, and preventive control frameworks. They will lead transformation initiatives, manage system integrations, and develop a high-performing team of payroll analysts.
Program Manager for Patient Communications (Epic Hello World Analyst) - Remote
Cedars-Sinai
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Full Time
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2 months ago
Cedars-Sinai
The Program Manager will oversee technology platforms for patient communication channels including email, SMS, and AI bots while monitoring budget and patient experience metrics. They will lead the implementation of new Epic communication features and ensure alignment with clinical and operational goals.
The Research Data Scientist will lead the development and application of computational and statistical methods, including AI and machine learning, to analyze biomedical data. They will also manage database-to-deployment pipelines and communicate scientific findings through publications and conferences.
The analyst provides intermediate operational and application build expertise, handling sophisticated assignments to meet customer goals, which may include leading projects. Responsibilities involve performing complex design, build, and implementation tasks based on deep application and operational knowledge.
The Senior Epic Ambulatory Analyst provides advanced operational and application build expertise to complete sophisticated assignments, meeting customer goals and desired outcomes, which may include leading projects. Responsibilities involve advanced design, build, and implementation tasks, translating complex requirements into functional system specifications based on deep application and operational knowledge.
The analyst details business requirements, defines data, and creates specifications for reports and analysis based on business or clinical needs. They produce data sets, reports, dashboards, and write sophisticated SQL code to analyze complex problems using internal and external data sources.
The Associate Director of Accounts Receivable manages the day-to-day operations of the AR function, ensuring accurate and timely collection of accounts receivable while adhering to company policies and regulations. This role involves overseeing all daily billing and collections activities, maintaining KPIs, and developing plans to meet stated AR objectives.
The UX Designer is responsible for creating satisfying and compelling experiences for digital products by drawing on user research and workflow analysis, including researching user needs and turning insights into product features. This role involves driving the innovation design process, leading UX research, design, and testing, and continuously improving products post-launch.
The Senior UX Designer creates satisfying and compelling digital product experiences by analyzing user research and workflow data, and collaborates with Product Managers to translate insights into product features. This role involves continuously revisiting design stages to ensure ongoing alignment with end-user needs even after product launch.
The Registered Nurse provides telephone-based nursing triage, care coordination, and patient navigation services using evidence-based protocols and clinical judgment to assess symptoms and direct patients to the appropriate level of care. Key duties include documenting encounters in Epic, managing clinical inquiries, and collaborating with contact center agents and physicians for timely patient assessment and guidance.
The Senior Revenue Cycle Analyst is responsible for developing, assessing, and quantifying trends, requiring direct working relationships with management and key staff across Revenue Cycle, Finance, and Medical Center Departments. Key duties include analyzing variances, developing reports and dashboards, creating strategic recommendations, and generating recurring and ad-hoc reports for leadership.
Senior HR Data/Report Systems Analyst (Oracle HCM) - Remote
Cedars-Sinai
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Part Time
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4 months ago
Cedars-Sinai
The analyst supports high-level measurement and reporting needs for quality, safety, and efficiency improvement initiatives by performing general and statistically-based analytics, working directly with hospital customers to define specifications. Responsibilities include managing data sets, validating integrity, auditing data, documenting business processes, and becoming an in-house expert on specific datasets and applications.