Title: Hospitalist Location: Riverside United States Job Description: Description Specialization: Internal Medicine Hourly Wage Estimate: 700 - 900 / hour Job Summary: Remote Nocturnist Opportunity in Riverside, CA Thriving hospitalist group is expanding Qualified Candidates: - Board certified or board eligible - Eligible for California licensure - Team player who can excel in a large organization - Must live in CA Incentive/Benefits Package: - Working with an established practice that is firmly entrenched in the community - Block scheduling - Open to candidates who are seeking to be employed or work as an independent contractor - Paid time off and CME allowance - Excellent salary and benefits - Hours will be 6pm - 6am - Will include cross-cover and admissions - Do not come in and see patients - Do not need to drop any notes/just orders About Riverside Community Hospital: Level I Trauma Center with helipad, providing access to higher acuity services for the surrounding rural communities up to 200 miles away Center of Excellence in Bariatrics Complex and minimally invasive surgical services with robotics including; general surgery, orthopedics, neurosurgery, cardiovascular and thoracic, colorectal, gynecology, urology Comprehensive cardiac services including structural heart, electrophysiology, and an advanced cardiogenic program Extensive women's and children's services; including high-risk OB care and a Level-III NICU Certified joint replacement program is accredited by the Joint Commission Multi-faceted oncology services with a full care team of specialists Expert critical care units including surgical, cardiovascular, medical, neonatal, and neuro-intensive care units for a higher level of care Part of HCA Healthcare, a network of more than 190 hospitals and 2,000 sites of care in 21 states and the United Kingdom Riverside, California is located in Southern California and the most populous city in the Inland Empire, Riverside is just 55 miles east of downtown Los Angeles and a 55-minute drive to some of Southern California's most popular beaches. Known as the birthplace of the California Citrus industry and home to both the famous Mission Inn and Mount Rubidoux, a popular attraction providing panoramic views of the city at its summit. Rich in history and outdoor adventures to discover, the mild climate allows Riverside's residents to take full advantage of all that Southern California has to offer.

Role Description The Junior Coding Associate (Contractor) supports IntusCare’s Risk Adjustment team by performing State Encounter coding activities. This role is focused on accurate and compliant coding of assigned encounters under the direction of the Manager of Risk Adjustment and Encounter Coding. This is a task-oriented, entry-level role designed for individuals developing foundational coding skills in a structured, quality-controlled environment. Key Responsibilities - Ancillary Coding - Apply CPT and E & M codes in accordance with AMA coding standards and specific requirements for state encounter submission. - Ensure accurate code selection reflects the complexity, medical decision-making, and time documented by the provider for each encounter. - Ensure coding is supported by appropriate clinical documentation. - Accurately document coding decisions using established templates and tools. - Quality & Compliance - Maintain high standards of coding accuracy and consistency in all assigned work. - Follow all regulatory requirements and internal quality guidelines. - Participate in quality reviews and feedback sessions to improve coding performance. - Flag missing or unclear documentation for review by senior coding staff. - Productivity & Workflow - Complete assigned daily and weekly coding volumes based on team needs. - Adhere to defined workflows, turnaround times, and submission deadlines. - Utilize designated coding platforms and internal tools to complete tasks. - Escalate questions or blockers to the Manager or senior coders in a timely manner. Qualifications - Required - Active coding certification (CPC, CCS, RHIT, or CRC preferred). - Basic understanding of medical terminology and diagnosis coding. - Strong attention to detail and ability to follow defined processes. - Preferred - 0–1 year of coding experience (internships, training programs, or entry-level roles acceptable). - Exposure to risk adjustment or State Medicaid encounter coding. Requirements - The hourly rate for this role is $24.00. - 40 hours a week, 9:00am-5:00pm in your timezone. - This is a fully remote role based in the United States. - This position is not eligible for sponsorship.

• Deliver value to the Health Plan and its beneficiaries enrolled in risk-adjusted government programs through HCC coding, medical coding, clinical terminology and anatomy/physiology • Conduct quality assurance (QA) review of internal coding team members • Provide coding education to team • Evaluate HCC coding questions and independently renders guidance on appropriate coding determinations • Supports RADV audits • Specializes in performing second level review of HCC validation • Prepares documentation and coversheets for upload to regulatory body and/or independent auditor • Analyzes results • Develop presentations to improve provider documentation and accuracy • Conducts Quality Assurance (QA) reviews on internal coders • Guides coding decision making adhering to CMS Guidelines for Coding and Highmark’s Policy and Procedures

Role Description The National Dental Contracting Professional is responsible for identifying, engaging, and contracting with qualified dentists to join the insurance carrier's Medicaid dental network. This role ensures the network meets accessibility, quality, and compliance standards as required by Medicaid regulations and company policies. You will develop relationships with dental providers, manage the contracting process, and support provider onboarding to enhance member access to dental care. - Proactively source and identify dentists and dental practices for participation in the Medicaid dental network. - Develop and implement outreach strategies to attract qualified dental providers, including cold calling, networking, and attending industry events. - Present the benefits of participating in the insurance carrier's Medicaid network and address questions or concerns from providers. - Facilitate the contracting process, including negotiating terms, collecting required documentation, and ensuring compliance with state and federal Medicaid guidelines. - Collaborate with internal teams (legal, credentialing, provider relations) to support a smooth onboarding experience for new providers. - Maintain accurate records of recruitment activities, contract status, and provider information in accordance with company and regulatory standards. - Monitor market trends and provider feedback to optimize recruitment efforts and network adequacy. - Participate in ongoing training related to Medicaid dental program requirements and provider network management. - Responsible for developing, coordinating, and delivering educational programs to dental providers participating in Medicaid. - Ensure providers understand Medicaid policies, compliance requirements, best practices, and program updates, thereby improving quality of care and adherence to regulatory standards. Qualifications - Minimum of 4 years of experience in dental provider Medicaid recruitment, provider service, and retention. - Knowledge of Medicaid dental programs, provider contracting, fee negotiations, and regulatory compliance is highly desirable. - Excellent communication, public speaking, and relationship-building skills. - Strong organizational and project management abilities. - Proficiency with Microsoft Office and Salesforce platform. Requirements - At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable, or DSL connection is suggested. - Satellite, cellular, and microwave connection can be used only if approved by leadership. - Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. - Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job. - Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. - Occasional travel to Humana's offices for training or meetings may be required. Benefits - Competitive benefits that support whole-person well-being. - Medical, dental, and vision benefits. - 401(k) retirement savings plan. - Time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave). - Short-term and long-term disability. - Life insurance and many other opportunities. Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job-related skills, knowledge, experience, education, certifications, etc. $65,000 - $88,600 per year. This job is eligible for a bonus incentive plan based on company and/or individual performance.