• Medical Director-Payment Integrity

    Humana (Sacramento, CA)
    …of decisions to internal associates. The clinical scenarios predominantly arise from inpatient or post- acute care environments. A remote possibility ... reports to a Lead Medical Director. The Medical Director conducts post-service, inpatient care reviews for accurate billing of clinically valid diagnoses… more
    Humana (12/11/25)
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  • CDS Trainee

    Prime Healthcare (Huntington Beach, CA)
    …documentation is reflective of quality-of- care outcomes and reimbursement compliance for acute care services provided. CDS Trainee will work closely with the ... medical staff to facilitate appropriate clinical documentation of patient care . Other responsibilities include conducting documentation for inpatient...of six (6) months of clinical experience in an acute care setting in any capacity. +… more
    Prime Healthcare (01/02/26)
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  • Senior Revenue Integrity Specialist - Clinical Rev…

    University of Southern California (Alhambra, CA)
    …of Hospital charging practices. + Pref Healthcare operations experience, particularly in an acute care hospital setting. + Pref Current knowledge of the Revenue ... Specialist shall ensure that the Chargemaster (CDM) is consistent with all coding and billing regulations and accurately represents services provided. This includes… more
    University of Southern California (11/19/25)
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  • Medical Director - Medicaid (remote)

    Humana (Sacramento, CA)
    …participation in care management. The clinical scenarios predominantly arise from inpatient or post- acute care environments. Has discussions with ... or fellowship, which preferably includes some experience in an inpatient environment and/or related to care of...case management, discharge planning and/or home health or post acute services such as inpatient rehabilitation. **Preferred… more
    Humana (01/01/26)
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  • Medical Director - IP Claims Management

    Humana (Sacramento, CA)
    …experience post residency or fellowship, which preferably includes some experience in an inpatient environment and/or related to care of a Medicare type ... management, case management, discharge planning and/or home health or post- acute services such as inpatient rehabilitation. **Preferred Qualifications**… more
    Humana (12/11/25)
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  • Patient Access Center - Lead - PN Patient Access…

    John Muir Health (Walnut Creek, CA)
    …health system's facilities include John Muir Health, Walnut Creek Medical Center (554-bed acute care facility), which serves as Contra Costa County's only ... designated trauma center, and John Muir Health, Concord Medical Center (247-bed acute care facility). Together, they are recognized as top centers for… more
    John Muir Health (12/27/25)
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  • Health Information Clerk - Student Health Engemann…

    University of Southern California (Los Angeles, CA)
    …Qualifications: + Pref 1 year Experience in Health Information Management in an acute care facility. Required Licenses/Certifications: + Req Fire Life Safety ... medical, administrative, ethical, legal, and regulatory requirements of the health care system. Meets department quality and productivity standard. Analyze and… more
    University of Southern California (12/11/25)
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  • EOB/Payment Analyst

    Prime Healthcare (Anaheim, CA)
    …high-quality, compassionate healthcare. Key services include general medical and surgical inpatient care and treatment, emergency services, surgical services, ... dedicated to making a difference. Founded in 1964, West Anaheim Medical Center is a 219-bed acute - care hospital dedicated to providing the community with… more
    Prime Healthcare (01/05/26)
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