• Profee Oncology Senior Complex Coder

    Banner Health (CA)
    **Department Name:** Coding Ambulatory **Work Shift:** Day **Job Category:** Revenue Cycle **Estimated Pay Range:** $26.82 - $40.22 / hour, based on location, ... medical records. For all assigned records and/or areas assures compliance with coding rules and regulations according...Determinations) prior to referral to coding analyst, coding educator or coding manager /supervisor.… more
    Banner Health (09/05/25)
    - Related Jobs

  • Care Manager , Registered Nurse

    Sutter Health (Roseville, CA)
    …A broad knowledge base of post-acute levels of care and associated regulatory compliance requirements. + General understanding of coding and DRG assignment ... retrospective utilization management review using the department's accepted criteria for ambulatory , acute, and post-acute patients to confirm medical necessity is… more
    Sutter Health (09/26/25)
    - Related Jobs

  • Appeals Nurse Reviewer I

    Elevance Health (Los Angeles, CA)
    …following established appeal processes to maintain quality, turnaround time, and compliance requirements. + Outreach to providers with appeal process instructions. + ... of 3 years of clinical nursing experience in an ambulatory or hospital setting or minimum of 1 year...+ Familiarity with Utilization Management Guidelines, ICD-9 and CPT-4 coding , and managed health care including HMO,PPOand POS plans… more
    Elevance Health (09/26/25)
    - Related Jobs