- Ventura County (Ventura, CA)
- …day-to-day operations for the Health Information Management (HIM) department related to coding and CDI ( clinical documentation improvement). The ideal candidate ... 2.5%, 3.5%, or 5% based on completion of an Associate 's, Bachelor's, or Master's degree that is not required...managing a large team of Coders (Inpatient & Outpatient), coding productivity and collaborate with Clinical Documentation… more
- Grifols Shared Services North America, Inc (Lancaster, CA)
- …medicines, solutions and services in more than 110 countries and regions. The Associate Director , Value Access Marketing & Reimbursement is responsible for ... process for market access customer segment . Support reimbursement, coding , and coverage-related responsibilities for Medicare Part B, Centers...10 years, and you can grow with us! The Associate Director / Director Market Access and… more
- UCLA Health (Los Angeles, CA)
- …members? UCLA Health Medicare Advantage Plan is looking for a dedicated and forward-thinking Associate Medical Director to help shape the future of our plan. In ... leadership role, you'll work closely with the UHMAP Medical Director and play a vital part in developing and...and play a vital part in developing and guiding clinical policy that's grounded in the latest scientific research… more
- Humana (Sacramento, CA)
- …these may require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and ... community and help us put health first** The Medical Director relies on medical background and reviews health claims....is assisted by diverse resources which may include national clinical guidelines, CMS policies and determinations, clinical … more
- Humana (Sacramento, CA)
- …discussions with an external provider. Some roles include an overview of coding practices and clinical documentation, dispute/grievance and appeals processes, ... of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations… more
- Humana (Sacramento, CA)
- …may require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, dispute, grievance, and appeals processes, ... Lead Medical Director , depending on the line of business. The Medical Director conducts Utilization Management or clinical validation of the care received by… more
- CenterWell (San Jose, CA)
- …calls from the field staff and assisting with weekly case conferences. Refers clinical questions to Branch Director as necessary. + Maintains the client ... productivity / geographic issues and forwards schedule to Branch Director for approval prior to distribution to staff. +...internal transfer of patients between branch offices. + If clinical , receives lab reports and assesses for normality, fax… more
- Prime Healthcare (Ontario, CA)
- …award winning hospitals through roles in supply chain, IT and cybersecurity, clinical engineering, capital procurement, medical coding , project management and ... care for every patient, every time. Responsibilities Under the direction of the Director , the Applications Trainer (AT) will serve as the point-of-contact for Lawson… more
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