- Cardinal Health (Sacramento, CA)
- …supervises and manages audits to determine organizational integrity of billing for professional (physician) services and/or hospital (technical) services, including: ... detection and correction of documentation, coding, and billing errors and/or medical necessity of services billed. Particular areas of focus include: evaluation of… more
- Highmark Health (Sacramento, CA)
- …hospital or health insurance setting + 1 year in professional billing , facility Patient Financial Services, HIM, Internal Audit, Professional/Facility Reimbursement ... (any of the following) + Certified Fraud Examiner (CFE) + Certified Professional Coder (CPC) + Certified Outpatient Coder (COC) + Accredited Healthcare Fraud… more
- ServiceNow, Inc. (Pleasanton, CA)
- …multi-cloud and on-premises environments. + Implement data source connectors for billing systems, ServiceNow internal systems, SaaS platforms, and ML platforms. + ... cloud providers. + Establish Cloud Development Environment (CDE) platform using Coder to provision on-demand development workspaces via Terraform templates for… more
- Elevance Health (Los Angeles, CA)
- …recognizing aberrant coding and documentation patterns such as inappropriate billing for readmissions, inpatient admission status, and Hospital-Acquired Conditions ... Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or… more
- Robert Half Accountemps (Los Angeles, CA)
- …will be responsible for managing a team of 6 that will support billing , collections, and coding operations for their facilities that include outpatient, urgent ... charges to ensure accuracy and appropriateness. Ensures that any errors identified by coder are corrected and pre-scrubbed in a timely manner to ensure clean claims.… more
- Amazon (San Francisco, CA)
- …a collaborative and growth-oriented team environment. This role oversees commercial billing , charge capture, coding, AR, cash posting and patient financial services. ... with tech and non-tech teams - In-depth knowledge of medical billing processes, healthcare regulations, and compliance requirements - Strong understanding of… more
- Datavant (Sacramento, CA)
- …for reviewing records via client's auditing tool, updating coding and submitting for billing . Evaluator experience a plus. **What You Will Do:** + Performs Inpatient ... to ensure optimal workflow and turnaround time + Provides coder education via the auditing process + Function in...via client's auditing tool, updating coding and submitting for billing . Evaluator experience a plus. + 5+ years of… more
- Molina Healthcare (Long Beach, CA)
- …an appeal has been submitted, to ensure medical necessity and appropriate/accurate billing and claims processing. * Evaluates medical records and/or medical notes ... Emergency Medicine, Medical Surgical, or Pediatrics. Advanced Practice Nursing. Billing and coding experience. **Preferred License, Certification, Association** Registered… more
- Baylor Scott & White Health (Sacramento, CA)
- …to meet daily un-coded accounts receivable. + Is a resource for resolving billing edits using the National Correct Coding Initiative and Local and National Coverage ... Determinations. Facilitates billing issues with Physician Fee Schedules (PFS) and informs...Certified Coding Specialist-Physician Based (CCS-P), or + Certified Professional Coder (CPC), or + Reg Health Info Administrator (RHIA),… more
- Elevance Health (Costa Mesa, CA)
- …identified providers as warranted. + Examines claims for compliance with relevant billing and processing guidelines and to identify opportunities for fraud and abuse ... an Associate Degree in Nursing and/or current certification as a Certified Professional Coder (AAPC or AHIMA) and minimum of 4 years related experience, including… more
Recent Jobs
-
Staff Civil Engineer 2
- Applied Research Associates, Inc. (Tyndall AFB, FL)
-
Applications Development Senior Programmer
- Citigroup (Irving, TX)
-
Lead Architect: Full stack Architect
- JPMorgan Chase (Palo Alto, CA)
-
Principal Business Systems Analyst, GTM
- Intuit (Mountain View, CA)