- UCLA Health (Los Angeles, CA)
- …(CMS), Medi-Cal, and other policies. You'll apply your extensive knowledge of hospital billing , coding , and pricing practices, as well as advanced data analysis ... preferred + Eight or more years of experience in hospital finance, billing , coding , revenue integrity, medical analysis, or medical auditing + Prior experience… more
- Cardinal Health (Sacramento, CA)
- …compliance with federal and state regulations and laws, CMS and other third-party payer billing rules and internal documentation, coding and billing policies ... matter expert and authoritative resource regarding federal, state and payer documentation, billing and coding rules and regulations, maintaining awareness of… more
- Stanford Health Care (Palo Alto, CA)
- …clinical appeals and denials management. Evaluate internal controls related to documentation, coding , charging, and billing practices to ensure compliance. + ... the Denials Management Department. Serve as a subject matter expert on billing and coding regulations and collaborate with team members on joint projects to… more
- Guidehouse (San Marcos, CA)
- …service. + Working knowledge can be of the following: insurance claims, billing , coding , follow-up, finance, accounting or customer service related ... **Job Family** **:** PFS Billing **Travel Required** **:** None **Clearance Required** **:**...Biller** is expected to perform all areas of initial billing , secondary billing , and payer audit follow-up… more
- UCLA Health (Los Angeles, CA)
- …equivalent experience and training + At least five years of revenue cycle, billing , or healthcare financial experience, including CPT/HCPCS coding and billing ... (required) + Strong knowledge of hospital revenue cycle functions, including billing , coding , chargemaster management, and revenue integrity + Familiarity… more
- Cardinal Health (Sacramento, CA)
- …vendors supporting any patient billing and collections processes + Collaborate with billing , coding , posting and front office teams to resolve account issues ... simplify and optimize the practice's revenue cycle, from prior authorization through billing and collections. Job Purpose: The Patient AR Specialist is responsible… more
- Deloitte (Los Angeles, CA)
- …and HCC assignment + Other revenue cycle experience including conducting charge capture and coding reviews for compliance with billing and coding regulatory ... for inpatient and outpatient service areas for accuracy of coding and documentation to ensure regulatory compliance + Apply...and follow-up entries in medical records to lead to coding accuracy + Identify gaps in clinical documentation and… more
- Emanate Health (Covina, CA)
- …insurance, Medicare and Medicaid reimbursement is required. Medical terminology and coding , computer literate with knowledge of billing software systems ... is preferred. Knowledge of CMS regulations and requirements regarding billing and coding is preferred. Experience working with all payers - commercial,… more
- Sutter Health (Sacramento, CA)
- …for a range of service lines. + Demonstrated ability to utilize official coding / billing resources including CPT/HCPCS references, OPPS Manual, NCCI Manual, NUBC ... for activities which improve the accuracy of facility outpatient clinical documentation coding and charging, including education with the clinical departments and … more
- J&J Family of Companies (Sacramento, CA)
- …relationship + Demonstrated expertise with both pharmacy and medical/buy & bill benefits, coding , and billing + Reimbursement or relevant managed care experience ... experience + Advanced degree and/or relevant certifications in prior authorization and/or billing and coding + Strong market access acumen as it relates to payer… more