- Abbott (Livermore, CA)
- …and the Correct Coding Initiative Guidelines (CCI) + Identify areas of potential coding , billing and documentation deficiencies. + Provide suggestions to ... Livermore, CA location in the Heart Failure Division. The Manager of Medical Billing & Coding...areas of deficiencies to management. + Identify areas of potential Compliance risk and notify management immediately. + Ensures… more
- Sharp HealthCare (San Diego, CA)
- …and corrective actions, if necessary.Reviews the electronic health record to identify potential coding and billing compliance issues. Prepares written ... and assess Sharp's potential risks using SHC's billing and coding claims data, risk assessment...and Procedure maintenanceWorks in collaboration with the Director and Manager of Compliance and System Management (HIM, CDI, Case… more
- Rady Children's Hospital San Diego (San Diego, CA)
- JOB SUMMARY: Under the direction of the Manager , Professional Billing & Coding , the Billing & Collections Rep I is responsible to review and process ... and CCI edits flagging the charges routing to the billing system. They are expected to make updates and...to validate and accurately complete the claims identified with potential new payor plan coverage added to the patient's… more
- J&J Family of Companies (San Bernardino, CA)
- …expertise with both pharmacy and medical/buy & bill benefits (as applicable), coding , and billing . + Reimbursement or relevant managed care experience ... state experience + Advanced degree and/or relevant certifications in prior authorization and/or billing and coding + Strong market access acumen as it relates… 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 ... Solutions (PECS) team is recruiting for a Field Reimbursement Manager which will be a field-based position in the...Advanced degree and/or relevant certifications in prior authorization and/or billing and coding + Strong market access… more
- Stanford Health Care (Palo Alto, CA)
- …Stanford Health Care job.** **A Brief Overview** The Revenue Integrity Program Manager is a critical role responsible for optimizing hospital and professional ... revenue, identifying potential revenue leakage while ensuring compliance in charging and billing practices within the healthcare system. Serving as the primary… more
- Stanford Health Care (Palo Alto, CA)
- …with the Manager of Government Audit and Appeal regarding any potential barriers to timely completion. + Regulatory Compliance Stay updated on changes in ... clinical appeals and denials management. Evaluate internal controls related to documentation, coding , charging, and billing practices to ensure compliance. +… more
- Elevance Health (Los Angeles, CA)
- …accuracy and quality standards as established by audit management. + Identifies potential documentation and coding errors by recognizing aberrant coding ... medical claims billing and payment systems, provider billing guidelines, payer reimbursement policies, and coding ...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Stanford Health Care (Palo Alto, CA)
- …of treatment records. + Displays a thorough understanding of radiation oncology billing and coding . Reviews treatment/ simulation documentation and billing ... effectively and efficiently using lean methodologies. Communicates appropriate issues to Operations Manager for proper handling and potential escalation. Acts as… more
- Sharp HealthCare (Chula Vista, CA)
- …Centricity Insurance Verification (IF). If patient unable to provide insurance, search for potential coverage through MCA for SRS/SCMG and MPV (or Portal) for ... potential Medicare or Medi-Cal.Use Coordination of Benefits (COB) standards...or Medi-Cal.Use Coordination of Benefits (COB) standards to prioritize billing order of insurance plans.Medicare patients - Medicare Secondary… more