- Highmark Health (Sacramento, CA)
- …activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code ... topics for education, training, process changes, risk reduction, optimization of reimbursement with new and current coders in accordance with coding principles… more
- Stanford University (Stanford, CA)
- …and Recreation is currently accepting applications for the position of Insurance Specialist , reporting to the Associate Athletic Director, Sports Medicine, you will ... information is current and correct in EPIC and all billing systems for varsity student-athletes. + Ensure all current...**Freedom to grow.** We offer career development programs, tuition reimbursement , or audit a course. Join a TedTalk, film… more
- Elevance Health (Walnut Creek, CA)
- …guidelines, medical claims billing and payment systems, provider billing guidelines, payer reimbursement policies, and coding terminology preferred. ... recognizing aberrant coding and documentation patterns such as inappropriate billing for readmissions, inpatient admission status, and Hospital-Acquired Conditions… more
- Sharp HealthCare (San Diego, CA)
- …or Equivalent; Certified Professional Coder (CPC) - AAPC; Certified Coding Specialist (CCS) - The American Health Information Management Association (AHIMA); ... as an HCC risk adjustment coding auditor. + Experience with medical billing , medical terminology, understanding of medical records/medical notes, etc. + Certified… more
- MetroLink (Los Angeles, CA)
- …financial strategies are sound and on target. Review special marketing project billing and verify for contract compliance and applicability to the project. + ... your dental services. If you require treatment from a specialist , your contract dentist will handle the referral. Many...have the option of seeing out-of-network providers, but full reimbursement is not guaranteed. VSP has contracted with many… more
- Stanford Health Care (Palo Alto, CA)
- …that affect APP practice. + Work with hospital operations in regards to funding/ billing / reimbursement models. + Participate in the legislative and health policy ... Also functions under the general Nurse Practitioner (NP), Clinical Nurse Specialist (CNS), Certified Registered Nurse Anesthetist (CRNA), or the Physician Assistant… more
- Ketchum (San Francisco, CA)
- …and Insights! This is a perfect role for an experienced researcher or specialist that thrives working in a fast-paced environment. The person coming into this ... overseeing junior staff to client relationships, to account relationships, billing and growth + Development of original, large scale/global...to account team and client + Serving as a specialist and advisor in research and analysis, to include:… more
- Prime Healthcare (Inglewood, CA)
- …team! Responsibilities Under the supervision of the Director, the Payment Review Specialist position is responsible for accurate and timely payment analysis of ... managed care contracts to determine that appropriate reimbursement is received. Utilizing many complex and varying regulations, guidelines and systems, analyzes… more
- Ketchum (San Francisco, CA)
- …work, to overseeing junior staff to client relationships, to account relationships, billing and growth. There is no one standard approach or methodology we ... and responsibilities across the team. + Serving as a specialist and advisor in research and analysis, to include:...opportunities to enhance personal and professional life + Tuition reimbursement + Monthly Cell Phone & Wi-Fi reimbursement… more
- AAA Northern California, Nevada & Utah (Walnut Creek, CA)
- …to our members + Free AAA Classic Membership + AAA Product Discounts + Tuition Reimbursement Program . At AAA, our Team Members strive to deliver amazing service and ... for all communications with all integrated partners eg disability specialist to coordinate concurrent short-term & long term disability...to reduce the length of lost time from work Billing , Reporting & Data Management: + Process the invoicing… more