- Emanate Health (West Covina, CA)
- … coding guidelines. Reviews documentation for accurate abstracting of clinical data to meet regulatory and compliance requirements. **Job Requirements** **Minimum ... experience. **Minimum Experience Requirement:** One to three years of prior coding experience. Knowledge of MS-DRG,APR-DRG, ICD-10CM/PCS and CPT required. Knowledge… more
- Dignity Health (Bakersfield, CA)
- …complex healthcare claims. This position requires expert knowledge of claims processing, coding , and regulatory compliance. The Claims Examiner III will handle the ... a senior or advanced role + Expert knowledge of CPT, ICD-10, HCPCS coding , and medical terminology. + Associate's Degree - Associate's Degree in healthcare… more
- Cedars-Sinai (Los Angeles, CA)
- **Job Description** Are you ready to bring your expert clinical skills to a world-class facility recognized as one of the top ten in the United States? Do you have a ... - Medicare Short Stay & Concurrent Denials supports post-discharge clinical reviews for Medicare Short Stay cases and assists...acute nursing 2 years Case Management 1 year CPT coding **Physical Demands:** Lifting 50 lbs. Carrying 50 lbs.… more
- Humana (Sacramento, CA)
- …Medicaid operations IT, the data warehouse team, and users of data (Finance, Clinical , Actuarial, DH&A analyst and report end users). + Development of analytic and ... enterprise teams to include Medicaid Governance, the Center of Clinical Effectiveness Services & Products, as well as external...tables, charts, V-Lookups and graphs. + Working knowledge with coding in SQL and data extraction and (BI) analysis… more
- Prime Healthcare (Huntington Beach, CA)
- …and retrospective reviews of inpatient medical records to evaluate the clinical documentation is reflective of quality-of-care outcomes and reimbursement compliance ... will work closely with the medical staff to facilitate appropriate clinical documentation of patient care. Other responsibilities include conducting documentation… more
- Stanford Health Care (Palo Alto, CA)
- …special departmental tasks such as EKG, ear lavage, etc. + Clinical Administration: Handle check-in/out, virtual rooming for providers, vaccine administration, ... use and apply medical terminology in performing his/her duties. + Knowledge of coding and billing regulations. + Knowledge of computer systems and software used in… more
- Sharp HealthCare (San Diego, CA)
- …to discuss high risk patients requiring case management follow up.Attends clinical in-services or required operational/ clinical training sessions. + Act ... screening on patients requiring long term custodial placement.Accurately documents patient's clinical condition and/or level of care and maintains accurate, and… more
- Dignity Health (Mount Shasta, CA)
- …and perform required procedures within scope of licensure, approved credentials and clinical best practice standards + Orders diagnostic testing based on clinical ... implement and/or appropriate follow-up with the patient/family + Complete appropriate coding and update EMR documentation for each patient encounter consistent with… more
- Norstella (Sacramento, CA)
- …electronic health records (EHRs)** . You will be responsible for translating clinical and medical data requests into structured queries, ensuring that extracted data ... Partner with engagement managers and directors to ensure the accurate representation of clinical concepts within the data and align insights with client needs. +… more
- Prime Healthcare (Ontario, CA)
- …and responding to request for records from payers/fiscal intermediary etc.; gathering clinical and fiscal information and communicating status of both open and ... the continuity of treatment. Coordinates discharge referrals as requested by clinical staff, fiscal intermediary, patients, and families. Performs other duties as… more