- Humana (Sacramento, CA)
- …caring community and help us put health first** The Senior Inpatient Medical Coding Professional extracts clinical information from a variety of medical records ... evaluation of variable factors. **Responsibilities** The Senior Inpatient Medical Coding Professional confirms appropriate diagnosis related group (DRG) assignments.… more
- Elevance Health (Costa Mesa, CA)
- …make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance of medical ... audit activities. + Draws on advanced ICD-10 coding expertise, mastery of clinical guidelines, and industry knowledge to substantiate conclusions. + Utilizes… more
- LA Care Health Plan (Los Angeles, CA)
- …experience. At least 3 years of experience in utilization management or clinical coding . Investigation and/or auditing experience. Skills Required: Knowledge in ... Nurse Coder RN III is responsible for investigating, reviewing, and providing clinical and/or coding expertise/judgement in the application of medical and… more
- Alameda Health System (Oakland, CA)
- …1. Adheres to the ICD-9-CM (International Classification of Diseases, 10th revision, Clinical Modification) coding conventions, official coding guidelines ... by the American Medical Association, and any other official coding rules and guidelines established for use with mandated...and ICD-10-CM resources and remains current on changes in coding and billing standards. 3. Strives for the optimal… more
- Cedars-Sinai (Los Angeles, CA)
- …OR CPC, required Experience: A minimum of 5 years of experience in Acute Clinical Care, Utilization Review, Coding , or Case Management required Working knowledge ... us one of America's Best Hospitals. As our next Clinical Documentation Specialist, you will work under the general...physicians, nursing staff, other patient caregivers, and medical records coding staff to support the level of service rendered… more
- Sutter Health (Sacramento, CA)
- …Overview:** Responsible for activities which improve the accuracy of facility outpatient clinical documentation coding and charging, including education with the ... clinical departments and coding staff and root cause correction to support accurate...coding in compliance with policies. The analyst assists clinical areas to effectively document services and understand the… more
- Scripps Health (San Diego, CA)
- …Cycle where you will have primary accountability for the oversight of Coding , Clinical Documentation Integrity (CDI) and Health Information Management HIM. ... The Senior Director manages the staff responsible for hospital and professional fee coding and CDI, ensuring quality documentation and clinical consistency. This… more
- Sharp HealthCare (San Diego, CA)
- …and follows-up on issues in assigned Epic Revenue Integrity work-queues.Follows-up with clinical , coding , billing and operational contacts to resolve revenue ... + 2 years' experience with hospital and ambulatory care charging and coding practices, contractual payment schemes. + 1 year auditing and/or training experience.… more
- Datavant (Sacramento, CA)
- …to deliver complex healthcare technology solutions. + Solid understanding of clinical suspecting, concurrent coding workflows, risk adjustment models (eg, ... and acting on undiagnosed conditions (prospective suspecting) and ensuring risk adjustment coding accuracy in near real-time (concurrent review). You will manage a… more
- Veterans Affairs, Veterans Health Administration (Los Angeles, CA)
- …provided based on documentation in the health record. Ability to communicate with clinical staff for specific coding and documentation issues, such as recording ... services, and inpatient professional services. They independently review and abstract clinical data from the record for documentation of diagnoses and procedures… more