• Registered Nurse - Clinical Documentation…

    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
    Cedars-Sinai (09/18/25)
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  • Certified Coder

    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
    Alameda Health System (08/08/25)
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  • Charge Audit Analyst

    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
    Sutter Health (10/01/25)
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  • Senior Director, Revenue Cycle

    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
    Scripps Health (08/15/25)
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  • Director, Prospective + Concurrent Risk Adjustment…

    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
    Datavant (08/08/25)
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  • Director, Denial Resource Center

    Baylor Scott & White Health (Sacramento, CA)
    …Specialists, Payer Liaisons and Collectors focused on appealing hospital and professional clinical and coding denials, as well as Recovery Audit Contractors ... responsible for the strategic planning, evaluation, and operational oversight of the clinical denial management function for Baylor Scott and White Health (BSWH).… more
    Baylor Scott & White Health (10/04/25)
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  • Medical Claim Review LVN/LPN (CA LVN Required)

    Molina Healthcare (Long Beach, CA)
    …and claims processing. * Evaluates medical records and/or medical notes providing clinical expertise on coding accuracy. * Reviews provider reconsideration ... in accordance with cost control standards. **Knowledge/Skills/Abilities** * Performs clinical /medical reviews of retrospective medical claim reviews, medical claims… more
    Molina Healthcare (09/17/25)
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  • Coding Coordinator (On-Site)

    Prime Healthcare (Redding, CA)
    …+ Outstanding Medical, Dental, Vision coverage + Tuition reimbursement + Nurse Clinical Advancement Program (NCAP) + Many more voluntary benefit options The Nurse ... Clinical Advancement Program (NCAP) recognizes professional clinical ...and their family. For more information, visit www.shastaregional.com. Responsibilities Coder/ Coding Coordinator would contribute towards medical record review and… more
    Prime Healthcare (09/30/25)
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  • Profee Coding Consultant (IR…

    Datavant (Sacramento, CA)
    …our bold vision for healthcare. **What We're Looking For:** The Provider Practice Coding Consultant role is an opportunity to make a significant impact in the ... field of medical coding . You will provide essential consulting services and educational...Communicate professionally with co-workers, management, and hospital staff regarding clinical and reimbursement issues. + Demonstrate strong written and… more
    Datavant (09/30/25)
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  • Coding Auditor Educator-Inpatient

    Highmark Health (Sacramento, CA)
    …OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality ... and accuracy of coding , billing and documentation related to DRGs, APCs, CPTs...processes as it relates to the DRG/APC and other clinical data quality management factors. With technical direction and… more
    Highmark Health (09/20/25)
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