- Sharp HealthCare (San Diego, CA)
- … clinical providers. To support and facilitate the implementation of correct coding standards by clinical providers as established by SHC Corporate Compliance ... audits to ensure provider is billing to meet established coding guidelines. + Client supportProvider, Clinical , and...meet established coding guidelines. + Client supportProvider, Clinical , and Coding SupportServes as a resource… more
- University of Southern California (Los Angeles, CA)
- …+ Follow processes to send appropriate notification to other parties such as Coding Manager, Clinical Department Manager, or Patient Accounting Manager. For ... is primarily responsible for unit and area specific charge capture of clinical services and procedures within revenue producing departments throughout the system.… more
- Cedars-Sinai (CA)
- …collaboratively with the Clinical Documentation Integrity (CDI) team to align both clinical and coding approaches to ensure a complete coding profile. ... will be doing in this role:** Working under the general direction of a coding supervisor, the Facility Inpatient Coder is responsible for the assignment of ICD-10-CM… 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
- 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
- CVS Health (Sacramento, CA)
- …Responsible for predetermination reviews ad reviews of claim determinations, providing clinical , coding , and reimbursement expertise, using multiple computer ... system is more transparent and consumer-focused, and it recognizes physicians for their clinical quality and effective use of health care resources. **This is a… more
- Highmark Health (Sacramento, CA)
- …clinical outcomes, cost, and member experience. + **Operational Integration & Coding :** Engage non- clinical teams to ensure operational guidelines are aligned ... as a primary owner of assigned medical policies, ensuring their accuracy, clinical soundness, and operational feasibility. A core responsibility of this position is… more
- Cedars-Sinai (CA)
- … Documentation Improvement Software and Executive Dashboard. + **Data Review:** Analyze clinical documentation, coding data, and quality metrics to identify gaps ... business impact level for data quality issues. **Department-Specific Responsibilities: CDI Clinical ** + **Collaboration & Analysis:** Conduct ongoing analyses of … more
- Molina Healthcare (Long Beach, CA)
- …regularly and directly engaging in patient care. Provides education on clinical guidelines, coding , quality measures, and documentation excellence. **Job ... team focused on primary, urgent, and preventative care services in various non- clinical community settings such as homes, nursing facilities, shelters, and pop-up… more
- Cedars-Sinai (Los Angeles, CA)
- …with internal and external partners and peer departments such as Coding Operations, Clinical Documentation Integrity (CDI), Payor Revenue Management ... **What will I be doing in this role?** The Coding Auditor works under the general direction of the Coding Supervisor. A Coding Auditor is responsible for… more
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