- University of Southern California (Los Angeles, CA)
- …to billing interface and claims submission. + Works cooperatively with HIM Coding Support and/or Clinical Documentation Improvement Specialist in obtaining ... In accordance with current federal coding compliance regulations and guidelines, use current ICD-10-CM/PCS, CPT-4, and HCPCS code sets/systems to accurately… more
- University of Southern California (Los Angeles, CA)
- …to billing interface and claims submission. + Works cooperatively with HIM Coding Support and/or Clinical Documentation Improvement Specialist in obtaining ... In accordance with federal & state coding compliance laws, rules, regulations, and guidelines, use...code, and electronically/manually record into the 3M 360 Encompass/Computer-Assisted Coding (CAC), 3M Coding & Reimburse System… more
- Oracle (Sacramento, CA)
- …and problem-solving skills. 5. Collaborating with cross-functional teams, including billing, coding , and clinical operations, to ensure the effectiveness of ... team for daily operations of the healthcare revenue cycle / healthcare coding department. 2. Identifying and implementing strategies to accelerate the revenue cycle… more
- UCLA Health (Los Angeles, CA)
- Description As the Clinical Documentation Integrity Specialist - Medicare Advantage Risk Adjustment, you will be an expert in risk adjustment coding and ... physicians (MD, DO, or NP) to ensure documentation and coding accuracy of ICD-10 CM codes related to chronic...or more years of experience in providing education to clinical and non- clinical staff + Understanding of… more
- Robert Half Accountemps (Sacramento, CA)
- …process improvements to enhance efficiency and reduce errors. + Collaborate with finance, coding , and clinical teams to maintain revenue cycle integrity. + ... Prepare and analyze billing reports for management review. Requirements + Associate or Bachelor's degree in Business, Healthcare Administration, or related field. + Minimum 3+ years of healthcare billing experience, with at least 1 year in a supervisory role.… more
- Humana (Sacramento, CA)
- …may require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, dispute, grievance, and appeals processes, ... and work is assisted by diverse resources, which may include national clinical guidelines, CMS and state policies and determinations, clinical reference… more
- Humana (Sacramento, CA)
- …discussions with an external provider. Some roles include an overview of coding practices and clinical documentation, dispute/grievance and appeals processes, ... and work is assisted by diverse resources, which may include national clinical guidelines, CMS policies and determinations, clinical reference materials,… more
- Humana (Sacramento, CA)
- …may require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, disputes processes, and appeals processes, ... and work is assisted by diverse resources, which may include national clinical guidelines, CMS policies and determinations, clinical reference materials,… more
- Highmark Health (Sacramento, CA)
- …and leads the design, development, execution, dissemination and interpretation of clinical and population health analyses, metrics and reports using clinical ... monitor actionable opportunities for improving health and healthcare outcomes and clinical quality and costs of care, efficiently and effectively managing projects… more
- Sharp HealthCare (San Diego, CA)
- …+ Other : Successful completion of Medical Terminology class, ICD-10 and CPT coding classes (or equivalent work experience). + Other : Successful completion of ... appropriate denial reason. Maintain mandated TAT for denials.Obtains and gathers clinical information from multiple sources including use of Sharp and/or Hospital… more
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