- 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)
- …these may require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and ... and work is assisted by diverse resources which may include national clinical guidelines, CMS policies and determinations, clinical reference materials, internal… 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
- 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
- J&J Family of Companies (Irvine, CA)
- …Johnson and Johnson Neurovascular is recruiting for a **Medical Affairs Clinical Specialist** located in Irvine, California, USA. At Johnson & Johnson, ... We are looking for a highly motivated Medical Affairs Clinical Specialist to be part of our Medical Affairs...routine review of safety events, adverse events (AEs), medical coding , source documents, and subject narratives. + Review and… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …Development & Commercialization, Inc. (OPDC) a USA subsidiary exists the Global Clinical Development (GCD) department. OPDC-GCD are a group of physicians and ... scientists who lead clinical development activities for Otsuka's global health-care products. The...attributes of assets within the portfolio: + Reimbursement and coding coverage + Broader portfolio global commercialization assessment/planning to… more
- Oracle (Sacramento, CA)
- …platform with an ambitious spirit and a focus on excellence. As a Senior Clinical Documentation Analyst you will: Analyze clinical workflows across a myriad of ... rubrics, and help align with prioritization as drive forward towards revamping the clinical workflow experience in the EHR. Utilize proficiency in EMR platforms (eg,… more
- Stanford Health Care (Palo Alto, CA)
- …of Operations - Network Director will work report to the Vice President of Clinical Laboratories and work closely with the Operations Directors for AP and CP. ... Knowledge and experience in Clinical Pathology, laboratory system workflows, and space planning/lab design are preferred. **This is a Stanford Health Care job.** **A… more
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