- Sunnyside Nursing and Post-Acute Care (Torrance, CA)
- …HIM Director also acts as a liaison between information services and clinical services departments, ensuring that health information policies and procedures are ... information, when applicable, for facility staff members, including the facility clinical staff. + HIPAA (Health Insurance Portability and Accountability Act): Works… more
- J&J Family of Companies (Santa Clara, CA)
- …and the ability to interface cross-functionally across Commercial, Market Access, Sales, Clinical , Legal, and Medical Affairs teams. The Director will play a pivotal ... + Advocate with KOLs, physician societies, and AMA on coding and RUC evaluation. + Develop and execute a...members. **Cross-Functional Partnership** + Partner closely with sales, marketing, clinical , and other key functions to ensure alignment on… more
- Datavant (Sacramento, CA)
- …2 Coders, where applicable + Champion documentation improvement opportunities and coding issues, facilitating resolution with relevant stakeholders + Uphold an ... overall 95% coding accuracy rate and a 95% accuracy rate for...communication with colleagues, management, and hospital staff, while addressing clinical and reimbursement issues **What You Need to Succeed:**… more
- Cognizant (Sacramento, CA)
- …Type:** [Full-time] M-F flexible hours A **DRG coder** is a medical coding professional who specializes in assigning **Diagnosis-Related Group (DRG)** codes for ... used primarily for inpatient hospital billing. It groups patients with similar clinical conditions and resource usage into categories. Hospitals are reimbursed based… more
- Robert Half Accountemps (Santa Barbara, CA)
- …excel in communication and collaboration, supporting both patients and clinical staff in navigating complex billing and authorization procedures. Responsibilities: ... authorizations or pre-certifications for radiology procedures, maintaining accuracy in coding and documentation. * Follow up proactively with insurance providers… more
- UCLA Health (Los Angeles, CA)
- …Medi-Cal, and other policies. You'll apply your extensive knowledge of hospital billing, coding , and pricing practices, as well as advanced data analysis skills, to ... highly analytical individual with: + CCS, CPC-O, CPC certification or related coding education + Bachelor's degree in business, finance, or related field, preferred… more
- System One (Alameda, CA)
- …activities in the Argus Safety Database, ensuring compliance with global clinical safety and pharmacovigilance regulations and Global Patient Safety department ... in the Argus database, including query generation, narrative, and ASE writing. + MedDRA coding of SAEs and AEs as reported in source documents of SAE reports and… more
- Cedars-Sinai (Torrance, CA)
- …+ Develops and maintains excellent working relationships with Cedars-Sinai Clinical Departments, external clients, and patients, performing duties that include ... accounts to ensure resolution. Serves as liaison between CSRC Services and Clinical Departments in the coordination of billing and reimbursement. Responds to… more
- Providence (Oakland, CA)
- …investigation and correction of fraudulent and/or abusive billing and coding practices; coordination of recovery of overpayments related to fraudulent ... and/or abusive billing and coding practices; and providing education related to coding...Internal Auditor or Healthcare Compliance certification upon hire. + Clinical background. **Salary Range by Location:** **California: Humboldt: Min:… more
- Stanford Health Care (Palo Alto, CA)
- …Medical Director of Radiation Oncology Cancer Network and the Vice Chair of Clinical Operations for the Department of Radiation Oncology in the School of Medicine, ... on clinical , quality, patient safety, and regulatory management and preparedness....Develops and monitors an internal system to ensure correct coding and charge capture. Ensures that appropriate procedures and… more
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