- CVS Health (Sacramento, CA)
- …and/or auditing. + CPC (Certified Professional Coder) or CCS-P (Certified Coding Specialist -Physician) required. **Preferred Qualifications** + AA/AS or ... purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal regulations and… more
- US Tech Solutions (Sutter, CA)
- …(08:00 - 17:00) Description: Seeking experienced Professional Fee (Pro Fee)-focused Coding Educators to support large-scale chart review, coding accuracy ... structured as 13-week temp-to-hire with conversion opportunities. **Key Responsibilities** + Coding Education & Training + Deliver physician and coder education for… more
- University of Southern California (Newport Beach, CA)
- The Clinical Authorization Specialist will take the lead in securing medical authorizations from third party payers (commercial and government) for outpatient ... other infused treatments as needed in assigned service line. The Specialist will be instrumental in obtaining written documentation, submitting tracking, reporting… more
- UCLA Health (Los Angeles, CA)
- …reflects clinical treatment, decisions, and diagnoses. You will utilize your clinical expertise and coding knowledge to identify opportunities and ensure ... and assisting with appropriate documentation strategies. Partnering with Medical Coding , Case Management and the Quality team, you will...accuracy and completeness of clinical documentation. You will also leverage physician queries to… more
- Providence (Irvine, CA)
- …to improve charge capture and coding compliance. The Senior CDM Specialist also coordinates with Hospital ministry, IS, Clinical Informatics and Integration ... the PSJH System Revenue Integrity Chargemaster (RICDM) Dept. team, the Senior CDM Specialist shall ensure that the Chargemaster (CDM) is consistent with all … more
- Datavant (Sacramento, CA)
- …to realize our bold vision for healthcare. As an **ProFee Audit Specialist ** you will be instrumental in addressing consulting and educational needs related ... to coding quality, compliance assessments, external payer reviews, ...Develop and implement education for physicians, nursing, and other clinical staff to enhance documentation. + Communicate effectively with… more
- Cedars-Sinai (Torrance, CA)
- …employees. **What will I be doing in this role?** The Revenue Cycle Specialist III works under general supervision and following established practices, policies, and ... include: Develops and maintains excellent working relationships with Cedars-Sinai Clinical Departments, external clients, and patients, performing duties that… more
- University of Southern California (Los Angeles, CA)
- The Transplant Charge Specialist (TCS) is responsible for the comprehensive review of charges under the transplant program and revenue capture surrounding transplant ... review. Responsible for resolving any questionable charges, activities with the clinical staff and managers. + 2. Reviews and directs appropriate pre-transplant… more
- Cedars-Sinai (Torrance, CA)
- …Hospitals! **What will I be doing in this role?** The Revenue Cycle Specialist III works under general supervision and following established practices, policies, and ... + Develops and maintains excellent working relationships with Cedars-Sinai Clinical Departments, external clients, and patients, performing duties that include… more
- Datavant (Sacramento, CA)
- …to realize our bold vision for healthcare. **What We're Looking For:** As a Clinical Documentation Quality Improvement (CDQI) Specialist , you will play a pivotal ... Collaborate with physicians and caregivers to ensure appropriate reimbursement and clinical severity for DRG-based payer patients. + Demonstrate understanding of… more