- Sedgwick (Sacramento, CA)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance Remote Accommodations Clinical Specialist - Bilingual Hindi, Japanese, Mandarin or more **We are ... Candidates must live within the United States. **PRIMARY PURPOSE** : Performs standard clinical evaluations on claims that require additional review based on… more
- Wolters Kluwer (Torrance, CA)
- …the office (see locations listed on the posting) **OVERVIEW** We are seeking a Clinical Content Specialist leader to advance our mission of providing faculty and ... from you! You will collaborate closely with the Associate Director of Clinical Content to plan and deliver high-quality consultation services. Your role involves… more
- Wellpath (Santa Rosa, CA)
- …education, and point of care support. **How you make a difference** The Clinical Operations Specialist is a Registered Professional Nurse with advanced expertise ... accordance with applicable state and local laws. Quick Apply (https://careers-wellpath.icims.com/jobs/177531/ clinical -operations- specialist /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336175207) **Need help finding the right job?**… more
- Dignity Health (Redding, CA)
- … documentation, and quality reporting rules and procedures to provide a second level review of codes assigned to a clinical episode of care, ensuring that ... **Responsibilities** Responsible for reviewing and evaluating clinical records to determine accuracy and integrity of coding outcome versus clinical … more
- Edwards Lifesciences (San Francisco, CA)
- …and study sponsor management and leadership staff, including Institutional Review Boards/Ethics Committees/Research Ethics Committees, Clinical Operations (eg ... expertise can change a patient's life. We generate extensive clinical evidence to demonstrate the effectiveness and safety of...our products transform patients' lives. As part of our Clinical Affairs team, you'll hone your scientific curiosity and… more
- Sutter Health (Crescent City, CA)
- …**Organization:** SCH-Sutter Coast Hospital **Position Overview:** Functions as the technical and clinical subject matter expert in one or more areas of the ... periodically summarizing QC and PT results in reports or graphs for Medical Director review . Also performs a variety of Quality Assurance (QA) duties such as … more
- UCLA Health (Los Angeles, CA)
- …of education and experience in case management, utilization management or prior clinical documentation review experience, required * Knowledge of coding ... information to provide comprehensive medical record documentation that accurately reflects clinical treatment, decisions, and diagnoses. You will utilize your … more
- UCLA Health (Los Angeles, CA)
- …and consultant. You will collaborate with physician and nursing leadership, clinical staff, and administrative/operational staff to help achieve the best outcomes ... will be responsible for data and event monitoring, peer review coordination, education, and facilitation of QI efforts utilizing...required + Three or more years of direct patient care/ clinical experience, required + Two or more years of… more
- Pomona Valley Hospital Medical Center (Pomona, CA)
- Position summary: Responsible for the review and evaluation of the medical record for outpatient cases only to assign accurate diagnosis and proceduralcodes ensuring ... optimal reimbursement while remaining compliant with all regulatory agencies. Also responsible for abstracting specificdata elements for internal operations and reporting regulatory agencies. Meets or exceeds quality and quantity requirements at alltimes. May… more
- Pomona Valley Hospital Medical Center (Pomona, CA)
- Job Summary: Responsible for the review and evaluation of the medical record in order to assign accurate diagnosis and procedural codes ensuring optimal ... reimbursement while remaining compliant with all regulatory agencies. Also responsible for abstracting specific data elements for internal operation and reporting to regulatory agencies. Meets or exceeds quality and quantity requirements at all times. May… more