- Scripps Health (San Diego, CA)
- …a caring team supporting Scripps Mercy Hospital Chula Vista as a Patient Service Specialist - ED in the Access Services/ED department. You'll be on the front line ... concerns. * Acting as a member of the patient care team by supporting the clinical care staff in the care of the patient. *Required Qualifications:* * Must be able… more
- Scripps Health (San Diego, CA)
- …a caring team supporting Scripps Mercy Hospital San Diego as a Patient Service Specialist - Obstetrics in the Patient Financial Services department. You'll be on the ... concerns. * Acting as a member of the patient care team by supporting the clinical care staff in the care of the patient. *Required Qualifications:* * Must be able… more
- Sharp HealthCare (San Diego, CA)
- …master (CDM); updating CDM Matrix, maintain all maintenance efforts with clinical department and IT utilizing the Ivanti ticketing system.Contributes to strategic ... pricing processes to include annual and periodic pricing updates, CPT /HCPC updates and reporting, fee schedule queries, procedure queries...in areas of expertise.Might be assigned to support key clinical areas on a need basis. + Department System… more
- TEKsystems (Fresno, CA)
- …ensuring timely and accurate approvals, and supporting both patients and clinical staff in navigating insurance requirements. Key Responsibilities: + Verify patient ... + Proficiency in EMR systems (eg, EPIC) and familiarity with ICD-10 and CPT coding. + Strong organizational skills and attention to detail. + Excellent communication… more
- Scripps Health (San Diego, CA)
- …where you will have primary accountability for the oversight of Coding, Clinical Documentation Integrity (CDI) and Health Information Management HIM. The Senior ... and professional fee coding and CDI, ensuring quality documentation and clinical consistency. This individual position is responsible for a diverse department,… more
- Highmark Health (Sacramento, CA)
- …staff, physicians and appropriate individuals. (20%) + Validates the ICD-CM, ICD-PCS, CPT and HCPCS Level II code and modifier systems, missed secondary diagnoses ... appropriate payor specific groups consisting of ICD-CM ICD-PCS and CPT codes for diagnoses and procedures and calculates the...processes as it relates to the DRG/APC and other clinical data quality management factors. With technical direction and… more
- Alameda Health System (Oakland, CA)
- …Reads and interprets medical record documentation to assign diagnosis codes, assigns CPT codes, and applies knowledge of payer reimbursement guidelines to ensure ... to the ICD-9-CM (International Classification of Diseases, 10th revision, Clinical Modification) coding conventions, official coding guidelines approved by the… more
- Banner Health (CA)
- …patient care. POSITION SUMMARY This position evaluates medical records, provides clinical and surgical abstraction for full range of complex and/or multispecialty ... edits as appropriate. Reconciliation of charges as required. 2. Abstracts clinical diagnoses, procedure codes and documents other pertinent information obtained from… more
- LA Care Health Plan (Los Angeles, CA)
- Payment Integrity Nurse Coder RN III Job Category: Clinical Department: Claims Integrity Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ... Coder RN III is responsible for investigating, reviewing, and providing clinical and/or coding expertise/judgement in the application of medical and reimbursement… more
- Prime Healthcare (Redding, CA)
- …+ Outstanding Medical, Dental, Vision coverage + Tuition reimbursement + Nurse Clinical Advancement Program (NCAP) + Many more voluntary benefit options The Nurse ... Clinical Advancement Program (NCAP) recognizes professional clinical ...of Diseases, Tenth Revision (ICD-10) and Current Procedural Terminology ( CPT ), Health Care Procedure Coding System (HCPCS) to reconcile… more