• Claims Examiner III

    Dignity Health (Bakersfield, CA)
    …(CMRS), or similar certification is preferred. + CPC - Certified Professional Coder (CPC) **Where You'll Work** The purpose of Dignity Health Management Services ... Organization (Dignity Health MSO) is to build a system-wide integrated physician-centric, full-service management service organization structure. We offer a menu of management and business services that will leverage economies of scale across provider types… more
    Dignity Health (09/25/25)
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  • Client Coding Project Manager - Full Time - Remote

    Datavant (Sacramento, CA)
    …degree in relevant field of study preferred or 3-5 years related work experience coder with a minimum of 5 year's coding experience in risk adjustment both ACA ... and MA. + Expert knowledge of Risk Adjustment . + Research and problem resolution skills. + Exceptional interpersonal relationship skills. + Must possess strong managerial, financial, and analytical skills. + Consistent demonstration of commitment to quality,… more
    Datavant (09/25/25)
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  • Supervisor, Charge Edit and Audit

    Sutter Health (Sacramento, CA)
    …Management or related field **CERTIFICATION & LICENSURE:** CPC-Certified Professional Coder OR COC-Certified Outpatient Coding OR RHIT-Registered Health Information ... Technician OR RHIA-Registered Health Information Administrator **TYPICAL EXPERIENCE:** 5 years recent relevant experience **SKILLS AND KNOWLEDGE** **:** + Extensive knowledge of all areas related to Charge Capture and how they interrelate. + In-depth knowledge… more
    Sutter Health (09/24/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Costa Mesa, CA)
    …Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or ... CIC. + Experience with third party DRG Coding and/or Clinical Validation Audits or hospital clinical documentation improvement experience preferred. + Broad knowledge of clinical documentation improvement guidelines, medical claims billing and payment systems,… more
    Elevance Health (09/23/25)
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  • Manager, Risk Adjustment Coding Support

    Evolent (Sacramento, CA)
    …of work experience. + **Certification in medical coding (CRC- Certified Risk Adjustment Coder ) or demonstrated ability.** + 5+ years of experience in Risk Adjustment ... coding, with a focus on clinical documentation. + Technical proficiency, strong knowledge of coding languages within multiple EMRs with familiarity of coding standards and best practice. + Previous managerial experience or supervisory role with strong… more
    Evolent (09/23/25)
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  • Medical Revenue Cycle Director

    Robert Half Accountemps (Los Angeles, CA)
    …charges to ensure accuracy and appropriateness. Ensures that any errors identified by coder are corrected and pre-scrubbed in a timely manner to ensure clean claims. ... + Bachelor's degree is a plus and systems experience with EPIC or Athena is preferred. Requirements Epic EMR, athenahealth, Ambulatory Surgery, Ambulatory, Urgent Care, Clinics, Outpatient Clinics, Medical Billing, Leadership Skills, Supervising, Patient… more
    Robert Half Accountemps (09/22/25)
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  • Psychiatric Admissions RN - Part Time Days

    Providence (San Pedro, CA)
    …required items, CMG assignment, identification of allowable co-morbities (with medical coder ), IRF-PAI assessment schedule, target LOS and expected reimbursement and ... cost for all Medicare patients. Providence Little Company of Mary Medical Center San Pedro, awarded the Joint Commission's Gold Seal of Approval(R) and the American Heart Association/American Stroke Association's Gold Plus Achievement Award, is recognized for… more
    Providence (09/20/25)
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  • Medical Claim Review LVN/LPN (CA LVN Required)

    Molina Healthcare (Long Beach, CA)
    …Association** Registered Nursing license in good standing. Certified Clinical Coder , Certified Medical Audit Specialists (CMAS), Certified Case Manager (CCM), ... Certified Professional Healthcare Management (CPHM), Certified Professional in Healthcare Quality (CPHQ) or other healthcare certification. To all current Molina employees: If you are interested in applying for this position, please apply through the intranet… more
    Molina Healthcare (09/17/25)
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  • Health Care Disputes - Compliance Risk Adjustment,…

    Ankura (Los Angeles, CA)
    …knowledge of Risk Adjustment coding requirements preferably with a Risk Adjustment Coder certification. For individuals assigned and/or hired to work in California, ... Colorado, or New York, Ankura is required to include a reasonable estimate of the compensation range for this role. This compensation range is specific to the said markets and considers a broad range of factors including but not limited to skill sets,… more
    Ankura (09/09/25)
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  • Manager, Coding Operations

    Datavant (Sacramento, CA)
    …access, developing training plans, and creating support structures for successful coder engagement and outcomes. + Supervise quality assurance and performance ... improvement efforts, providing formal development plans when standards are not met. + Manage attendance and PTO schedules. **Employee Relations** + Conduct regular check-ins and one-on-one discussions with employees. + Address employee concerns promptly and… more
    Datavant (09/04/25)
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