- Highmark Health (Sacramento, CA)
- …using skills including but not limited to Hierarchical Condition Category (HCC) Coding , medical coding , clinical terminology and anatomy/physiology, Centers for ... Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment Data Validation (RADV) Audits....identify and deliver high quality and accurate risk adjustment coding . Supports all Remote Patient Monitoring (RPM) risk adjustment… more
- Sutter Health (San Francisco, CA)
- …Administration **Position Overview:** Under the direction of CDI leadership, the CDI Coding Quality Liaison oversees accuracy and completeness of the final coded set ... (SLR) requests. Using both ICD-10 CM and PCS official coding guidelines, as well as CDI-related clinical expertise, the...the quality of care and resource consumption. The CDI Coding Quality Liaison monitors both CDS and Coder-initiated SLR… more
- Sutter Health (Emeryville, CA)
- …Medical Foundation PAD **Position Overview:** Implements the elements pertaining to the Coding Education Program. This includes conducting focused coding audits, ... from annual provider audits, ad-hoc medical group/provider requests, etc.). Provides coding education for assigned groups, providers, and coders and resolve… more
- Providence (Burbank, CA)
- …retain the best people, we must empower them._** **Providence is calling a Senior Coding Quality Educator who will:** + Assist with the day-to-day operations of the ... Coding Integrity, Knowledge Management team + Assist with research and developing coding guidance based on local, state and federal healthcare coding … more
- Highmark Health (Sacramento, CA)
- …(MA) and Affordable Care Act (ACA) through Hierarchical Condition Category (HCC) coding , medical coding , clinical terminology and anatomy/physiology, Centers for ... Medicare and Medicaid Services (CMS) coding guidelines, and support of Risk Adjustment Data Validation...identify and deliver high quality and accurate risk adjustment coding . Supports all risk adjustment projects to comply with… more
- Providence (CA)
- …best people, we must empower them._** **Providence Health Plan is calling a Manager Coding Policy who will:** + Be responsible for the management and supervision of ... all Coding Policy development, quality, implementation, publication, and interim or...of the Plan's policy life cycle + Ensure all coding , regulatory, legal, and operational practices are maintained, consistent,… more
- Sharp HealthCare (San Diego, CA)
- …position, and employer business practices. **What You Will Do** The Compliance Coding Auditor is responsible for the administration of the Sharp HealthCare's (SHC's) ... provides oversight and maintenance of a high-quality, effective, best practices coding , billing, and reimbursement audit compliance program to prevent and detect… more
- Sutter Health (Sacramento, CA)
- …variety of revenue regulatory issues that impact abstraction of data for coding purposes. Gives leadership and direction to the system's regional/entity physicians, ... nurses, clinicians, department managers, coding experts and through programs of education, policy development, support and evaluation, assures that coding … more
- Alameda Health System (Oakland, CA)
- Manager, HIM Coding + oakland, CA + Information Systems + Health Information Servcies + Full Time - Day + Management + Req #:39404-28958 + FTE:1 + Posted:May 16, ... 2024 **Summary** **SUMMARY:** Under general supervision, the Manager, HIM Coding provides daily oversight of facility coding ...HIM Coding provides daily oversight of facility coding staff, and the HIM Audit Coordinator. This role… more
- Highland General Hospital (Oakland, CA)
- SUMMARY: Under general supervision, the Manager, HIM Coding provides daily oversight of facility coding staff, and the HIM Audit Coordinator. This role will ... for correct code assignments. 5. Ensures timely response to coding audits and appeals. 6. Performs quality reviews for... audits and appeals. 6. Performs quality reviews for coding staff in order to validate code and reimbursement… more