- Ascension Health (Redlands, CA)
- …(ICD), Current Procedural Terminology (CPT) or Healthcare Common Procedure Coding System (HCPCS) codes, creating Ambulatory Patient Classification (APC) or ... (DRG) assignments. + Obtain acceptable productivity/quality rates as defined per coding policy. + Querie physicians when code assignments are not straightforward… more
- Sutter Health (Sacramento, CA)
- …for activities which improve the accuracy of facility outpatient clinical documentation coding and charging, including education with the clinical departments and ... coding staff and root cause correction to support accurate charging and coding in compliance with policies. The analyst assists clinical areas to effectively… more
- Cedars-Sinai (CA)
- …will be doing in this role:** Working under the general direction of a coding supervisor, the Facility Inpatient Coder is responsible for the assignment of ICD-10-CM ... by reviewing all appropriate documentation in accordance with standard coding guidelines. Correctly identifies the principal diagnosis, comorbidities/complications, present… more
- Highmark Health (Sacramento, CA)
- …data, interpret and apply diagnoses and procedures utilizing ICD and CPT coding systems and assists in decreasing the average accounts receivable days. **ESSENTIAL ... and cash flow as it pertains to the unbilled coding report. (10%) + Keeps informed of the changes/updates...in ICD-10 CM/CPT guidelines by attending appropriate training, reviewing coding clinics and other resources and implementing these updates… more
- Datavant (Sacramento, CA)
- …will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, ... IR, Spinal and Orthopedics. **What You Will Do:** + Performs Outpatient Facility coding audits of medical records and abstracts using ICD-10-CM, CPT, HCPCS, and… more
- Datavant (Sacramento, CA)
- …and reporting requirements. + Communicate documentation improvement opportunities and coding issues to appropriate personnel for follow up and resolution. ... + Maintain a 95% coding accuracy rate and a 95% accuracy rate for...CPC-H, COC, CIC or CRC). + 2+ years of coding experience in a hospital and/or coding … more
- Sharp HealthCare (San Diego, CA)
- …by our recruitment and hiring teams. **What You Will Do** To provide coding support and appeal guidance relating to reimbursement issues. Research and propose ... tool to report payer trends. **Required Qualifications** + 5 Years Experience with coding , auditing and patient account follow up in a business office + Certified… more
- Elevance Health (Walnut Creek, CA)
- …an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance of medical audit ... activities. + Draws on advanced ICD-10 coding expertise, mastery of clinical guidelines, and industry knowledge...established by audit management. + Identifies potential documentation and coding errors by recognizing aberrant coding and… more
- Highmark Health (Sacramento, CA)
- …clinical outcomes, cost, and member experience. + **Operational Integration & Coding :** Engage non-clinical teams to ensure operational guidelines are aligned with ... intent. Develop and maintain a thorough understanding of medical coding (ICD-10, CPT, HCPCS) and ensure accurate coding... coding (ICD-10, CPT, HCPCS) and ensure accurate coding principles are incorporated into policy criteria. + **Policy… more
- Oracle (Sacramento, CA)
- …data and technology, as we aim to develop cutting-edge AI solutions for medical coding and billing processes. The successful candidate will play a pivotal role in ... records. + In-depth understanding of supporting evidence requirements for accurate coding . + Practical experience using grouper software for MS-DRG and APR-DRG… more