- Datavant (Sacramento, CA)
- …will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, ... Preferred: Candidate must be proficient in MS-DRG and APR-DRG coding . CCS is preferred. **What You Will Do:** +...preferred. **What You Will Do:** + Performs Inpatient Facility coding audits according to scope of work, for the… more
- Cedars-Sinai (Los Angeles, 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
- 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
- Elevance Health (Los Angeles, 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
- LA Care Health Plan (Los Angeles, CA)
- …III is responsible for investigating, reviewing, and providing clinical and/or coding expertise/judgement in the application of medical and reimbursement policies ... well as validation of accuracy and completeness of all coding elements. The position is also responsible for guidance...Code, CPT, HCPCs, APR, DRG, POA, and all relevant coding elements. Audits can include inpatient, outpatient, and professional… more
- J&J Family of Companies (Sacramento, CA)
- …+ Educate HCPs on reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations (local payers, government payers, etc.) for ... regional, local, and account market dynamics including coverage and coding requirements + Grow the knowledge of hub and...expertise with both pharmacy and medical/buy & bill benefits, coding , and billing + Reimbursement or relevant managed care… more
- Microsoft Corporation (Mountain View, CA)
- …and maintainability, effectiveness, and return on investment (ROI). Identifies best practices and coding patterns and provides deep expertise in the coding and ... quality and stability of code, as well as appropriate coding patterns and best practices. + Leads efforts to...technical field AND 4+ years technical engineering experience with coding in languages including, but not limited to, C,… more
- J&J Family of Companies (San Bernardino, CA)
- …authorizations and appeals, reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations (local payers, government payers, ... regional, local, and account market dynamics including coverage and coding requirements. + Grow the knowledge of hub and...both pharmacy and medical/buy & bill benefits (as applicable), coding , and billing. + Reimbursement or relevant managed care… more
- Sunnyside Nursing and Post-Acute Care (Torrance, CA)
- …to policy covering the privacy of, and access to, patient privacy practices + CODING : Serves as the coding specialist and/or oversees the assignment of the ... in the record is inadequate, ambiguous, or unclear for coding purposes. Abides by the standards of ethical ...coding purposes. Abides by the standards of ethical coding as set forth by the American Health Information… more
- Datavant (Sacramento, CA)
- …2 Coders, where applicable + Champion documentation improvement opportunities and coding issues, facilitating resolution with relevant stakeholders + Uphold an ... overall 95% coding accuracy rate and a 95% accuracy rate for...Succeed:** + A minimum of 3 years of inpatient coding facility experience + CCS, RHIT, or RHIA preferred… more