- Datavant (Sacramento, CA)
- …and acting on undiagnosed conditions (prospective suspecting) and ensuring risk adjustment coding accuracy in near real-time (concurrent review). You will manage a ... AI/ML and real-time data signals to surface high-impact suspects and coding opportunities. + Drive innovation leveraging interoperability standards (FHIR, HL7, APIs)… more
- Datavant (Sacramento, CA)
- …will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, ... facility. **What You Will Do:** + Performs Inpatient Facility coding audits according to scope of work, for the...of reviews, using appropriate assignment of codes and other coding -related elements using MS DRG or APR DRGs. +… 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
- 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
- Scripps Health (San Diego, CA)
- …gastroenterology. The Coder II is responsible for ensuring accurate and timely coding of diagnoses and procedures for inpatient, outpatient and professional visits ... Conducts concurrent and/or retrospective claims data reviews for physician services, coding and abstracting all services, procedures, diagnoses, and conditions from… more
- Robert Half Accountemps (Oakland, CA)
- …requires a strong understanding of medical billing systems, particularly Welligent coding , and a commitment to maintaining compliance with healthcare standards. ... * Analyze and process medical billing records with precision, utilizing Welligent coding systems to ensure compliance with industry regulations. * Manage and… more
- Scripps Health (San Diego, CA)
- …Analyst maintains the Scripps Health facility chargemasters within applicable coding guidelines and according to Scripps policies and procedures; provides ... experience in a chargemaster or revenue integrity related role; * OR - Coding certification(CCS, CPC, CPC-H, RHIT, RHIA); * OR - Bachelors' Degree (preferred in… more
- Highmark Health (Sacramento, CA)
- …and demographic data, interpret and apply diagnoses and procedures utilizing ICD coding systems and assists in decreasing the average accounts receivable days. ... management of medical information and cash flow as it pertains to the unbilled coding report. (10%) + Keeps informed of the changes/updates in ICD guidelines by… more
- Guidehouse (Escondido, CA)
- …documentation clarification. In this role, you will collaborate closely with Coders, Coding Educators, Coding Quality Auditors, Case managers, Quality Department ... the time of discharge for accurate, timely, and compliant coding . + Reviews daily admissions to assigned unit, perform...Equivalent (MBBS) + 2-4 years acute care inpatient hospital coding or CDI experience + Familiarity with encoder and… more