• Diagnosis Related Group Clinical Validation…

    Elevance Health (Costa Mesa, 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
    Elevance Health (04/29/25)
    - Related Jobs
  • Vice President - Mid-Revenue Cycle

    Stanford Health Care (Palo Alto, CA)
    …operations support for Health Information Management, Hospital and Professional Coding Services, Charge Capture procedures, Revenue Integrity and Clinical ... + Identifies metrics and performance goals for revenue capture, hospital and professional coding and CDI. Metrics are set for each level of staff and team… more
    Stanford Health Care (04/23/25)
    - Related Jobs
  • Medical Coder (CCS or CPC)

    Robert Half Accountemps (Los Angeles, CA)
    …Medical Coders certified with CPC (Certified Professional Coder) or CCS (Certified Coding Specialist) credentials. If you thrive in a fast-paced environment and are ... assign codes for diagnoses, procedures, and services using ICD-10, CPT, and HCPCS coding systems, + Review clinical documentation to ensure appropriate coding more
    Robert Half Accountemps (04/18/25)
    - Related Jobs
  • Payment Integrity Nurse Coder RN III

    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
    LA Care Health Plan (04/11/25)
    - Related Jobs
  • Clinical Documentation Integrity Specialist…

    UCLA Health (Los Angeles, CA)
    …Advantage Risk Adjustment, you will be an expert in risk adjustment coding and documentation, working closely with physicians, IPA coders, and risk adjustment ... physicians (MD, DO, or NP) to ensure documentation and coding accuracy of ICD-10 CM codes related to chronic...ICD-10 CM codes related to chronic conditions + Analyze coding patterns within medical groups. + Provide customized education… more
    UCLA Health (02/19/25)
    - Related Jobs
  • Coder, CBO

    Pomona Valley Hospital Medical Center (Pomona, CA)
    …documentation to support diagnoses, procedures, and treatment results. Follows coding conventions. Identifies discrepancies, potential quality of care, and billing ... Qualifications: [Required] EDUCATION: High School diploma or equivalent CERTIFICATION: Coding Certification from AAPC/AHIMA. EXPERIENCE: Coursework in Medical Terminology/Anatomy.… more
    Pomona Valley Hospital Medical Center (05/03/25)
    - Related Jobs
  • Clinical Documentation Improvement (CDI)…

    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
    Guidehouse (04/25/25)
    - Related Jobs
  • Client Service Representative

    VCA Animal Hospitals (Ontario, CA)
    …charges from the Electrical Medical Records via WoofWare, to ensure standard coding and billing guidelines are followed correctly. + Communicates effectively and ... medicine and veterinary terminology, as well as various VCA coding and billing guidelines. + Utilizes the correct ...coding and billing guidelines. + Utilizes the correct coding initiative when billing for multiple services during the… more
    VCA Animal Hospitals (04/23/25)
    - Related Jobs
  • ASC ProFee/Hospital Outpatient Coder

    UCLA Health (Los Angeles, CA)
    …within a world-class healthcare organization. Support accurate and efficient coding processes to enhance operational success. Elevate your professional expertise ... at UCLA Health. You will be responsible for coding diagnoses and procedures for Hospital Outpatient cases. This...will involve utilizing your knowledge of UCLA, AHA - Coding Clinic, AMA - CPT Assistant guidelines, medical terminology,… more
    UCLA Health (04/20/25)
    - Related Jobs
  • Revenue Cycle Manager - Ambulatory Care

    Ventura County (Ventura, CA)
    …procedural changes, as well as to keep team informed of changes to coding , health plans/programs or other regulatory requirements; + Conducts monthly meetings with ... billing guidelines and updates; + Identifies and monitors compliance of coding and billing of all interdepartmental functions, services, supplies, medications, and… more
    Ventura County (04/03/25)
    - Related Jobs