• Sr Compliance RCM & Coding Auditor

    Humana (Sacramento, CA)
    …years of healthcare experience in revenue cycle management (related to billing, coding , collections for Medicare and Medicaid claims) + Experience with Auditing and ... compliance, mainly primary care and risk adjustment, pharmacy knowledge a plus + Certified Coder (CPC, CRC, and/or CMC) + Experience with metrics and reporting… more
    Humana (07/29/25)
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  • Manager, Practice Transformation

    CVS Health (Sacramento, CA)
    …and VPN. **Preferred:** ▪ Licensed Allied Health Professional or Licensed Registered Nurse ▪ Coding or Sales background ▪ Certified Six Sigma Green Belt ▪ ... Certified Professional in Healthcare Quality (CPHQ) or equivalent **Education/license requirements:** * Bachelor's degree or commensurate work experience in healthcare administration, public health, or a related field **Anticipated Weekly Hours** 40 **Time… more
    CVS Health (08/08/25)
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  • Vice President of Health Plan Operations…

    Prime Healthcare (Ontario, CA)
    …all levels using Microsoft Office applications. + Strong knowledge of medical coding (ICD-10, HCPCs/CPT, etc.) Preferred qualifications: + Certified Professional ... Coding Certification, AIC, ARM, or equivalent. + Familiarity with multiple Business Intelligence software systems and daily usage of at least one. #LI-CC2 At Prime #Healthcare, our employees #wellness is important. We're looking for our next… more
    Prime Healthcare (05/13/25)
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  • Medical Coder

    Cardinal Health (Fresno, CA)
    …specialty coding with one to three years experience directly related to coding and reimbursement for physician services + Certified through The American ... **_What Medical Coding (RCM) contributes to Cardinal Health_** Practice Operations...or technical assistance to less experienced team members The Certified Professional Coder assists in generating revenue by assigning… more
    Cardinal Health (08/01/25)
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  • Clinical Documentation Integrity Lead - Service…

    Stanford Health Care (Palo Alto, CA)
    …CDI targeted audits and analysis of the findings, related to documentation and coding , to build physician education, identify areas of individual and service line ... expert and authoritative resource on interpretation and application of CDI practices, coding rules and regulations, and conducts risk assessments of potential and… more
    Stanford Health Care (07/26/25)
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  • Clinical Quality Coder II

    Sutter Health (Sacramento, CA)
    …(GED) **CERTIFICATION & LICENSURE:** + CRC- Certified Risk Adjustment Coder OR CPC- Certified Professional Coder OR AHMA or AAPC Coding Certification (CCS-P, ... of outpatient medical records using International Classification of Disease Coding ICD-10-CM and Current Procedural Terminology (CPT), Medicare Advantage, ICD-10-CM,… more
    Sutter Health (06/29/25)
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  • Product Security Engineer (Hybrid; NYC, Loveland…

    Antech Diagnostics (Fountain Valley, CA)
    …Security Engineer will be responsible for defining, implementing and enforcing secure coding practices to ensure that software security is embedded early on ... the design and implementation of information security requirements, including secure coding standards, language-specific secure coding guidelines, as well as… more
    Antech Diagnostics (06/26/25)
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  • Charge Audit Analyst

    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...Diploma or General Education Diploma (GED) **CERTIFICATION & LICENSURE:** CPC- Certified Professional Coder OR COC- Certified Outpatient Coder… more
    Sutter Health (06/01/25)
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  • Outpatient Coder FT- Sign on Bonus 1,500 Same Day…

    Datavant (Sacramento, CA)
    …future of healthcare from your own workspace! Preferred: Must have strong SDS/OBS coding with 3+years experience, Must have CPC, CCS or COC. Excellent communication ... and reporting requirements. + Communicate documentation improvement opportunities and coding issues to appropriate personnel for follow up and resolution.… more
    Datavant (05/20/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Walnut Creek, CA)
    …Documentation Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential ... an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance of medical audit… more
    Elevance Health (08/01/25)
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