- Datavant (Sacramento, CA)
- …you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding ... must have a CCS and 5 years of experience coding and/or auditing and strong spinal fusion experience as...knowledge. **What You Will Do:** + Performs Inpatient Facility coding audits according to scope of work, for the… more
- Providence (CA)
- …Specialists to evaluate department charge processes to improve charge capture and coding compliance . The Senior CDM Specialist also coordinates with Hospital ... Specialist shall ensure that the Chargemaster (CDM) is consistent with all coding and billing regulations and accurately represents services provided. The Senior CDM… more
- Sharp HealthCare (San Diego, CA)
- …ongoing training and consulting to customers. Participate in all meetings related to coding and compliance . **Knowledge, Skills, and Abilities** + The position ... and hiring teams. **What You Will Do** To provide coding support and appeal guidance relating to reimbursement issues....a liaison between PFS Business Office Staff and Regulatory Compliance department. Utilize the payer contract tool to report… more
- Datavant (Sacramento, CA)
- …you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding ... 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
- University of Southern California (Los Angeles, CA)
- …and state regulations. This role operates at the intersection of medical coding , billing, clinical documentation, and payer compliance , ensuring accurate claim ... The Senior HIM Coding Denials Management Specialist is a seasoned inpatient coding professional or coding auditor responsible for triaging, identifying… more
- Scripps Health (San Diego, CA)
- …and professional fee services. This role is responsible for advancing documentation quality, coding accuracy, and compliance to ensure the integrity of clinical ... outpatient, and professional fee environments to ensure accuracy, integrity, and compliance . * Oversee professional fee and hospital coding operations,… more
- Cedars-Sinai (Los Angeles, CA)
- …operations as they relate to the revenue cycle. Works collaboratively with coding / compliance departments to ensure providers are receiving appropriate training ... and Progress Reports to Executive Management. + Maintains regular communications with Coding Department to monitor APCs and resolves subsequent coding issues.… more
- Deloitte (Los Angeles, CA)
- …Analyze medical records for inpatient and outpatient service areas for accuracy of coding and documentation to ensure regulatory compliance + Apply knowledge of ... + Other revenue cycle experience including conducting charge capture and coding reviews for compliance with billing and coding regulatory requirements +… more
- Oracle (Sacramento, CA)
- …(6 months)** + Global CBS and cost database implemented and adopted (>90% coding compliance ) + Stage-gate estimate accuracy within agreed bands (eg, Class ... and regional delivery teams to ensure cost predictability, transparency, and compliance . **Key Responsibilities** + Estimating Leadership and Governance + Define and… more
- Cedars-Sinai (CA)
- …including leading all aspects of the review for performance management and accurate coding . + Develops and supervise compliance with corrective action plans as ... **Job Description** The Managed Care Compliance Specialist is responsible for assisting with the...monitoring program within the Managed Care department by ensuring compliance with applicable rules and regulations including but not… more
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