- Emanate Health (Covina, CA)
- …in the country. **J** **ob Summary** Reporting to the Manager Physician Coding Services, the Certified Coder Professional will be responsible for reviewing an ... documentation within medical records to ensure high quality and compliant coding . The Certified Coder Professional will provide training, consultation, and feedback… more
- 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
- Evolent (Sacramento, CA)
- …to support prior authorization and financial scope reconciliations, ensuring accuracy and compliance . + Conduct ongoing surveillance of coding updates from ... health plans to ensure that prior authorization and financial coding stay accurate, compliant, and aligned with evolving needs....part of the application process. This is collected for compliance and security purposes and only reviewed if an… more
- Stanford Health Care (Palo Alto, CA)
- …coverage and compliance issues. + Knowledge of CMS and State coding standards and charge capture (technical and professional) guidelines. + Knowledge of Medicare ... operations support for Health Information Management, Hospital and Professional Coding Services, Charge Capture procedures, Revenue Integrity and Clinical… more
- 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
- Sunnyside Nursing and Post-Acute Care (Torrance, CA)
- …+ HIPAA (Health Insurance Portability and Accountability Act): Works to ensure compliance with HIPAA requirements. Participates in ongoing activities related to the ... 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… more
- Microsoft Corporation (Mountain View, CA)
- …design decisions. Leads efforts to assure system architecture meets security and compliance requirements and expectations. + Leads by example and mentors others to ... and return on investment (ROI). Identifies best practices and coding patterns and provides deep expertise in the ...coding patterns and provides deep expertise in the coding and validation strategy. Creates and applies metrics to… 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
- 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
- UCLA Health (Los Angeles, CA)
- …You'll ensure that hospital charges are processed promptly, accurately, and in compliance with Centers of Medicare & Medicaid Services (CMS), Medi-Cal, and other ... policies. You'll apply your extensive knowledge of hospital billing, coding , and pricing practices, as well as advanced data analysis skills, to monitor, maintain,… more