- Sutter Health (Oakland, CA)
- …are in the appropriate level of care with supporting documentation of regulatory compliance and accurate coding . The Physician Advisor (PA) conducts clinical ... best practices, level of care progression, denial management and compliance with governmental regulations and conditions of participation and commercial… more
- LA Care Health Plan (Los Angeles, CA)
- Manager, Claims Compliance Job Category: Claims Department: Claims Data and Support Services Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... net required to achieve that purpose. Job Summary The Manager, Claims Compliance is responsible for ensuring Core Administrative Operations meet federal, state, and… more
- Quantum-Si (San Diego, CA)
- …accurate manner. + Support the Procure-to-Pay (P2P) process as needed, including invoice coding , approval workflows, and vendor compliance . + Ensure adherence to ... part in managing the integrity of our financial reporting process, ensuring compliance with US GAAP and SOX requirements, and supporting key operational areas… more
- Robert Half Accountemps (Corona, CA)
- …environments. The ideal candidate will excel in vendor reconciliations, tax compliance , and efficient invoice coding . Responsibilities: * Process accounts ... payable transactions, including invoice coding , batching, and approvals, ensuring accuracy and timeliness. *...and thorough manner. * Manage sales and use tax compliance and reporting to meet regulatory requirements. * Prepare… more
- UCLA Health (Los Angeles, CA)
- Description Support compliance excellence at UCLA Health by joining our team as a Compliance Auditor, MAPD, focused on Medicare Advantage (Part C) and ... role, you will conduct Risk Adjustment Data Validation (RADV) audits, compliance risk-based audits, support external audit coordination, and ensure alignment with… more
- Oracle (Sacramento, CA)
- …FDA, MDR, and ISO 14155 standards and address ongoing patient safety, compliance , and product certification needs. As a clinical leader with patient safety ... and compliance expertise, you will provide organization-wide clinical leadership and.... Provides medical support for reportability decisions and accurate coding for device adverse events and malfunctions **Risk Management… more
- Ankura (Los Angeles, CA)
- …globally recognized independent experts who tailor financial, operational, and compliance solutions to complex litigation, enforcement, and regulatory challenges. ... solutions for clients requiring proactive or reactive support for compliance , accreditations, operations, investigations, and/or litigation/dispute matters generally focused… more
- Robert Half Accountemps (Fresno, CA)
- …process invoices accurately and efficiently to meet payment deadlines. * Verify invoice coding to ensure proper allocation and compliance with company policies. ... will play a key part in managing invoice processing, coding , and payments to ensure accuracy and timely handling...deadlines. * Understanding of accounts payable best practices and compliance . Robert Half is the world's first and largest… more
- US Tech Solutions (Sunnyvale, CA)
- **Job Description:** + You will be responsible for policy compliance checks on publisher sites. + Work directly with other members of your team to remediate complex ... our operational workflows via process improvements. **Responsibilities:** + Perform policy compliance checks on publisher sites. + Leverage SQL to extract data… more
- Datavant (Sacramento, CA)
- …patient's stay. + Follow AHA guidelines and coding clinics for accurate coding and required documentation to ensure compliance . + Query physicians regarding ... case mix index, secondary diagnoses, and procedure impact on DRG. + Improve coding specificity by educating physicians and caregivers on the importance of clear… more
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