- Humana (Sacramento, CA)
- …business partners to uphold ethical standards and mitigate risks. The Senior Clinical Compliance Professional will support the Director of Compliance , by ... about 340+ senior focused primary care centers in 15 states. The Regulatory Compliance team that supports the PCO is responsibility to assess, investigate, audit and… more
- Evolent (Sacramento, CA)
- …addressing regular coding questions and issues. + Collaborate with the coding director to develop policies, procedures, and workflows to enhance department ... Adjustment Coding Manager plays a crucial role in ensuring accurate medical coding and compliance with risk adjustment models. **What You will Be Doing:**… more
- Ventura County (Ventura, CA)
- …Performs monthly internal coding audits to evaluate accuracy and quality of coding on inpatient and outpatient accounts, recognize education needs of the ... Reviews insurance denials and submit appeals as necessary, provide education to coders based on denials; + Assists in...most difficult coding cases; + Ensures VCMC coding practices are in compliance with ICD-10… more
- Scripps Health (San Diego, CA)
- …clinic managers, CDI Educators, Physician Advisors, and coding departments, on coding and documentation related issues. Promotes compliance with CMS, third ... This Senior Director position is eligible to participate in the...you will have primary accountability for the oversight of Coding , Clinical Documentation Integrity (CDI) and Health Information Management… more
- Humana (Sacramento, CA)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
- Sumitomo Pharma (Sacramento, CA)
- …highly motivated, and experienced individual for the position of **Associate Medical Director .** The Associate Medical Director will provide hands-on PVRM ... assessment of ICSRs, including seriousness, expectedness, safety narratives, adverse event coding , concomitant medication coding , and causality statements. +… more
- Sony Pictures Entertainment (Culver City, CA)
- We are seeking a visionary and hands-on Executive Director of Security Architecture with mature skill in Application Security/DevSecOps, Data Security and Cloud who ... data, and cloud environments, proactively addressing cyber risks and promoting secure coding practices aligned with the Sony Pictures goals. Key Responsibilities +… more
- Ascendis Pharma (Palo Alto, CA)
- …offer a dynamic workplace for employees to grow and develop their skills. The Director , Head, ICSR Management Team reports to the Head, Global PV Operations within ... the direction of the Head, Global PV Operations, the Director , ICSR Management Team is responsible for the oversight...action (CAPA) as applicable. + Oversee regulatory and departmental compliance by ensuring timely processing of ICSRs in the… more
- Cardinal Health (Sacramento, CA)
- …and proactively provides guidance and trainings on policies. Reporting to the Director , Ethics & Compliance , this position supervises and manages audits ... of the adequacy and accuracy of documentation in support of services billed; compliance with other documentation and coding and billing standards; communication… more
- Fluor (CA)
- …Assistant and Deputy Assistant Environmental Services Managers and the Authority Director of Environmental Services, the Environmental Compliance Specialist ... documentation, and reporting for project sections under construction. The Environmental Compliance Specialist is responsible for coding environmental commitments… more