• Senior Special Investigations Coding

    CVS Health (Sacramento, CA)
    …support effective and efficient scalability along with meeting or exceeding ROI. + Team Management: Conducts team member evaluations and provides performance ... supporting Aetna's Special Investigations Unit. Key Responsibilities: + Leadership: Leads a team of coding /nursing professionals who conduct reviews of medical… more
    CVS Health (05/24/25)
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  • Program Management Lead, Wholly Owned Medical…

    CenterWell (Sacramento, CA)
    …rules to respond to inquiries and issues. + May participate or inform coder education programs on coding compliance. + Follows state and federal regulations as ... Payer calls/chart reviews. + May participate or inform provider education programs on coding compliance. + Exercises...team to motivate and guide program initiatives. + Coding Certification: preferably CPC/CPMA + Public speaking & group… more
    CenterWell (05/22/25)
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  • Risk Adjustment Coding Professional

    Humana (Sacramento, CA)
    …analyzing coding information and medical records. May participate in provider education programs on coding compliance. Understands own work area professional ... Time. + **Travel:** May be authorized travel to attend Coding conference and or team building event,...+ A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information Travel: While this is… more
    Humana (05/30/25)
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  • Associate Coding Quality Educator

    Providence (Mission Hills, CA)
    Coding multi-specialty physician services in a group or academic setting. + 3 years Education of providers in ICD9 and CPT4 coding principles. + 3 years ... are not simply valued - they're invaluable. Join our team at Providence Medical Foundation and thrive in our...of Professional Coders. Or + Upon hire: National Certified Coding Associate - American Health Information Management Association. Or… more
    Providence (05/30/25)
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  • Senior Software Engineer- COBOL coding

    Humana (Sacramento, CA)
    …foundation in COBOL mainframe development ** The Claims Adjudication System (CAS) team at Humana is essential in delivering core services through effective claims ... processing and management solutions. This position involves coding software applications based on business requirements and addressing moderately complex to complex… more
    Humana (05/16/25)
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  • Remote Coder IV

    Dignity Health (Rancho Cordova, CA)
    …outside of the State of California.** **Position Summary:** The Coder IV is a member of the Health Information Management Team responsible for ensuring the ... California. Please check our website (https://www.commonspirit.careers/search-jobs) (Search Category: Medical Coding ) for other remote or non-remote coder opportunities in… more
    Dignity Health (05/05/25)
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  • Inpatient DRG Quality Auditor

    Humana (Sacramento, CA)
    …issues requiring in-depth evaluation of variable factors. **Where you Come In** The Coding Quality Team is looking is an experienced and well-grounded medical ... put health first** In this role, you will conduct quality reviews of coding processes within the Claims Cost Management organization, including offshore and vendor… more
    Humana (05/30/25)
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  • Certified Professional Coder - Full Time - Days…

    Emanate Health (Covina, CA)
    …continually improve all that we do. **Compassion.** We care for each person and each team member as part of our family. **Integrity.** We believe in fairness and ... you join Emanate Health, you become part of a team that works together to strengthen our communities and...Education Requirement :** Successful completion of a certified coding program from a nationally accredited medical coding more
    Emanate Health (04/19/25)
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  • Remote Coder IV

    Dignity Health (Rancho Cordova, CA)
    …outside of the State of California.** **Position Summary:** The Coder IV is a member of the Health Information Management Team responsible for ensuring the ... California. Please check our website (https://www.commonspirit.careers/search-jobs) (Search Category: Medical Coding ) for other remote or non-remote coder opportunities in… more
    Dignity Health (05/05/25)
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  • Payment Integrity Nurse Coder RN III

    LA Care Health Plan (Los Angeles, CA)
    …purpose of verifying errors and identifying systemic errors, works as an active team member during scheduled engagements and work collaboratively to achieve the ... is responsible for investigating, reviewing, and providing clinical and/or coding expertise/judgement in the application of medical and reimbursement...goals of the team , and provides feedback to the team more
    LA Care Health Plan (04/11/25)
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