- Elevance Health (Los Angeles, CA)
- …based DRG Coding / Clinical Validation Audit setting or hospital coding or quality assurance environment preferred. + Broad, deep and niche knowledge of ... all lines of business, and its clients. Specializes in review of DRG coding via medical record...or appeals may only be reviewed by other DRG Coding Audit Principals (or Executives). **How you… more
- Cedars-Sinai (Los Angeles, CA)
- …education materials acting as subject matter expert. + Tracks, records, and maintains audit / review activity in software or excel spreadsheets. + Provides regular ... Award 19 years in a row for providing the highest- quality medical care in Los Angeles. We also were...records, and charges to ensure compliance with applicable documentation, coding , and billing requirements. Works closely with providers and… more
- University of Southern California (Los Angeles, CA)
- …The Coding Compliance Auditor will also, provide detailed reports, Excel spreadsheets, coding audit summary analysis, and data analytics Re: coding ... federal coding compliance regulations and guidelines, the Coding Compliance Auditor performs 2nd level review ...rates, denial analytics, etc. Recommend education topics based on audit findings and assist in the continuing education of… more
- University of Southern California (Los Angeles, CA)
- …coding accuracy rate as determined by any internal or external review of coding and/or department quality review (s). * Ability to achieve a minimum of ... by any internal or external review of coding and/or department quality review (s)....Dept. coders who historically/previously met the ≥ 90% internal/external audit standards of the previously held USC Job Code.… more
- Datavant (Sacramento, CA)
- …you will be instrumental in addressing consulting and educational needs related to coding quality , compliance assessments, external payer reviews, coding ... references for accurate DRG and APC assignment. + Review non-CC/MCC records to assess proper coding ...appropriate manager. + Prepare the final reports for the coding audit and actively participates in the… more
- Datavant (Sacramento, CA)
- …you will be instrumental in addressing consulting and educational needs related to coding quality , compliance assessments, external payer reviews, coding ... of healthcare from your own workspace! **Preferred: Seeking Inpatient Audit Specialist. Would like a candidate that is strong...must have a CCS and 5 years of experience coding and/or auditing and strong spinal fusion experience as… more
- Coinbase (Sacramento, CA)
- …and fully supported. *_* *Team / Role Paragraph:* Coinbase is looking for an Internal Audit IT Senior to join the Internal Audit team focusing primarily on ... US (Remote) and will be reporting to an Internal Audit IT Senior Manager. The individual will be responsible...to maximize meetings utility, testing efficiencies and internal controls review coverage across the organization. * Serve as a… 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
- Grant Thornton (Newport Beach, CA)
- …and help you achieve more, confidently. Your day-to-day may include: + Review operational, financial, and administrative processes to assess risk, internal control, ... include but are not limited to co-sourced and outsourced internal audit , internal control assessments, enterprise risk management program assessments, tests of… more
- Cedars-Sinai (Los Angeles, CA)
- …local, State, and Federal Coding Guidelines. Duties include: + Performs quality coding reviews or audits within established departmental productivity and ... accuracy standards. Assists with processing re-bills post coding audit changes and assists with ...coding newsletter, provide basic level trending or data review for opportunities. + Evaluate codes through data reports… more