- Humana (Sacramento, CA)
- … Coding Quality Team is looking is an experienced and well-grounded medical coding auditor to quality review the inpatient hospital claims for proper ... This is a full-time, remote/work-from-home position. **Description** The Inpatient Medical Coding Auditor extracts clinical information from medical records and… more
- Humana (Sacramento, CA)
- …of our caring community and help us put health first The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and ... (eg, ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex...need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families,… more
- Baylor Scott & White Health (Sacramento, CA)
- …coding quality audits and providing feedback to coders. The Coding Auditor 1 utilizes the International Classification of Disease (ICD-10-CM/PCS), ... **JOB SUMMARY** The Coding Auditor 1 is proficient in...prior experience. **ESSENTIAL FUNCTIONS OF THE ROLE** Performs routine coding quality reviews on all coders including… more
- Highmark Health (Sacramento, CA)
- …retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding , billing and documentation related to DRGs, ... Level II code and modifier assignments, ICD diagnosis and procedure coding , DRG/APC structure according to regulatory requirements. Reports findings both verbally… more
- Elevance Health (Costa Mesa, CA)
- **Diagnosis Related Group Clinical Validation Auditor -RN** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will live ... one of our PulsePoint locations. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure clinical… more
- Sharp HealthCare (San Diego, CA)
- …End Time** Certified Professional Coder (CPC) - AAPC; Certified Coding Specialist--Physician-based (CCS-P) - The American Health Information Management Association ... employer business practices. **What You Will Do** To identify and report coding and documentation practices and make recommendations which assure the accurate… more
- Elevance Health (Costa Mesa, CA)
- Performance Quality Analyst I **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... and ensures essential face-to-face onboarding and skill development. The **Performance Quality Analyst I** will be responsible for driving service quality… more
- LA Care Health Plan (Los Angeles, CA)
- HEDIS Abstractor II (Temporary) Job Category: Clinical Department: Quality Performance Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... the right time. Mission: LA Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents… more
- San Francisco Foundation (San Francisco, CA)
- …501(c)(4) organizations and ballot measure committees. + Provides support for the external auditor 's annual audit. + Oversees and monitors data accuracy, coding ... modifications including implementation, security, protocols, utilization, data integrity, maintenance, coding , reporting, analysis, and training for our system. +… more
- DoorDash (San Francisco, CA)
- …define and deliver on ad strategy across three supply vectors - inventory/new formats, quality , and ad economics. About the Role You will report into the Manager of ... business targets (advertiser and consumer), specifically owning OKRs around inventory growth, quality improvement, and ad economics + Operate at the intersection of… more