- Providence (CA)
- **Description** ** Senior Coding Quality Educator** **_Remote - Most states eligible._** **_Providence caregivers are not simply valued - they're invaluable. Join ... retain the best people, we must empower them._** **Providence is calling a Senior Coding Quality Educator who will:** + Assist with the day-to-day operations of… more
- University of Southern California (Los Angeles, CA)
- In accordance with current federal & state coding compliance regulations and guidelines, the HIM Coding Denials Management Specialist" analyze, investigate, ... mitigate, and resolve all coding -related 'claims denials' and 'claims rejections,' specific to ICD-10-CM,...to covered patients. Manages the denial management process for coding -related denials, triage denied claims to distinguish coding… more
- Providence (CA)
- …for the training of Hospital ministry staff regarding the CDM Maintenance process, coding updates and charge capture improvement. The Senior CDM Specialist acts ... evaluate department charge processes to improve charge capture and coding compliance. The Senior CDM Specialist also...improve charge capture and coding compliance. The Senior CDM Specialist also coordinates with Hospital ministry, IS,… more
- University of Southern California (Alhambra, CA)
- …conducts meetings to evaluate department charge processes to improve charge capture and coding compliance. The Senior RI Specialist also coordinates with Keck ... the billing system and CDM management tools . The Senior RI Specialist shall ensure that the Chargemaster (CDM)...ensure that the Chargemaster (CDM) is consistent with all coding and billing regulations and accurately represents services provided.… more
- Humana (Sacramento, CA)
- **Become a part of our caring community and help us put health first** The Senior Payment Integrity Professional - Inpatient Coding Disputes on the Disputes Team ... consults and collaborates with coding professionals across departments to... professionals across departments to ensure high accountability of coding disputes outcomes for timeliness, compliance and quality. +… more
- CenterWell (Sacramento, CA)
- …and help us put health first** The Program Management Lead, Offshore Coding Operations conducts quality assurance audits of medical records and ICD-9/10 diagnosis ... Services (CMS) and other government agencies. The Program Management Lead, Offshore Coding Operations works on problems of diverse scope and complexity ranging from… more
- Scripps Health (San Diego, CA)
- *This Senior Director position is eligible to participate in the Director Incentive Plan.* *This position is in La Jolla and requires residence in San Diego County. ... * The* Senior Director, Revenue Cycle - Clinical Documentation Integrity*provides strategic leadership and operational oversight for systemwide Coding , Clinical… more
- LA Care Health Plan (Los Angeles, CA)
- …in claims adjudication logic, benefit structures, regulatory requirements, billing and coding standards, and provider contract application. The Senior Manager ... Senior Manager, Claims Administration Job Category: Management/Executive Department:...aims to remove rework. Ensures examiners correctly apply benefits, coding , pricing, and provider contract terms. Identifies claim types… more
- Oracle (Sacramento, CA)
- …**About the Role:** We are seeking a highly skilled and experienced Senior Inpatient HIM Coder to join our dynamic healthcare information management team. ... data and technology, as we aim to develop cutting-edge AI solutions for medical coding and billing processes. The successful candidate will play a pivotal role in… more
- Highmark Health (Sacramento, CA)
- …data, interpret and apply diagnoses and procedures utilizing ICD and CPT coding systems and assists in decreasing the average accounts receivable days. **ESSENTIAL ... and cash flow as it pertains to the unbilled coding report. (10%) + Keeps informed of the changes/updates...in ICD-10 CM/CPT guidelines by attending appropriate training, reviewing coding clinics and other resources and implementing these updates… more