- Cedars-Sinai (CA)
- **Job Description** The Managed Care Compliance Specialist is responsible for assisting with the implementation of the internal auditing and monitoring program ... Los Angeles and beyond. **Req ID** : 11981 **Working Title** : Managed Care Compliance Specialist - Managed Care **Department** : MNS Managed Care **Business… more
- Ventura County (Ventura, CA)
- …and processing claims appropriately for timeliness in reimbursement and billing compliance with Medi-Cal, Medicare , and general insurance reimbursement ... Medicare and prepares reports; + Serves as lead biller/ specialist to the department; and + Performs other related...with billing and processing claims for timely reimbursement and compliance with Medi-Cal, Medicare , and general insurance… more
- University of Southern California (Alhambra, CA)
- …meetings to evaluate department charge processes to improve charge capture and coding compliance . The Senior RI Specialist also coordinates with Keck Medical ... provided. This includes ensuring all annual updates required by Medicare and other third-party payers are up to date....compliance and pricing of services, the Senior RI Specialist responds to inquiries regarding Chargemaster issues and is… more
- MetroLink (Los Angeles, CA)
- Social Media Specialist Print (https://www.governmentjobs.com/careers/scrra/jobs/newprint/5183448) Apply Social Media Specialist Salary $63,277.00 - $98,080.00 ... Pacific + Description + Benefits + Questions SUMMARY The Social Media Specialist supports and enhances positive exposure and corporate image for Metrolink/SCRRA by… more
- Stanford Health Care (Palo Alto, CA)
- …Health Care job.** **A Brief Overview** The Single Path Coding (SPC) Specialist -Level 2 is an advanced coder position responsible for reviewing clinical ... HCPCS and the American Medical Association (AMA) CPT Assistant. The SPC Coding Specialist II serves as a subject matter expert in hospital and professional coding,… more
- Providence (CA)
- …skill development of the CDM Specialists to maximize available tools for chargemaster compliance . The Senior CDM Specialist coordinates the daily CDM maintenance ... to evaluate department charge processes to improve charge capture and coding compliance . The Senior CDM Specialist also coordinates with Hospital ministry,… more
- Robert Half Office Team (Torrance, CA)
- …handle the credentialing needs for a group of healthcare providers, ensuring compliance with Medicare and commercial insurance requirements. This position also ... * Manage and maintain credentialing documentation for healthcare providers, ensuring compliance with Medicare and commercial insurance requirements. * Prepare… more
- Deloitte (Los Angeles, CA)
- Healthcare Clinical Documentation Specialist - Senior Consultant Our Deloitte Regulatory, Risk & Forensic team helps client leaders translate multifaceted risk and ... concerns, financial concerns and other business controversy. A Clinical Documentation Specialist (CDS) works to ensure accuracy and completeness of clinical… more
- LA Care Health Plan (Los Angeles, CA)
- …for Medicare and Medicaid Services(CMS) requirements for health plan compliance with UM or CM. Licenses/Certifications Required Registered Nurse (RN) - Active, ... Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization...group or management services organization. Experience with Managed Medi-Cal, Medicare , and commercial lines of business. Skills Required: Must… more
- Highmark Health (Sacramento, CA)
- …Plan, and its beneficiaries enrolled in Risk Adjusted government programs such as Medicare Advantage (MA) and Affordable Care Act (ACA), using skills including but ... (HCC) Coding, medical coding, clinical terminology and anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment… more