- Banner Health (CA)
- …or utilized operational systems. Provides explanatory and reference information to internal and external customers regarding coding assignment based on clinical ... variety of sources. 2. Reviews medical records. Performs an audit of clinical documentation to ensure that clinical coding...coding is accurate for proper reimbursement and that coding compliance is complete. Provides feedback on coding work and… more
- Sharp HealthCare (San Diego, CA)
- …of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and ... employer business practices. **What You Will Do** The Sr Specialist Integrated Care Management is a key member of the Integrated Care Management (ICM) leadership… more
- BD (Becton, Dickinson and Company) (Brea, CA)
- … of the San Diego Design Center QMS. + Maintain effectiveness of the internal audit program + Coordinates external audits and ensures that Design center ... specialist that support the Quality Management System, including the CAPA and internal audit processes. + Assignments are often self-initiated. Determine and… more
- LA Care Health Plan (Los Angeles, CA)
- …Summary The Authorization Technician II supports the Utilization Management (UM) Specialist by handling all administrative and technical functions of the ... reviews and grievance/appeal requests, and prepares UM Activity and Weekly Compliance Reports. In addition, the position performs data entry and processing… more
- Hyundai Autoever America (Irvine, CA)
- …guidance, oversee vulnerability & patch management, and secured/hardened image configuration efforts. + Internal audit - In accordance with HCA Internal ... of monitoring, automation and best practices + Report SLA achievement and MSA compliance + Establish strategies, priorities and plans for the Network Services team… more
- Sharp HealthCare (San Diego, CA)
- …develops and implements action plans to address issues identified through the audit /analysis.Identifies areas of potential compliance risk and notify management ... or Equivalent; Certified Professional Coder (CPC) - AAPC; Certified Coding Specialist (CCS) - The American Health Information Management Association (AHIMA);… more
- Cupertino Electric (San Jose, CA)
- …GL, FP&A, Tax, and Project Accounting that work closely together to ensure compliance and the financial well-being of the company. **ABOUT THE ROLE** Manages the ... and reporting of data. Designs operational procedures and processes that meet audit standards and improve efficiency. Participates in audits and special projects.… more
- Financial Partners Credit Union (Downey, CA)
- …per hour Position Type Full Time Job Description The Loan Servicing Specialist is responsible servicing all loans including Consumer, Residential Real Estate and ... Commercial loans. Loan Servicing Specialist to perform a variety of Loan Servicing functions...and Members inquiries. ESSENTIAL RESPONSIBILITIES: + Respond to both internal and external members inquiries in a timely manner.… more
- CVS Health (Sacramento, CA)
- …regulators and vendor coding resources. + Acts as mentor to provide education to internal staff based on audit findings; provides general education on ICD codes ... as appropriate + Conducts process audits to ensure compliance with internal policies and procedures and existing CMS regulations. + Ability to work independently… more
- Solar Turbines Incorporated (San Diego, CA)
- …with a sense of urgency and is diligent in providing timely support to internal clients and external customers. This individual operates in compliance with ... but works within a team structure typically including a Sourcing Specialist , Supply Chain Coordinator/Planner, Supplier Technical Engineer and reports directly to… more