- Highmark Health (Sacramento, CA)
- …None **Preferred** (any of the following) + Certified Fraud Examiner (CFE) + Certified Professional Coder ( CPC ) + Certified Outpatient Coder (COC) + ... Accredited Healthcare Fraud Investigator (AHFI) **SKILLS** + Must have knowledge of provider facility payment methodology, claims processing systems and coding and billing proficiency + Must have understanding of technical and financial aspects of the health… more
- Scripps Health (San Diego, CA)
- …Administrator) * AHIMA RHIT (Registered Health Information Technician) * AHIMA CCS ( Certified Coding Specialist) or AAPC CPC ( Certified Professional ... with Scripps Health for over 10 years. * Scripps is a Great Place to Work Certified company for 2025. * Scripps Health has been consistently ranked as a top employer… more
- Abbott (Livermore, CA)
- …+ Bachelor's degree in healthcare administration, Business, or related field + Certified Professional Coder ( CPC ), Certified Coding Specialist (CCS), ... or equivalent certification required. + 7+ years of progressive experience in medical billing and coding + Strong knowledge of healthcare reimbursement, payer policies, and regulatory compliance. + Experience with electronic health records (EHR), billing… more
- CVS Health (Sacramento, CA)
- …we do it all with heart, each and every day. **Position Summary** The Certified Professional Coder ( CPC ) will perform medical claim reviews to ensure compliance ... to testify **Required Qualifications** - AAPC Coding certification - Certified Professional Coder ( CPC ). - 3+ years of experience reviewing and analyzing medical… more
- UCLA Health (Los Angeles, CA)
- …We are seeking a proactive, highly organized, detail-oriented individual with: + A Certified Professional Coder ( CPC ) certification or Certified Coding ... Specialist (CCS) certification, required + A Certified Risk Adjustment Coder (CRC), required + Reliable transportation to conduct ongoing face-to-face interactions with providers in the Los Angeles area, required + Five or more years of experience with… more
- Elevance Health (Costa Mesa, CA)
- **Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 - 2 days ... Associate Degree in Nursing and/or current certification as a Certified Professional Coder (AAPC or AHIMA) and minimum of...Experiences:** + Fraud and Abuse experienced Nurse with a CPC are highly desired. For candidates working in person… more
- Alameda Health System (Oakland, CA)
- …office visits. Required Licenses/Certifications: Certified Coding Specialist (CCS-P) or Certified Professional Coder ( CPC ) certification required from AHIMA ... Certified Coder + Oakland, CA + Information Systems + Health Information Servcies + Full Time - Day + 28.19 - 46.95 + Req #:41965-31091 + FTE:1 + Posted:August 6,… more
- Stanford Health Care (Palo Alto, CA)
- …similarly related field of study. + At least two currently active:- COC, CPC , or CCS certification- Certified Data Management Professional (CDMP) certification, ... Certified Analytics Professional (CAP) certification, or similar- CRCR or other revenue cycle certification- Health Care Quality (HACP, CPHQ, HCQM) certification- Case Management Certification (CCM) or clinical certification- Physician Educator Certificate… more
- Datavant (Sacramento, CA)
- …will bring to the table:** + AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified credentials ( CPC , CPC -H, COC, CIC, or CRC). + A minimum of 2 ... years HCC coding experience, while certified . + Full understanding and knowledge of ICD-10, medical terminology, medical abbreviations, pharmacology and disease… more
- Datavant (Sacramento, CA)
- …verbal communication skills + AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified credentials ( CPC , CPC -H, COC, CIC or CRC). + Strong written ... and verbal communication skills, adeptness in remote work, and exceptional time management skills. + Experience in computerized encoding and abstracting software. + Required to take and pass annual Introductory HIPAA examination and other assigned testing to… more