- Evolent (Sacramento, CA)
- …and that impact the team. Provide individual and team training on clinical documentation requirements, risk adjustment coding guidelines, and updates. + Oversee and ... and timely ICD-10 coding of claims via progress note clinical documentation review. + Ensure compliance and quality for...or a related field. + **Certification in medical coding ( CRC - Certified Risk Adjustment Coder) or demonstrated ability.** +… more
- Datavant (Sacramento, CA)
- …credentials (RHIA, RHIT, CCS) or AAPC certified credentials (CPC, CPC-H, COC, CIC, CRC ) + Extensive knowledge of ICD -9/10 + 2 years coding experience, required. ... + People Leader experience managing a team of employees. + Familiarity with HCC coding. + A strong knowledge base of medical terminology, medical abbreviations, pharmacology and disease processes. + Ability to work in a fast-paced production environment while… more
- MTC (Los Angeles, CA)
- …learning the necessary skills to maintain success on the WBL site. 6. Attend all CRC and CIC meetings to ensure that consistent connections are being made with local ... employers and business to continue opportunities for students. 7. Work closely with the business community liaison at community events to publish and promote the WBL program. 8. Maintain a spreadsheet and other tracking documents regarding all students who are… more
- Sharp HealthCare (San Diego, CA)
- …and Health Plan benefit guidelines to approve referrals designated at the CRC level.Investigate and follow-up on all eligibility issues in accordance with health ... appropriate denial reason. Maintain mandated TAT for denials.Obtains and gathers clinical information from multiple sources including use of Sharp and/or Hospital… more
- Datavant (Sacramento, CA)
- …and reimbursement purposes. You will play a critical role in translating clinical documentation into precise codes that reflect the complexity and severity of ... (RHIA, RHIT, CCS) or AAPC certified credentials (CPC, CPC-H, COC, CIC or CRC ). + Proficient in ICD-10 coding. + Experienced in HCC coding across Medicare,… more
- Bayer (Los Angeles, CA)
- …experience in Cardiovascular, Diabetes Care, Endocrinology, or Diagnostics experience; + Strong clinical expertise in various tumor types (Prostate, CRC , Lung, ... Los Angeles, CA Territory** **PURPOSE** Responsible for driving the clinical demand, education, and sale of Nubeqa and Xofigo...+ Must be able to demonstrate competency of product clinical efficacy and articulate a strong value proposition for… more
- Datavant (Sacramento, CA)
- …and reimbursement purposes. You will play a critical role in translating clinical documentation into precise codes that reflect the complexity and severity of ... (RHIA, RHIT, CCS) or AAPC certified credentials (CPC, CPC-H, COC, CIC or CRC ) + A strong knowledge base of medical terminology, medical abbreviations, pharmacology,… more
- Target (San Diego, CA)
- …shipping arrangements when necessary. + Execute donations, Central Return Center ( CRC ), electronics recycling, transfer orders (store to store and sweeps), salvage ... and inventory removals (IRs) are in compliance with all DOT regulations and best methods. + Identify and handle environmentally sensitive item management (ESIM) in the reverse logistics area in compliance with applicable laws and regulations. + Complete the… more
- Sharp HealthCare (San Diego, CA)
- …in venues to reduce barriers to discharge.The RN CM I Collaborates with Clinical Resource Coordinators ( CRC 's/ clinical assistants) to assure appropriate ... care areas. This position requires the ability to combine clinical /quality considerations with regulatory/financial/utilization review demands to assure patients are… more
- Sutter Health (Sacramento, CA)
- …ensure accurate reporting of diagnoses and to alert the physician of potential clinical conditions that may require review. **Job Description** : **EDUCATION:** + HS ... Diploma or General Education Diploma (GED) **CERTIFICATION & LICENSURE:** + CRC -Certified Risk Adjustment Coder OR CPC-Certified Professional Coder OR AHMA or AAPC… more