- Elevance Health (Costa Mesa, CA)
- …an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance of medical audit ... activities. + Draws on advanced ICD-10 coding expertise, mastery of clinical guidelines, and industry knowledge to substantiate conclusions. + Utilizes audit tools,… more
- Cedars-Sinai (Los Angeles, CA)
- …with established timelines. The Specialist: + Performs accurate and timely coding charge posting (CPT, ICD-10, HCPCS, modifiers) + Maintains familiarity with ... such issues as CMS coding regulations, Medicare rules, visits and procedures on the...work here?** Beyond outstanding employee benefits including health and dental insurance, paid vacation, and a 403(b), we take… more
- LA Care Health Plan (Los Angeles, CA)
- …III is responsible for investigating, reviewing, and providing clinical and/or coding expertise/judgement in the application of medical and reimbursement policies ... well as validation of accuracy and completeness of all coding elements. The position is also responsible for guidance...(PTO) + Tuition Reimbursement + Retirement Plans + Medical, Dental and Vision + Wellness Program + Volunteer Time… more
- Cardinal Health (Sacramento, CA)
- …orthotics, and supplies("DMEPOS"), including detection and correction of documentation, coding , identifying potential errors and/or medical necessity of items ... audits to determine accuracy and adequacy of documentation and coding related to DMEPOS supplies billing and/or medical necessity...and programs to support health and well-being. * Medical, dental and vision coverage * Paid time off *… more
- J&J Family of Companies (Fresno, CA)
- …authorizations and appeals, reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations (local payers, government payers, ... of national, regional, local, and account market dynamics including coverage and coding requirements. + Grow the knowledge of hub and specialty distribution channels… more
- Robert Half Office Team (Sacramento, CA)
- …Sacramento, California. This long-term contract position focuses on ensuring the accurate coding and processing of fees for patient services. The role emphasizes ... Accurately apply diagnostic and procedural codes, including modifiers, based on current coding guidelines. * Review and code services for billing while ensuring all… more
- Sunnyside Nursing and Post-Acute Care (Torrance, CA)
- …to policy covering the privacy of, and access to, patient privacy practices + CODING : Serves as the coding specialist and/or oversees the assignment of the ... in the record is inadequate, ambiguous, or unclear for coding purposes. Abides by the standards of ethical ...for growth + Paid sick leave/paid holidays + Medical, dental , vision, and AFLAC + 401K + Loving and… more
- Datavant (Sacramento, CA)
- …2 Coders, where applicable + Champion documentation improvement opportunities and coding issues, facilitating resolution with relevant stakeholders + Uphold an ... overall 95% coding accuracy rate and a 95% accuracy rate for...**What We Offer:** + Benefits for Full-Time employees: Medical, Dental , Vision, 401k Savings Plan w/match, 2 weeks of… more
- LA Care Health Plan (Los Angeles, CA)
- …configuration errors, contract misinterpretation, pricing defects, authorization discrepancies, coding anomalies, or systemic system defects. Reconstructs claims ... Experience with multi-system data validation or complex SQL/data analysis. Coding experience or equivalent knowledge. Skills Required: Expert-level analytical and… more
- Elevance Health (Los Angeles, CA)
- …as necessary to aid in investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations. + Collaborates with the ... **Minimum Requirements:** Requires a AA/AS and minimum of 3 years medical coding /auditing experience, including minimum of 1 year in fraud, waste abuse experience;… more
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