- Sharp HealthCare (San Diego, CA)
- …timeframe. **Essential Functions** + Coding ComplianceCompliance Coding and Billing AuditsThe Compliance Coding Auditor has the primary ... if necessary.Reviews the electronic health record to identify potential coding and billing compliance issues....+ Policy and Procedure maintenanceWorks in collaboration with the Director and Manager of Compliance and System… more
- University of Southern California (Los Angeles, CA)
- In accordance with current federal coding compliance regulations and guidelines, the Coding Compliance Auditor performs 2nd level review of previously ... contained within the medical record and must be in compliance with federal coding compliance ...the continuing education of professional coders and providers. Understands coding / billing computer systems such as Cerner, MediTech,… more
- University of Southern California (Los Angeles, CA)
- In accordance with current federal & state coding compliance regulations and guidelines, the HIM Coding Denials Management Specialist" analyze, investigate, ... appeals. All tasks & duties to be perform in compliance with federal & state coding laws,...and 'claims rejections' on patient accounts in both the Coding & Billing systems. Responsible for reviewing… more
- Ventura County (Ventura, CA)
- … guidance to staff on the most difficult coding cases; + Ensures VCMC coding practices are in compliance with ICD-10 CM/PCS and CPT coding guidelines, ... coding auditors, different departments within the organization including billing , quality and other departments as necessary; + Prepares required reports;… more
- Emanate Health (Covina, CA)
- …MSO personnel, physicians, and billing staff to ensure accurate documentation, coding compliance , and optimal risk adjustment outcomes. The HCC Coding ... and the #19 ranked company in the country. Job Summary The HCC Coding Specialist is responsible for the oversight and execution of HCC (Hierarchical Condition… more
- UCLA Health (Inglewood, CA)
- …about us at venicefamilyclinic.org Under the direction of the Revenue Cycle Director , this position: + Codes, diagnoses, and procedures for a multi-specialty group. ... In performing the coding requirements, this position is required to utilize knowledge...process outpatient claims to third-party payers, following all mandated billing guidelines. + Provides quality control checks on paper… more
- Scripps Health (San Diego, CA)
- …and professional fee services. This role is responsible for advancing documentation quality, coding accuracy, and compliance to ensure the integrity of clinical ... outpatient, and professional fee environments to ensure accuracy, integrity, and compliance . * Oversee professional fee and hospital coding operations,… more
- Sutter Health (Emeryville, CA)
- …all levels of staff. + Able to make autonomous decisions involved in implementing coding and billing policies effecting revenue and operations. + In depth ... of third-party reimbursement contract terms and adjudication, state and federal billing and collections regulations, compliance , claims processing methods,… more
- Stanford Health Care (Palo Alto, CA)
- …and Abilities** + Understanding of an academic health system environment, procedure billing , reimbursement and coding specific to laboratory operations is ... meaningful impact at one of the nation's premier academic health systems? As the Director of Operations - Network Director , you will provide direction for… more
- Cardinal Health (Sacramento, CA)
- …revenue cycle operations for radiation oncology and imaging, including charge capture, coding , billing , and collections + Ensure all oncology-related claims are ... navigate the future. **About the Revenue Cycle Team** The Director of Revenue Cycle for Radiation Oncology is responsible...radiation oncology preferred + Deep understanding of radiation oncology billing and coding + Proven track record… more