- Fresenius Medical Center (Colton, CA)
- **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical ... kidney disease. **Training and advancement:** You will enter our Clinical Leadership Program that creates and supports a culture...advance your career into an Area Team Lead or Director of Operations role. **Our culture:** We believe our… more
- University of Southern California (Newport Beach, CA)
- The Clinical Authorization Specialist will take the lead in securing medical authorizations from third party payers (commercial and government) for outpatient ... will be in a position to interface directly with medical/ clinical staff and pharmacy to ensure a seamless process...insurance carrier for authorization with correct CPT and ICD coding + Research payers medical policy requirements for chemotherapy… more
- Sharp HealthCare (San Diego, CA)
- … clinical providers. To support and facilitate the implementation of correct coding standards by clinical providers as established by SHC Corporate Compliance ... payers.Performs provider quality audits to ensure provider is billing to meet established coding guidelines. + Client supportProvider, Clinical , and Coding … more
- University of Southern California (Alhambra, CA)
- …to billing interface and claims submission. + Works cooperatively with HIM Coding Support and/or Clinical Documentation Improvement Specialist in obtaining ... In accordance with federal coding compliance regulations and guidelines, use current ICD-10-CM,...timely fashion. + Performs other duties as requested/assigned by Director , Manager, Supervisor, or designee. + Ability to achieve… more
- Datavant (Sacramento, CA)
- …will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, ... HCC is a plus. **You Will:** + Conduct inpatient coding audits on medical records, utilizing ICD-10-CM, CPT, and...results for review by the facility or CCS HIM director . + Review disagreements on APC/DRG changes with the… more
- Sunnyside Nursing and Post-Acute Care (Torrance, CA)
- …development and implementation of health information policies and procedures. The HIM Director also acts as a liaison between information services and clinical ... are functioning in accordance with the needs of the facility. The HIM Director is also responsible for educational programs relating to health information, when… more
- Medtronic (CA)
- …of this job description. In this role, you will report to the Director , Reimbursement and Health Economics for the Neurosciences. You will work independently with ... with internal and external customers at the field level to address strategic coding , coverage, and reimbursement issues. This position plays a key role in supporting… more
- University of Southern California (Los Angeles, CA)
- …with and for the different organ teams. Guided by the finance director and/or administrator Essential Duties: + 1. Responsible for the daily comprehensive ... review. Responsible for resolving any questionable charges, activities with the clinical staff and managers. + 2. Reviews and directs appropriate pre-transplant… more
- Stanford Health Care (Palo Alto, CA)
- …communication with Clinical staff and faculty + Solid understanding of coding conventions and current third-party payer rules and regulations Knowledge of ... as the primary liaison for Revenue Cycle, This position interfaces directly with clinical departments leaders, Clinical Department Chairs, and School of Medicine… more
- Lompoc Valley Medical Center (Lompoc, CA)
- …on experience and internal equity. Position Summary: + This position reports to the Clinical Manager and the Cardiac Rehab Medical Director oversees clinical ... professional scope of practice. + Assists with the daily clinical duties involved in the Cardiac Rehabilitation Program. +...+ Maintains EMR documentation to ensure efficient and accurate coding and billing of services. + Determine when assistance… more