- Public Consulting Group (Sacramento, CA)
- …Relationships** **Reports directly to the ASO Project Manager / Sr. Director of Operations** **Key Qualifications and Education Requirements** + Claiming or ... coding certification desired, preferably with a nationally recognized certify...System), and ICD-10-CM (Internal Classification of Diseases, 10th Edition, Clinical Modification) as it affects the client and/or agency.… more
- Sharp HealthCare (San Diego, CA)
- …or services, readmissions to acute or visit to the Emergency Department.Informs Director , QI/UM of any quality issues.Attends hospitalists rounds, as required, to ... discuss high risk patients requiring case management follow up.Attends clinical in-services or required operational/ clinical training sessions. + Act as a… more
- MPAC Healthcare (Tarzana, CA)
- …designated facility. In this fast-paced role, you will apply a broad spectrum of clinical knowledge, working closely with the facility Director of Nursing and ... education through workshops, one-on-one or small group education sessions, and weekly Coding Corner updates. * A fun and diverse culture that fosters building… more
- Datavant (Sacramento, CA)
- …recognized medical necessity criteria and standards of care, along with clinical knowledge and expertise successfully. Ideal candidate should be a Licensed ... DRG downgrade denials and appeal writing for inpatient admission. Experience with clinical criteria resources and payor guidelines. **You will:** + Provide timely… more
- Danaher Corporation (San Francisco, CA)
- …but is not limited to, Database Schema Development, US CPT Coding /Pricing Analysis, Analytics Auditing, Cyclical Data Cleaning, Field Reimbursement Director ... Enablement, Government Affairs, HEOR colleagues, marketing, sales, regulatory and clinical affairs, federal government agencies/institutions, and/or managed care organizations.… more
- Stanford Health Care (Menlo Park, CA)
- …focuses on goals, metrics and continuous improvement, Facilities Services provides non- clinical operational support to Stanford Health Care and other Stanford ... Medicine entities to ensure safe and successful non- clinical operations 24/7 and plan for the organization's future facility needs. For more information about… more
- Dignity Health (Mount Shasta, CA)
- …and perform required procedures within scope of licensure, approved credentials and clinical best practice standards + Orders diagnostic testing based on clinical ... implement and/or appropriate follow-up with the patient/family + Complete appropriate coding and update EMR documentation for each patient encounter consistent with… more
- Sharp HealthCare (San Diego, CA)
- …Administration team members. Assumes additional responsibilities in the absence of the Director . **Required Qualifications** + 5 Years in HMO or Health Insurance ... working collaboratively across multiple functional areas (eg, operations, configuration, clinical , IT, plan design) and fostering teamwork. + Experience with… more
- Prime Healthcare (Ontario, CA)
- …join our corporate team! Responsibilities Under the direction of the Corporate Director of Ambulatory Surgery Centers (ASC's), the Corporate Finance Analyst will ... various ASC projects for the medical groups team. This role supports Clinical Operations and Financial Operations in driving meaningful year-over-year growth for… more
- Prime Healthcare (Ontario, CA)
- …award winning hospitals through roles in supply chain, IT and cybersecurity, clinical engineering, capital procurement, medical coding , project management and ... compassionate care for every patient, every time. Responsibilities Reports to department Director and provides analytic support for a wide variety of data domains… more