- 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 ...Director , Manager, Supervisor, or designee. + TIMELINESS OF AUDITING/ CODING & PRODUCTIVITY 1. Maintains at minimum, expected productivity… more
- Sharp HealthCare (San Diego, CA)
- …employer business practices. *This is a remote position* **What You Will Do** The Compliance Coding Auditor is responsible for the administration of the Sharp ... certification within specified timeframe. **Essential Functions** + Coding ComplianceCompliance Coding and Billing AuditsThe Compliance Coding Auditor… 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,...timely fashion. * Performs other duties as requested/assigned by Director , Manager, Supervisor, or designee. + CODING … 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, ... Certified Coding Supervisor - Health Information Management Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4892159) Apply Certified Coding … more
- Emanate Health (Covina, CA)
- …Plan partners, MSO personnel, physicians, and billing staff to ensure accurate documentation, coding compliance , and optimal risk adjustment outcomes. The HCC ... 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
- 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 ... *This Senior Director position is eligible to participate in the...and professional fee environments to ensure accuracy, integrity, and compliance . * Oversee professional fee and hospital coding… more
- Ankura (Los Angeles, CA)
- …globally recognized independent experts who tailor financial, operational, and compliance solutions to complex litigation, enforcement, and regulatory challenges. ... Role Overview The Senior Director will support the Healthcare Payer team within Ankura's Disputes & Economics practice - one of seven practices focused on client… more
- Stanford Health Care (Palo Alto, CA)
- …meaningful impact at one of the nation's premier academic health systems? As the Director of Operations - Network Director , you will provide direction for ... Stanford's growing off campus, Bay Area lab services. This is a new Director role which supports our Lab services in San Jose, Redwood City, Emeryville, Tri-Valley… more
- Humana (Sacramento, CA)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
- Humana (Sacramento, CA)
- …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... service should be authorized. All work occurs within a context of regulatory compliance , and work is assisted by diverse resources, which may include national… more