• Special Investigation Unit (SIU) Coding

    CVS Health (Sacramento, CA)
    …the Special Investigations Unit (SIU) to ensure compliance with coding practices through comprehensive record reviews for medical , behavioral, ... coding and appropriate documentation during the review of medical records. This role requires a strong focus on...up-to-date coding knowledge, including new changes to coding compliance and reimbursement. + Experience with… more
    CVS Health (08/08/25)
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  • Certified Coding Supervisor - Health…

    Ventura County (Ventura, CA)
    …Department in relation to the overall hospital goals; in coordination with the Medical Records Director and subordinate supervisors; + Assists in managing a ... most difficult coding cases; + Ensures VCMC coding practices are in compliance with ICD-10...education to the physicians on documentation requirements to establish medical necessity based on coding guidelines for… more
    Ventura County (06/12/25)
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  • Professional Coding Department Manager

    UCLA Health (Los Angeles, CA)
    …Office. Reporting to the Director of Coding , this role manages coding workflows, supervises staff, ensures compliance with coding standards, and acts ... manage corrective actions as needed + Collaborate with IT, Compliance , and Billing teams to improve system edits and...preferred + Strong expertise in all facets of professional medical coding , including ICD-10, CPT, and HCPCS… more
    UCLA Health (07/24/25)
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  • Senior Director , Revenue Cycle

    Scripps Health (San Diego, CA)
    …clinic managers, CDI Educators, Physician Advisors, and coding departments, on coding and documentation related issues. Promotes compliance with CMS, third ... Clinic and other relevant industry standard guidelines. * Provides input to coding and medical record documentation guidelines to assure compatibility and … more
    Scripps Health (05/16/25)
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  • Medical Director - Florida

    Humana (Sacramento, CA)
    **Become 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 work assignments involve moderately complex to complex issues...authorized. All work occurs with a context of regulatory compliance , and work is assisted by diverse resources which… more
    Humana (07/29/25)
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  • Medical Director - South Central

    Humana (Sacramento, CA)
    **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... authorized. All work occurs within a context of regulatory compliance , and work is assisted by diverse resources, which...to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of… more
    Humana (07/11/25)
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  • Associate Medical Director , PVRM

    Sumitomo Pharma (Sacramento, CA)
    …seeking a dynamic, highly motivated, and experienced individual for the position of **Associate Medical Director .** The Associate Medical Director will ... for SMPA investigational and commercial products. The incumbent will provide medical safety support for safety signal management throughout product lifecycle… more
    Sumitomo Pharma (08/02/25)
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  • Director , Prospective + Concurrent Risk…

    Datavant (Sacramento, CA)
    …requirements, medical record standards, and regulatory guidance impacting concurrent coding or risk adjustment. + Product experience integrating into EHRs or ... experiences to realize our bold vision for healthcare. **Role Overview** As the Director of Prospective + Concurrent Risk Adjustment Products, you will lead the… more
    Datavant (08/08/25)
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  • Health Information Management Director

    HCA Healthcare (San Jose, CA)
    …to join an organization that invests in you as a Health Information Management Director ? At Good Samaritan Hospital, you come first. HCA Healthcare has committed up ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...We are looking for a dedicated Health Information Management Director like you to be a part of our… more
    HCA Healthcare (06/21/25)
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  • Associate Director , Health Economics…

    J&J Family of Companies (Santa Clara, CA)
    …Santa Clara, California, United States of America **Job Description:** **Associate Director , Health Economics and Market Access - Robotics** **About Surgery** Fueled ... at https://www.jnj.com/medtech **We are searching for the best talent for an Associate Director , Health Economics & Market Access (HEMA) for the Johnson & Johnson… more
    J&J Family of Companies (06/07/25)
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