- University of Southern California (Los Angeles, CA)
- …by Director , Manager, Supervisor, or designee. + TIMELINESS OF AUDITING/ CODING & PRODUCTIVITY 1. Maintains at minimum, expected productivity standards, and ... of staff based on monthly reviews and conducts related in- services , as needed. 4. Ability to act as a...Medical Terminology, Anatomy & Physiology and a certified coding course + Combined education/experience can substitute for Completion… more
- 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 ... cases; + Provides education to the physicians on documentation requirements to establish medical necessity based on coding guidelines for assignment of accurate… more
- Sharp HealthCare (San Diego, CA)
- …(HIM, CDI, Case Management, Quality, etc.) in developing SHC's standardized documentation, medical necessity, coding and billing policies and guidelines in ... **Facility:** System Services **City** San Diego **Department** **Job Status** Regular...a remote position* **What You Will Do** The Compliance Coding Auditor is responsible for the administration of the… more
- Emanate Health (Covina, CA)
- …the oversight of HCC Program and STAR measures coding related functions. The coding specialist will work with the IPA Director , Health Plan, and MSO ... submitted for Medicare and Covered CA lines of business. Coding specialist will be responsible to review medical... coding experience using ICD-9, ICD-10 and CPT coding systems. Excellent customer service skills required.… more
- Humana (Sacramento, CA)
- …processes, and outpatient services and equipment, within their scope. The Medical Director may speak with contracted external physicians, physician groups, ... , requested level of care, and/or requested site of service should be authorized. All work occurs with a...**Responsibilities** The Medical Director provides medical interpretation and determinations whether services provided… more
- Sharp HealthCare (Chula Vista, CA)
- …are made by our recruitment and hiring teams. **What You Will Do** The Director Patient Access Services -SCV is responsible for ensuring the functional alignment ... **Facility:** Chula Vista Medical Center **City** Chula Vista **Department** **Job Status**...of financial and patient service standards and the resulting workflows to support optimal… more
- Humana (Sacramento, CA)
- …an impact** **Responsibilities** The Medical Director provides medical interpretation and determinations whether services provided by other healthcare ... and clinical documentation, dispute/grievance and appeals processes, and outpatient services and equipment, within their scope. Medical ...a Lead Medical Director . The Medical Director conducts post- service , inpatient… more
- Humana (Sacramento, CA)
- …processes, and outpatient services and equipment, within their scope. The Medical Director may speak with contracted external physicians, physician groups, ... , requested level of care, and/or requested site of service should be authorized. All work occurs within a...**Responsibilities** The Medical Director provides medical interpretation and determinations whether services provided… more
- Highmark Health (Sacramento, CA)
- …**JOB SUMMARY** This role supports the Medical Policy team by bringing medical director level expertise, experience and knowledge to the team. They support ... non-clinical team members for operational guidelines. The incumbent must have an understanding of medical coding (ICD-10, CPT, HCPS) as medical coding … more
- Stanford Health Care (Palo Alto, CA)
- … 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 ... platform consolidation, increasing test menus, and partnering with key service lines such as Oncology Services to... concerning issues affecting Anatomic Pathology and Clinical Laboratory Services . Works with Medical Staff, Nursing, and… more