- Elevance Health (Costa Mesa, CA)
- …is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and DRGs billed and reimbursed. Specializes in ... review of Diagnosis Related Group (DRG) paid claims. **How...impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the… more
- CenterWell (Sacramento, CA)
- …physician for nurse practitioners or physician assistants, including completing regular chart review and coordinating monthly meetings. . Be available to act ... best in class support for providers from ambient AI documentation tools to best in class patient and population.... Meet with clinic leaders about quality of care, review of outcome data, policy, procedure, and records issues.… more
- University of Southern California (Alhambra, CA)
- …are up to date. The Senior RI Specialist delivers direction to the documentation of all policies and procedures regarding CDM Maintenance and charge process; and ... third-party payers are up to date. Assists the Revenue Cycle in annual coding review and processing of updates. + Reviews and process requests for new code… more
- Oracle (Sacramento, CA)
- …Critical Care workflow implementation, Multi-Disciplinary Rounding, and various nurse chart review and documentation optimizations. The ideal candidate ... will leverage their significant experience in both mapping clinical workflows and performing hands on build to assess current state and plan future state needs, communicate effectively with both their teammates and client stakeholders, independently research… more