- Staffing Resolutions (Pomona, CA)
- …healthcare collections. Knowledge of hospital billing processes, CPT/ICD codes, and DRG reimbursement. Familiarity with payer guidelines such as Medicare, Medi-Cal ... and commercial payers Strong communication skills for payer interactions. Proficiency in hospital billing and follow up systems and Microsoft Office. Attention to detail and ability to analyze claim denials and payment variances. Review hospital accounts… more
- Quick 2 Hire (Pomona, CA)
- …healthcare collections. Knowledge of hospital billing processes, CPT/ICD codes, and DRG reimbursement. Familiarity with payer guidelines such as Medicare, Medi-Cal ... and commercial payers Strong communication skills for payer interactions. Proficiency in hospital billing and follow up systems and Microsoft Office. Attention to detail and ability to analyze claim denials and payment variances. Review hospital accounts… more
- Stanford Health Care (Palo Alto, CA)
- …billing + Knowledge of charge capture workflows and CDM + Knowledge of DRG /APC reimbursement + Knowledge of health information systems for computer application to ... medical records + Knowledge of ICD-10-CM & CPT coding conventions to code medical record entries; abstract information from medical records; read medical record notes and reports; set accurate Diagnostic Related Groups + Knowledge of standards and regulations… more
- Elevance Health (Los Angeles, CA)
- ** DRG Coding Auditor Principal** **_Virtual: _** _ _ This role enables associates to work virtually full-time, with the exception of required in-person training ... determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** DRG Coding Auditor Principal** is responsible for auditing inpatient medical… more
- Elevance Health (Walnut Creek, CA)
- **Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS- DRG , AP- DRG and APR- DRG )** **Virtual:** This role enables associates to work virtually ... and reimbursed. Specializes in review of Diagnosis Related Group ( DRG ) paid claims. **How you will make an impact:**...minimum of 5 years of experience working with ICD-9/10CM, MS- DRG , AP- DRG and APR- DRG ; or… more
- Humana (Sacramento, CA)
- …expertise in Medicaid reimbursement methodologies rooted in complex grouping concepts (EAPG, APR- DRG , MS- DRG , etc). This role is within the Integrated Network ... for hospitals and facilities Developing expertise in complex groupers (EAPG, APR- DRG , MS- DRG , etc) utilized in Medicaid reimbursement Reviewing Medicaid… more
- Taco Bell (El Cajon, CA)
- …This role is crucial for creating company culture that is aligned with DRG 's values. MAJOR RESPONSIBILITIES: * Team Development: Identify, train and mentor a team ... to the team. * Culture & Values: Actively reinforce DRG 's culture and values by incorporating individual and team...with company policies, procedures and local regulations. BENEFITS: * DRG Cares Grant Program - Grants to assist employees… more
- Taco Bell (Palmdale, CA)
- …Support: Assist the GM in the management of restaurant operations. Benefits + DRG Cares Grant Program - Financial assistance for employees facing life challenges. + ... DRG Savings Marketplace - Exclusive discounts for DRG employees. + Employee Assistance Program - Counseling, legal support, travel assistance, and more. + Live… more
- Taco Bell (Corona, CA)
- …upper leadership informed about any issues that arise at the restaurant. BENEFITS: + DRG Cares Grant Program - Grants to assist employees with life challenges and ... financial assistance + DRG Savings Marketplace - Exclusive access to discounts for DRG employees + Employee Assistance Program - Counseling services, legal… more
- Datavant (Sacramento, CA)
- …the future of healthcare from your own workspace! Seeking Inpatient Auditor proficient in MS- DRG and APR- DRG **What You Will Do:** + Performs Inpatient Facility ... assignment of codes and other coding-related elements using MS DRG or APR DRGs. + Provides rich and concise...teamwork, and leadership skills Seeking Inpatient Auditor proficient in MS- DRG and APR- DRG **What You Need to… more
