- Cedars-Sinai (Beverly Hills, CA)
- …the enterprise through oversight over Oncology P&T and 13 Oncology DRG guideline development committees responsible for development of evidenced based guidelines. ... You will collaborate with the Clinical Efficiency Value team in developing innovative approaches in managing our oncology patients effectively. Be our designated Oncology PGY2 Residency Program Director (RPD).The RPD of the PGY2 training program to ensure the… more
- UCLA Health (Los Angeles, CA)
- …CPT-4/HCPCS codes for patient receiving services at UCLA Healthcare. Correctly assigns DRG and all applicable APCs for all patients to assure accurate reimbursement ... and the highest quality data possible. Abstracts all coded data in a timely and accurate manner into the abstracting system. Has a working knowledge of all State and National reporting requirements. Provides information on coding question trends, and issues… more
- Sutter Health (Burlingame, CA)
- …and associated regulatory compliance requirements. General understanding of coding and DRG assignment process preferred. Must be able to effectively communicate ... with, and promote cooperation and collaboration between individuals including patients/families/caretakers, physicians, nurses and other ancillary partners. Ability to work independently and exercise sound judgment in interactions with physicians, payers, and… more
- Sutter Health (Modesto, CA)
- …and associated regulatory compliance requirements. + General understanding of coding and DRG assignment process preferred. + Must be able to effectively communicate ... with, and promote cooperation and collaboration between individuals including patients/families/caretakers, physicians, nurses and other ancillary partners. + Ability to work independently and exercise sound judgment in interactions with physicians, payers,… more
- Humana (Sacramento, CA)
- …Inpatient Medical Coding Professional confirms appropriate diagnosis related group ( DRG ) assignments. Analyzes, enters and manipulates database. Responds to or ... clarifies internal requests for medical information. Begins to influence department's strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises… more
- Sumitomo Pharma (Sacramento, CA)
- …+ Strong knowledge and experience with pharmaceutical data sources (ie, IQVIA, SHA, MMIT/ DRG formulary / market access data). + Solid understanding how brand payer ... access impacts sales strategy and field pull through tactics. + Proven success in developing analyses with Business Intelligence tools and methods (eg, Tableau, Qlikview, SQL). + Excellent team player and collaborative skills. + Strong demonstrated project… more
- Trinity Health (Fresno, CA)
- …experience in an acute care facility using ICD-10-CM and CPT coding and/or DRG assignment is required. 3. Knowledge and experience with medical terminology, anatomy, ... physiology, and general office practices, as well as familiarity with state and federal laws governing the release of medical information is required. 4. RHIA, RHIT or CCS certification is required. Pay Range $34.44 - $46.49 **Our Commitment** Rooted in our… more
- Prime Healthcare (Ontario, CA)
- …and commercial insurance is required + Understanding of CPT's, HCPCs, Diagnosis code, DRG code, EAPG, revenue code, etc. is required + Understanding of payor payment ... methods viz. Fee Schedule, RCC, Case rate is required Preferred qualifications: + Experience working with Contract Management and Patient Access is preferred + Prior experience working with EPIC and Meditech preferred Pay Transparency Prime Healthcare offers… more
- Sumitomo Pharma (Sacramento, CA)
- …Strong knowledge and experience with pharmaceutical data sources (ie, IQVIA, SHA, MMIT/ DRG formulary / market access data). + Excellent team player and collaborative ... skills. + Strong project management skills and managing external vendors/ deliverables within tight timelines. + Strategic partner to multiple cross-functional stakeholders. + Proven success in developing analyses with Business Intelligence tools and methods… more
- Sutter Health (Modesto, CA)
- …and associated regulatory compliance requirements. General understanding of coding and DRG assignment process preferred. Must be able to effectively communicate ... with, and promote cooperation and collaboration between individuals including patients/families/caretakers, physicians, nurses and other ancillary partners. Ability to work independently and exercise sound judgment in interactions with physicians, payers, and… more