- Scripps Health (San Diego, CA)
- …Coder) * Comprehensive understanding of*ICD, CPT, and HCPCS* coding systems,*MS-DRG/APR-DRG*methodologies, and*risk adjustment/ HCC *principles. * Strong ... Clinical Documentation Integrity*provides strategic leadership and operational oversight for systemwide* Coding , Clinical Documentation Integrity (CDI), and Health Information Management… more
- Cedars-Sinai (Los Angeles, CA)
- …will be doing in this role:** Working under the general direction of a coding supervisor, the Facility Inpatient Coder is responsible for the assignment of ICD-10-CM ... by reviewing all appropriate documentation in accordance with standard coding guidelines. Correctly identifies the principal diagnosis, comorbidities/complications, present… more
- J&J Family of Companies (Sacramento, CA)
- …+ Educate HCPs on reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations (local payers, government payers, etc.) for ... regional, local, and account market dynamics including coverage and coding requirements + Grow the knowledge of hub and...departments such as marketing, sales, medical science, SCG, IBG, HCC , and PECS. Serve as subject matter expert regarding… more
- J&J Family of Companies (San Bernardino, CA)
- …authorizations and appeals, reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations (local payers, government payers, ... regional, local, and account market dynamics including coverage and coding requirements. + Grow the knowledge of hub and...departments such as marketing, sales, medical science, SCG, IBG, HCC , and PECS. Serve as subject matter expert regarding… more
- Humana (Sacramento, CA)
- …audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support ... and interprets medical documentation to ensure capture of all relevant coding . Identifies members with high-risk CMS Hierarchical Condition Categories ( HCC… more