• Quality Reviewer (Aetna SIU)

    CVS Health (Sacramento, CA)
    At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...Fraud, Waste, and Abuse review experience. + Billing and Coding certifications such as CPC (AAPC) and/or CCS (AHIMA).… more
    CVS Health (08/08/25)
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  • Healthcare .NET Senior Application Developer…

    Highmark Health (Sacramento, CA)
    **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** HNAS ( Health Now Administrative Services) offers flexible, cost-effective solutions for employee ... health benefits. HNAS is part of Highmark Health...RESPONSIBILITIES** + Takes a lead role for analyzing, designing, coding , testing and implementing more complex application enhancements, as… more
    Highmark Health (05/15/25)
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  • Authorization Technician II (12 Month Assignment)

    LA Care Health Plan (Los Angeles, CA)
    …$47,840.00 (Min.) - $57,062.00 (Mid.) - $68,474.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by the state of California ... to provide health coverage to low-income Los Angeles County residents. We...Plan regulations. Knowledge of HMO/UM functions. Knowledge of ICD-10/CPT coding . Proficient utilizing electronic medical records and documentation programs.… more
    LA Care Health Plan (08/08/25)
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  • Cancer Registry Abstractor IV - 100% Fully Remote

    UCLA Health (Los Angeles, CA)
    Description Serving at UCLA Health will give you the opportunity to use your specialized abilities to help improve the lives of our patients, their families, and ... your fellow UCLA Health team members. You'll provide critical support that makes...physiology, and disease processes. * Knowledge of the ICD-0 coding classification scheme, or other diagnostic coding more
    UCLA Health (07/03/25)
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  • Revenue Cycle Management, Integrations Manager

    Cardinal Health (Sacramento, CA)
    …and resource requirements across cross-functional teams (eg, IT, EHR/PM systems, coding , billing, compliance). + Collaborate closely with stakeholders in Clinical ... to manage multiple priorities in a fast-paced environment. + Familiarity with oncology coding , billing, and reimbursement models is a plus. PMP or other project… more
    Cardinal Health (07/26/25)
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  • Revenue Cycle Analyst IV, Performance Management

    Sutter Health (Sacramento, CA)
    We are so glad you are interested in joining Sutter Health ! **Organization:** S3-Sutter Shared Services-Valley **Position Overview:** * This position is available to ... work from home within the Sutter Health Northern California Footprint. Supports system's Revenue Cycle strategic objectives, providing long-term financial planning,… more
    Sutter Health (08/08/25)
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  • Authorization Coordinator III, Head and Neck…

    Sutter Health (San Francisco, CA)
    We are so glad you are interested in joining Sutter Health ! **Organization:** SPMF-Sutter Pacific Medical Foundation - South **Position Overview:** Provides medical ... Care, processes authorization and referral requests for members in coordination with health plans and contracted providers. Provides support to the Case Management… more
    Sutter Health (07/30/25)
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  • SF Oncology Authorization Coordinator

    Sutter Health (San Francisco, CA)
    We are so glad you are interested in joining Sutter Health ! **Organization:** SPMF-Sutter Pacific Medical Foundation - South **Position Overview:** Responsible for ... authorization. + Enters all authorization requests into the patient's electronic health record utilizing appropriate codes, treatment types and providers. +… more
    Sutter Health (07/24/25)
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  • Clinical Documentation Improvement (CDI)…

    Guidehouse (Escondido, CA)
    …documentation clarification. In this role, you will collaborate closely with Coders, Coding Educators, Coding Quality Auditors, Case managers, Quality Department ... the time of discharge for accurate, timely, and compliant coding . + Reviews daily admissions to assigned unit, perform...Retirement Plan + Basic Life & Supplemental Life + Health Savings Account, Dental/Vision & Dependent Care Flexible Spending… more
    Guidehouse (07/25/25)
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  • Network Security Technical Engineer

    Highmark Health (Sacramento, CA)
    …for one or many of the following tasks: analyzing, designing, coding , testing andimplementingtechnical solutions, as well as providing general production monitoring ... one or many of the following tasks: analyzing, designing, coding , testing and implementing technical solutions, as well as...with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as… more
    Highmark Health (08/09/25)
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