- Datavant (Sacramento, CA)
- …will provide superior quality by performing audits pertaining to risk adjustment coding efforts. The individual will be responsible for daily operations pertaining ... assurance program + Play a key role in ensuring coding compliance and accuracy + Monitor the performance of...and positive manner. + Experience overseeing remote (Work at Home ) operations. + Exceptional interpersonal skills, proven success in… more
- Children's Hospital Los Angeles (Los Angeles, CA)
- …coding trends, denial patterns, and productivity metrics. Skilled in resolving coding edits including modifier application, medical necessity validation, NCCI ... Day Shift **Purpose Statement/Position Summary:** In conjunction with the Manager, HIM Coding & CDI, responsible for direct supervision of the HIM Coders to… more
- Humana (Sacramento, CA)
- …that contain a code editing related denial or financial recovery. The Medical Coding Coordinator performs advanced administrative, operational, and customer ... apply intermediate mathematical skills. **Where you Come In** The Medical Coding Coordinator extracts clinical information from...to make an impact** **WORK STYLE:** Remote, work at home . While this is a remote position, occasional travel… more
- CenterWell (Sacramento, CA)
- …lead strategic initiatives to enhance the efficiency, accuracy, and compliance of medical coding operations across the organization. This role is responsible ... The ideal candidate is a seasoned leader with deep expertise in medical coding , risk adjustment, and operational transformation. **Key Responsibilities**… more
- TP-Link North America, Inc. (Irvine, CA)
- …Systems Inc. is a global provider of reliable networking devices and smart home products, consistently ranked as the world's top provider of Wi-Fi devices. The ... are seeking a highly experienced Manager of Embedded Software Platform, Smart Home to lead the creation and optimization of next-generation software platforms,… more
- CVS Health (Sacramento, CA)
- …**Position Summary** Aetna, a CVS Health company, has an outstanding opportunity for a Medical Director. Ready to take your career to the next level with a Fortune ... 6 company? This is a remote Work at Home position and can be located anywhere in the...anywhere in the United States. In this role as Medical Director MPO ( Medical Policy & Operations)… more
- CenterWell (Sacramento, CA)
- …will understand how to operationalize this knowledge in their daily work. The Medical Director's work includes computer- based review of moderately complex to ... caring community and help us put health first** The Medical Director, Primary Care relies on medical ...An aspect of the role includes an overview of coding practices and clinical documentation, grievance and appeals processes,… more
- CVS Health (Sacramento, CA)
- …has an exciting opportunity for a Medical Director (Spine) that can be remote based , work from home . The Medical Director (Spine) will be a Subject ... use of health care resources. **This is a remote based (work at home ) based ...predetermination reviews ad reviews of claim determinations, providing clinical, coding , and reimbursement expertise, using multiple computer based… more
- Humana (Sacramento, CA)
- …and will understand how to operationalize this knowledge in their daily work. The Medical Director's work includes computer based review of moderately complex to ... caring community and help us put health first** The Medical Director relies on medical background and...conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes,… more
- Humana (Sacramento, CA)
- …will understand how to operationalize this knowledge in their daily work. The Medical Director's work includes computer- based review of moderately complex to ... a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make… more
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