• Diagnosis Related Group Clinical Validation…

    Elevance Health (Costa Mesa, CA)
    …(CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or CIC. + ... Related Group Clinical Validation Auditor-RN** is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions… more
    Elevance Health (12/09/25)
    - Related Jobs

  • Senior Director, Revenue Cycle - Clinical…

    Scripps Health (San Diego, CA)
    …Administrator) o RHIT (Registered Health Information Technician) o CCS (Certified Coding Specialist ) o CPC (Certified Professional Coder) * Comprehensive ... and optimal reimbursement. Key Responsibilities * Provide strategic leadership for CDI, Coding , and HIM operations across inpatient , outpatient, and professional… more
    Scripps Health (10/29/25)
    - Related Jobs

  • Payment Integrity Nurse Coder RN III

    LA Care Health Plan (Los Angeles, CA)
    …(CPC) designation by the American Academy of Professional Coders and/or Certified Coding Specialist (CCS) designation by the American Health Information ... Code, CPT, HCPCs, APR, DRG, POA, and all relevant coding elements. Audits can include inpatient , outpatient,...all relevant coding elements. Audits can include inpatient , outpatient, and professional claims. Serves cross functionally with… more
    LA Care Health Plan (10/23/25)
    - Related Jobs

  • Collector, Management Services…

    University of Southern California (Alhambra, CA)
    The Collector Appeal Specialist is responsible for accurately processing inpatient and out-patient claims to third party payers and private pays, following all ... consent forms, treatment authorization requests, authorizations, hysterectomy consent forms, Inpatient /Outpatient TARs and SARs, and ABN's, and CMS certs and… more
    University of Southern California (12/31/25)
    - Related Jobs