- ProTrain (Rancho Santa Margarita, CA)
- …term formation, pronunciation, and spelling. + Assess the responsibilities assigned to insurance billing and coding specialists and electronic claims processors. ... the CPT manual and the various guidelines. + Demonstrate diagnostic and procedural coding . + Describe basic guidelines for submitting insurance claims. + Explain… more
- Highmark Health (Sacramento, CA)
- …None **Substitutions** + None **Preferred** + Associate degree in medical billing/ coding , health insurance , healthcare or related field preferred. **EXPERIENCE** ... using skills including but not limited to Hierarchical Condition Category (HCC) Coding , medical coding , clinical terminology and anatomy/physiology, Centers for… more
- Robert Half Office Team (Oakland, CA)
- …compliance with healthcare regulations. Ideal candidates will have a strong background in insurance claims management and coding , along with the ability to work ... Description We are looking for an experienced Insurance Claims Examiner to join our team on...claim discrepancies, ensuring proper payment and documentation. * Utilize coding systems such as ICD-10, CPT, and HCPCS to… more
- Baylor Scott & White Health (Sacramento, CA)
- …true and accurate as well as correct any contractual or payment entries. Verify insurance coding to ensure accurate payments. Receives, reviews, and responds to ... established procedures, performs collection activities for assigned accounts. Contacts insurance company representatives by telephone or through correspondence to… more
- Humana (Sacramento, CA)
- …of our caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical records provided to ensure correct ... coding guidelines are met. The Medical Coding ...parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 01-17-2026 **About… more
- Humana (Sacramento, CA)
- …of our caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ensure ... correct coding guidelines are met (eg, ICD-10-CM, CPT, HCPCS). The...parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 01-30-2026 **About… more
- University of Southern California (Los Angeles, CA)
- In accordance with current federal & state coding compliance regulations and guidelines, the HIM Coding Denials Management Specialist" analyze, investigate, ... mitigate, and resolve all coding -related 'claims denials' and 'claims rejections,' specific to ICD-10-CM,...APCs, and Modifiers-from Medicare, Medi-Cal, MAC, RAC, and commercial insurance companies -when there is refusal or rejection to… more
- Robert Half Office Team (Sacramento, CA)
- Description We are looking for an Inpatient Coding Specialist to join our team in Sacramento, California. In this contract position, you will play a vital role in ... ensuring the accurate coding and abstraction of medical records, adhering to federal...professionals, including medical, vision, dental, and life and disability insurance . Hired contract/temporary professionals are also eligible to enroll… more
- WelbeHealth (Sacramento, CA)
- …is key to WelbeHealth values, team culture, and mission. At the direction of the Coding Supervisor, the Coding Auditor and Educator focuses on ensuring coding ... promote compliance. **Essential Job Duties:** + Assist with retrospective and concurrent coding for PACE (All-inclusive Care for the Elderly) Dual participants +… more
- CenterWell (Sacramento, CA)
- …and help us put health first** The Program Management Lead, Offshore Coding Operations conducts quality assurance audits of medical records and ICD-9/10 diagnosis ... Services (CMS) and other government agencies. The Program Management Lead, Offshore Coding Operations works on problems of diverse scope and complexity ranging from… more