- Cedars-Sinai (Los Angeles, CA)
- …with established timelines. The Specialist: + Performs accurate and timely coding charge posting (CPT, ICD-10, HCPCS, modifiers) + Maintains familiarity with ... such issues as CMS coding regulations, Medicare rules, visits and procedures on the...required. College level courses in finance, business or health insurance preferred. + A minimum of 4 years of… more
- J&J Family of Companies (Orange, CA)
- …authorizations and appeals, reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations (local payers, government payers, ... of national, regional, local, and account market dynamics including coverage and coding requirements. + Grow the knowledge of hub and specialty distribution channels… more
- Elevance Health (Walnut Creek, CA)
- …an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance of medical audit ... activities. + Draws on advanced ICD-10 coding expertise, mastery of clinical guidelines, and industry knowledge to substantiate conclusions. + Utilizes audit tools,… more
- LA Care Health Plan (Los Angeles, CA)
- …III is responsible for investigating, reviewing, and providing clinical and/or coding expertise/judgement in the application of medical and reimbursement policies ... quality audits as well as validation of accuracy and completeness of all coding elements. The position is also responsible for guidance related to Payment Integrity… more
- Robert Half Office Team (Sacramento, CA)
- …Sacramento, California. This long-term contract position focuses on ensuring the accurate coding and processing of fees for patient services. The role emphasizes ... Accurately apply diagnostic and procedural codes, including modifiers, based on current coding guidelines. * Review and code services for billing while ensuring all… more
- Sunnyside Nursing and Post-Acute Care (Torrance, CA)
- …facility staff members, including the facility clinical staff. + HIPAA (Health Insurance Portability and Accountability Act): Works to ensure compliance with HIPAA ... the privacy of, and access to, patient privacy practices + CODING : Serves as the coding specialist and/or oversees the assignment of the appropriate ICD-10-CM… more
- Highmark Health (Sacramento, CA)
- …and demographic data, interpret and apply diagnoses and procedures utilizing ICD coding systems and assists in decreasing the average accounts receivable days. ... and cash flow as it pertains to the unbilled coding report. (10%) + Keeps informed of the changes/updates...this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described… more
- CRC Insurance Services, Inc. (CA)
- …We are building the foundation of the machine learning function at a market-leading insurance company. As one of the first data science hires, you will play a ... Specific activities may change from time to time. 1. Develop customized coding , software integration, perform analysis, configure solutions, using tools specific to… more
- Providence (CA)
- …Specialist shall ensure that the Chargemaster (CDM) is consistent with all coding and billing regulations and accurately represents services provided. The Senior CDM ... of Hospital ministry staff regarding the CDM Maintenance process, coding updates and charge capture improvement. The Senior CDM...expected to provide proof of driver license and auto insurance upon request. + Min 5 years Hospital chargemaster… more
- Cisco (Milpitas, CA)
- …features shipped. Critically, you'll enable adoption for both human developers and AI coding agents - building integrations, MCP servers, and tooling that make our ... code to accelerate team adoption - often using AI coding tools yourself to move faster + Build andmaintaingolden...plan eligibility rules, which include medical, dental and vision insurance , a 401(k) plan with a Cisco matching contribution,… more
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