- Elevance Health (Walnut Creek, CA)
- …experience preferred. + Broad knowledge of clinical documentation improvement guidelines, medical claims billing and payment systems, provider billing ... Validation Auditor-RN** **Virtual:** This role enables associates to work virtually full -time, with the exception of required inperson training sessions, providing… more
- CVS Health (Sacramento, CA)
- …Certified Professional Coder (CPC) Manager will oversee a team of medical coders within the Special Investigations Unit (SIU) to ensure compliance with coding ... practices through comprehensive record reviews for medical , behavioral, transportation, and other healthcare providers. The CPC Manager will be responsible for… more
- Humana (Sacramento, CA)
- …field. + Healthcare insurance industry knowledge. + Experience validating and interpreting medical record documentation to ensure billing for services is ... Manager, you will spearhead audit and validation processes to ensure medical documentation and coding are precise, compliant, and support optimal reimbursement.… more
- Humana (Sacramento, CA)
- …CM guidelines + Prior experience in provider education + Strong knowledge of medical record review + Understanding of billing , claims submission, and related ... is responsible for reviewing and analyzing internal data and medical records, as well as coordinating educational sessions with...or equivalent + Must hold AAPC CPC (Certified Professional Coder ) certification + 2 years or more experience with… more