- UCLA Health (Los Angeles, CA)
- …or related field, preferred + Eight or more years of experience in hospital finance, billing , coding , revenue integrity, medical analysis, or medical ... Medi-Cal, and other policies. You'll apply your extensive knowledge of hospital billing , coding , and pricing practices, as well as advanced data analysis skills,… more
- Cognizant (Sacramento, CA)
- …Insurance Customer Service with managed care plans or directly with CMS Billing and Coding - Medical Insurance Knowledge of Member/Provider Appeals ... appeals that will involve research of member benefits, eligibility, provider contracts, billing and coding , Utilization Management and state Medicaid policies.… more
- Datavant (Sacramento, CA)
- …Monitor and manage denials throughout the entire revenue cycle, including registration, eligibility, coding , billing , and medical necessity. + Analyze denial ... tools. The specialist serves as a key liaison between coding , billing , utilization review, case management, and...exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its… more
- J&J Family of Companies (Sacramento, CA)
- …+ Demonstrated expertise with both pharmacy and medical /buy & bill benefits, coding , and billing + Reimbursement or relevant managed care experience (revenue ... Collaborate with internal J&J departments such as marketing, sales, medical science, SCG, IBG, HCC, and PECS. Serve as...Advanced degree and/or relevant certifications in prior authorization and/or billing and coding + Strong market access… more
- Cardinal Health (Sacramento, CA)
- …services and/or hospital (technical) services, including: detection and correction of documentation, coding , and billing errors and/or medical necessity of ... support of services billed; compliance with other documentation and coding and billing standards; communication of audit... related to physician or hospital (inpatient and outpatient) billing and/or medical necessity reviews. + Manages… more
- Volunteers of America Los Angeles (Santa Ana, CA)
- …data entry experience PREFERRED QUALIFICATIONS: + Associate Degree. + Medical coding certificate + Familiar with SAGE billing /database Volunteers of America ... review + Maintain SAGE files, generate reports as needed + Maintain medical billing supporting documentation + Monitor, review and resubmit denied claims + In… more
- Guidehouse (San Marcos, CA)
- …service. + Working knowledge can be of the following: insurance claims, billing , coding , follow-up, finance, accounting or customer service related ... **Job Family** **:** PFS Billing **Travel Required** **:** None **Clearance Required** **:**...Required** **:** None **What You Will Do** **:** The ** Medical Biller** is expected to perform all areas of… more
- Sutter Health (Sacramento, CA)
- …of medical terminology, disease processes, patient health record content and the medical record coding process. + Basic knowledge of anatomy, physiology and ... of Medicare APC and OPPS reimbursement structures + In-depth knowledge of medical and billing terminology, common procedure terminology, diagnosis codes,… more
- Cedars-Sinai (Torrance, CA)
- …and advances new services for appropriate pseudo-code creation. + Identifies possible coding deficiencies through charge/ medical record review and coordinates ... 19 years in a row for providing the highest-quality medical care in Los Angeles. We also were awarded...guidelines of Revenue Cycle Management supporting Hospital, Professional Fee billing and collections. Duties include but are not limited… more
- Alameda Health System (Oakland, CA)
- …parties, the CPT (Current Procedural Terminology) rules established by the American Medical Association, and any other official coding rules and guidelines ... + Posted:August 6, 2025 **Summary** **SUMMARY:** Reads and interprets medical record documentation to assign diagnosis codes, assigns CPT...and ICD-10-CM resources and remains current on changes in coding and billing standards. 3. Strives for… more
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