- Elevance Health (Costa Mesa, CA)
- …you will make 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. +… more
- The County of Los Angeles (Los Angeles, CA)
- …(CDU), DHS hospitals are training sites for physicians completing their Graduate Medical Education in nearly every medical specialty and subspecialty. In ... addition, to its direct clinical services, DHS also runs the Emergency Medical Services (EMS) Agency and the County's 911 emergency response system, as well as… more
- Stanford Health Care (Palo Alto, CA)
- …coding systems, particularly the Outpatient Prospective Payment System (OPPS), DRG's, MediCal /Medicaid APG Grouper, HCPCS and CPT-4 coding schemas. + ... management and health care reporting, including the relationship between the CDM, charging, coding and billing . + Ability to develop long-range business plans… more
- Dignity Health (Rancho Cordova, CA)
- …- Research and provide guidance to coders and other Dignity Health Medical Foundation/CommonSpirit Health staff on coding -related questions or concerns - ... Serves as the subject matter expert for their designated coding team - Develop internal contacts within medical...accounts receivable - When requested, review invoices for correct coding when patient billing disputes arise -… more
- Emanate Health (Covina, CA)
- …completion of a certified coding program from a nationally accredited medical coding organization. **Minimum Experience Requirement :** Minimum of 2+ years ... within medical records to ensure high quality and compliant coding . The Certified Coder Professional will provide training, consultation, and feedback to… more
- Sutter Health (Sacramento, CA)
- …in order to ensure CDM line items are aligned with current billing , coding regulations, guidelines, and contractual obligations. Evaluates changing regulatory ... to the Charge Description Master. Maintains the CDM data elements ( billing description, Current Procedural Terminology/Healthcare Procedure Coding System codes,… more
- Sutter Health (Sacramento, CA)
- …to Charge Capture and how they interrelate. + In-depth knowledge of medical and billing terminology, common procedure terminology, diagnosis codes, healthcare ... coding and diagnosis codes + Demonstrated ability to utilize official coding / billing resources including CPT/HCPCS references, OPPS Manual, NCCI, Manual, NUBC… more
- Scripps Health (San Diego, CA)
- …related issues. Promotes compliance with CMS, third party payers, NCDs and LCDs, coding , and billing regulations. Oversees the development and coordination of ... Clinic and other relevant industry standard guidelines. * Provides input to coding and medical record documentation guidelines to assure compatibility and… more
- Adecco US, Inc. (Long Beach, CA)
- …by the client. + **Reimbursement Support (20%)** - Assist offices with claims, billing and coding , appeals, medical benefit interpretation, and co-pay ... a high-visibility, fast-paced role that demands a strong understanding of medical reimbursement, Medicare and commercial payers, and buy-and-bill or specialty… more
- CVS Health (Sacramento, CA)
- …2+ years experience working with medical terminology, claim forms, and physician billing coding . + 1+ years of experience with provider disputes. + Computer ... to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and… more