- Veterans Affairs, Veterans Health Administration (San Diego, CA)
- …and appropriate to support the assigned codes. Codes all complicated and complex medical /specialty diseases processes, patient injuries, and all medical ... is located in the Health Information Management (HIM) section at the San Diego VA Medical Center. MRTs ( Coder ) are skilled in classifying medical data from… more
- Dignity Health (Bakersfield, CA)
- **Job Summary and Responsibilities** The Claims Examiner III is an advanced-level role responsible for the detailed and accurate processing, review, and adjudication ... of complex healthcare claims. This position requires expert knowledge of...claims processing, coding, and regulatory compliance. The Claims Examiner III will handle the most challenging cases, mentor junior… more
- Stanford Health Care (Palo Alto, CA)
- …Denial Analysis: Conduct thorough analyses of denials, evaluating the appropriateness of medical services and procedures. Ensure accurate coding with ICD, HCPCS, CPT ... comprehensive appeal letters to payors after a detailed review of medical records. Ensure compliance with Medicare, Medicaid, third-party guidelines, Local Coverage… more