- Sutter Health (Oakland, CA)
- …regarding physician practice patterns, over- and under-utilization of resources, medical necessity, documentation best practices, level of care progression, denial ... Advisor Services (IPAS). The physician Advisor will work closely with the medical staff, including house staff, and all utilization management (UM) personnel, Care… more
- Cedars-Sinai (Los Angeles, CA)
- …National Research Corporation's Consumer Choice Award 19 times for providing the highest-quality medical care in Los Angeles. We were also awarded the Advisory Board ... with established timelines. The Specialist: + Performs accurate and timely coding charge posting (CPT, ICD-10, HCPCS, modifiers) + Maintains familiarity with… more
- Parexel (Sacramento, CA)
- …matters with particular attention to those relating to patient safety + Review coding of adverse events, medical history and concomitant medications for accuracy ... dynamic Patient Safety team as a **Senior Physician** where you'll leverage your medical expertise to ensure the safety of patients in clinical trials and… more
- Lompoc Valley Medical Center (Lompoc, CA)
- …+ This position reports to the Clinical Manager and the Cardiac Rehab Medical Director oversees clinical duties. + Provides various types of muscular endurance ... when applicable. + Maintains EMR documentation to ensure efficient and accurate coding and billing of services. + Determine when assistance is needed from… more
- Humana (Sacramento, CA)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... of situations or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement… more
- Dignity Health (Stockton, CA)
- …required + Excellent interpersonal, organizational, and customer service skills required + Medical terminology, familiarity with CPT and ICD-10 coding procedures ... **Job Summary and Responsibilities** As a Medical Assistant Medical Office Rep at Dignity Health Medical Foundation clinics, now part of CommonSpirit Health,… more
- Humana (Sacramento, CA)
- …a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make ... reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare, Medicare Advantage, and Medicaid requirements… more
- Humana (Sacramento, CA)
- …a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make ... reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare, Medicaid, and Medicare Advantage requirements… more
- Justice, Bureau of Prisons/Federal Prison System (Los Angeles, CA)
- …individuals for successful reentry into our communities. Responsibilities Analyzes medical records for completeness, consistency and compliance with Joint Commission ... on Accreditation of Healthcare Organizations (JCAHO), Bureau of Prisons (BOP) and medical staff requirements. Performs the monthly medical record audit in… more
- Guidehouse (Ventura, CA)
- …or Scanned Files, Files on Shared Drives, Dictations, Interfaced testing, Diagnosis/Procedure Coding ) + Performs quality monitoring of patient medical records; ... **Job Family** **:** Medical Records **Travel Required** **:** None **Clearance Required**...**:** None **What You Will Do** **:** The **HIM Medical Records / Chart Completion** role is the foundation… more