- Children's Hospital Los Angeles (Glendale, CA)
- …Familiarity with medical billing processes, insurance claims, and understanding of medical coding (such as ICD-10, CPT) is essential. Experience with ... electronic health record (EHR) systems and billing software is also beneficial. Knowledge of CCS, Medi-Cal, GHPP. The ability to analyze financial documents, identify discrepancies, and resolve billing issues is essential. Strong problem-solving skills help in… more
- Datavant (Sacramento, CA)
- …for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to ... Cerner 3M360 systems. OBS/SDS experience a plus. **What You Will Do:** + Review medical records and assign accurate codes for diagnoses and procedures. + Assign and… more
- Children's Hospital Los Angeles (Los Angeles, CA)
- …coding trends, denial patterns, and productivity metrics. Skilled in resolving coding edits including modifier application, medical necessity validation, NCCI ... Day Shift **Purpose Statement/Position Summary:** In conjunction with the Manager, HIM Coding & CDI, responsible for direct supervision of the HIM Coders to… more
- Providence (Santa Rosa, CA)
- …we must empower them. **Required Qualifications:** + 1 year - Experience with medical terminology, coding and medical charting. **Preferred Qualifications:** ... interested applicants to apply for Patient Authorization and Referral Representative at Providence Medical Foundation in Santa Rosa, CA. We may not have openings for… more
- Emanate Health (Covina, CA)
- …ICD10 and CPT codes submitted for Medicare and Covered CA lines of business. Coding specialist will be responsible to review medical records and claims data ... for the oversight of HCC Program and STAR measures coding related functions. The coding specialist will...manner. Assigns diagnostic/procedural codes to in- patient and outpatient medical records. Ensures that all accounts are coded accurately… more
- Humana (Sacramento, CA)
- …our caring community and help us put health first** The Payment Integrity Coding Professional within Code Edit Vendor Management (CEVM) contributes to overall cost ... requires an in-depth evaluation of variable factors. The Payment Integrity Coding Professional monitors and analyzes Code Edit operational processes and performance… more
- Datavant (Sacramento, CA)
- …required. + People Leader experience managing a team of employees. + Familiarity with HCC coding . + A strong knowledge base of medical terminology, medical ... experiences to realize our bold vision for healthcare. The Coding Supervisor serves as a working supervisor with oversight...exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its… more
- Providence (CA)
- …best people, we must empower them._** **Providence Health Plan is calling a Coding Quality Auditor, HEDIS who will:** + Be responsible for conducting clinical ... program + Conduct Audits inclusive of review of outpatient medical records, hospital records, clinical lab and pharmacy records...+ **This posting is for multiple openings of a Coding Quality Auditor, HEDIS** + **This position is affiliated… more
- Sutter Health (Sacramento, CA)
- …and analysis. + Understands medical /clinical data and terminologies, and medical records coding Current Procedural Terminology (CPT) and International ... and customer needs. Presents data and analysis to operations, clinical and medical leaders and staff, providing recommendations for action and decision making.… more
- Datavant (Sacramento, CA)
- … coding in multiple settings **What You Will Do:** + Performs Professional Fee coding audits of medical records and abstracts using ICD-10-CM, CPT, HCPCS, and ... will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education,… more