- Stanford Health Care (Palo Alto, CA)
- …+ Knowledge of medical and insurance terminology, MS-DRG, APR-DRG, CPT, ICD coding structures, and billing forms (UB, 1500). + Experience with coding ... Denial Analysis: Conduct thorough analyses of denials, evaluating the appropriateness of medical services and procedures. Ensure accurate coding with ICD, HCPCS,… more
- Cardinal Health (Sacramento, CA)
- …and coding related to physician or hospital (inpatient and outpatient) billing and/or medical necessity reviews. + Prepares written reports of audit ... state regulations and laws, CMS and other third-party payer billing rules and internal documentation, coding and...+ 6+ years of experience in physician and/or hospital coding and auditing, medical necessity reviews, or… more
- Volunteers of America Los Angeles (Downey, CA)
- …data entry experience PREFERRED QUALIFICATIONS: + Associate Degree or medical coding certificate + Familiar with SAGE billing /database Volunteers of America ... Maintain SAGE files, generate reports as needed + Maintain medical billing supporting documentation + Monitor, review...employer is required to give you written instructions and an opportunity to contact Department of Homeland Security (OHS)… more
- J&J Family of Companies (Santa Clara, CA)
- …and use approved Shockwave tools to deliver relevant training and education on coding , billing , and reimbursement. + Develop a monthly report of provider ... + Experience in healthcare, insurance, and/or reimbursement field with emphasis on coding , coverage, and payment issues; medical device experience preferred. +… more
- Sharp HealthCare (Chula Vista, CA)
- … billing functions as assigned.Obtain all necessary attachments required for billing (ie hard copy authorizations, medical records, 18-1, 50-1, etc.).Assures ... clinical indications of ordered exams. **Knowledge, Skills, and Abilities** + Medical terminology. Insurances, billing and collections guidelines/criteria. +… 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
- University of Southern California (Alhambra, CA)
- …may include a combination of clinical service delivery (nursing or allied health), coding , provider billing , medical records, charge audit environment, CDM ... CDM maintenance workflow between the various entities of Keck Medical Center of USC and monitors the alignment of...ensure that the Chargemaster (CDM) is consistent with all coding and billing regulations and accurately represents… 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 ... **Job Description** Align yourself with an organization that has a reputation for excellence!...19 years in a row for providing the highest-quality medical care in Los Angeles. We also were awarded… more
- Cedars-Sinai (Los Angeles, CA)
- … Coding policies/procedures/handbook, American Hospital Association (AHA) and American Medical Association (AMA) coding references, local, State, and Federal ... post coding audit changes and assists with coding corrections needed from billing department. +...Outpatient Surgical and Claims Edit Auditor **Department** : CSRC Coding Audit **Business Entity** : Cedars-Sinai Medical … 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 ... up-to-date versions of CPT and ICD-10-CM resources and remains current on changes in coding and billing standards. 3. Strives for the optimal payment to which… more