- Evolent (Sacramento, CA)
- …The Risk Adjustment Coding Manager plays a crucial role in ensuring accurate medical coding and compliance with risk adjustment models. **What You will ... claims via progress note clinical documentation review. + Ensure compliance and quality for all coding practices...healthcare administration, or a related field. + **Certification in medical coding (CRC- Certified Risk Adjustment Coder)… more
- Abbott (Livermore, CA)
- …in the Heart Failure Division. The Manager of Medical Billing & Coding will lead the strategy, operations, and compliance of Acelis Connected Health's ... medical billing and coding functions. This role ensures accurate, timely, and compliant...and recommends methods for resolution that satisfy regulatory and compliance requirements. + Performs medical chart audits… more
- CVS Health (Sacramento, CA)
- …the Special Investigations Unit (SIU) to ensure compliance with coding practices through comprehensive record reviews for medical , behavioral, ... coding and appropriate documentation during the review of medical records. This role requires a strong focus on...up-to-date coding knowledge, including new changes to coding compliance and reimbursement. + Experience with… more
- Highmark Health (Sacramento, CA)
- … as set forth by the American Health Information Management Association and Corporate Compliance Coding Guidelines. Assures compliance with the coding ... **GENERAL OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data… more
- Humana (Sacramento, CA)
- …of our caring community and help us put health first** The Senior Inpatient Medical Coding Professional extracts clinical information from a variety of ... an in-depth evaluation of variable factors. **Responsibilities** The Senior Inpatient Medical Coding Professional confirms appropriate diagnosis related group… more
- Ventura County (Ventura, CA)
- … guidance to staff on the most difficult coding cases; + Ensures VCMC coding practices are in compliance with ICD-10 CM/PCS and CPT coding guidelines, ... cases; + Provides education to the physicians on documentation requirements to establish medical necessity based on coding guidelines for assignment of accurate… more
- Banner Health (CA)
- …you. **Requirements:** + **5 years recent experience in acute-care Inpatient facility-based medical coding (clearly reflected in your attached resume);** + **DRG ... to ensure that clinical coding is accurate for proper reimbursement and that coding compliance is complete. Provides feedback on coding work and trends,… more
- Banner Health (CA)
- …coding in accordance with all regulatory requirements and AHIMA Standards of Ethical Coding . CORE FUNCTIONS 1. Analyzes medical information from medical ... national coding guidelines and appropriate reimbursement requirements. Consults with medical providers to clarify missing or inadequate record information and to… more
- UCLA Health (Los Angeles, CA)
- …+ Bachelor's Degree or higher preferred + Strong expertise in all facets of professional medical coding , including ICD-10, CPT, and HCPCS coding systems + ... the Director of Coding , this role manages coding workflows, supervises staff, ensures compliance with...adapt in a fast-paced environment + Experience with electronic medical records, preferably UCLA Health systems + Strong problem-solving… more
- Datavant (Sacramento, CA)
- …+ Implement process improvements to enhance accuracy, efficiency, and regulatory compliance . + Ensure coding is completed within established turnaround ... to realize our bold vision for healthcare. **What We're Looking For** A Coding Supervisor capable of overseeing the daily operations of the inpatient and outpatient… more