- Datavant (Sacramento, CA)
- …will:** + Maintain a quality assurance program + Play a key role in ensuring coding compliance and accuracy + Monitor the performance of the Risk Adjustment ... vendors + Provides expertise as it relates to coding compliance for new and existing services,...exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its… more
- CVS Health (Sacramento, CA)
- …+ Sound knowledge of coding guidelines and regulations to meet compliance requirements, such as establishing medical necessity. + Identify clinically active ... and directives. + Conducts self- process audits to ensure compliance with internal policies and procedures as well as...Minimum of 1 year recent and related experience in medical record documentation review, diagnosis coding , and/or… more
- Dignity Health (Redding, CA)
- …for reviewing and evaluating clinical records to determine accuracy and integrity of coding outcome versus clinical documentation and compliance with coding ... review of codes assigned to a clinical episode of care, ensuring that medical codes assigned conform to legal and procedural requirements. Works collaboratively with… more
- Humana (Sacramento, CA)
- …of our caring community and help us put health first** The Senior Coding Educator identifies opportunities to improve provider documentation, coding and creates ... an education plan tailored to each assigned provider. The Senior Coding Educator work assignments involve moderately complex to complex issues where the analysis of… more
- Humana (Sacramento, CA)
- …community and help us put health first** The Senior Payment Integrity Coding Professional within Code Edit Vendor Management (CEVM) contributes to overall cost ... an in-depth evaluation of variable factors. The Senior Payment Integrity Coding Professional monitors and analyzes Code Edit performance metrics and operational… 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...resource and subject matter expert to staff. + Ensure compliance with HIPAA regulations and requirements. + Completes all… more
- Datavant (Sacramento, CA)
- …educational and life experiences to realize our bold vision for healthcare. The ** Coding Operations Manager** is essential to the Provider HIM Coding division. ... training to staff, continually assessing and enhancing their competencies, including compliance with HIPAA. + Conduct timely and meaningful performance appraisals,… more
- Movn Health (CA)
- …adjudication + Proficiency with multiple EHRs + Strong command of medical coding (ICD-10, CPT, HCPCS) and healthcare compliance (HIPAA, CMS) + Proven success ... payer delays, and escalate with recommendations for resolution + Ensure documentation and coding compliance with CMS and payer guidelines (ICD-10, CPT, HCPCS) +… more
- Banner Health (CA)
- …national coding guidelines and appropriate reimbursement requirements. Consults with medical providers to clarify missing or inadequate record information and to ... for medical records. For all assigned records and/or areas assures compliance with coding rules and regulations according to regulatory agencies for… more
- Veterans Affairs, Veterans Health Administration (Los Angeles, CA)
- …experience that indicates knowledge of medical terminology, anatomy, physiology, pathophysiology, medical coding , and the structure and format of a health ... full spectrum of services provided by the VAMC. Timely compliance with coding changes is crucial to...courses in medical terminology, anatomy and physiology, medical coding , and introduction to health records);… more