• Certified Coding Supervisor - Health…

    Ventura County (Ventura, CA)
    …Department in relation to the overall hospital goals; in coordination with the Medical Records Director and subordinate supervisors; + Assists in managing a ... education to the physicians on documentation requirements to establish medical necessity based on coding guidelines for assignment of accurate DRG and SOI, ROM… more
    Ventura County (06/12/25)
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  • Special Investigation Unit (SIU) Coding…

    CVS Health (Sacramento, CA)
    …coders within 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...contact for the team in the absence of the director , ensuring continuity of operations and support. + Develop… more
    CVS Health (08/08/25)
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  • Manager, Risk Adjustment Coding Support

    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 Be ... coding questions and issues. + Collaborate with the coding director to develop policies, procedures, and...healthcare administration, or a related field. + **Certification in medical coding (CRC- Certified Risk Adjustment Coder)… more
    Evolent (08/14/25)
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  • Professional Coding Department Manager

    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 + ... team within the Patient Billing Office. Reporting to the Director of Coding , this role manages ...adapt in a fast-paced environment + Experience with electronic medical records, preferably UCLA Health systems + Strong problem-solving… more
    UCLA Health (07/24/25)
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  • Sr Compliance RCM & Coding Auditor

    Humana (Sacramento, CA)
    …mitigate risks. The Senior Clinical Compliance Professional will support the Director of Compliance, by ensuring compliance with governmental requirements for ... years of healthcare experience in revenue cycle management (related to billing, coding , collections for Medicare and Medicaid claims) + Experience with Auditing and… more
    Humana (08/23/25)
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  • Senior Director , Revenue Cycle

    Scripps Health (San Diego, CA)
    … Clinic and other relevant industry standard guidelines. * Provides input to coding and medical record documentation guidelines to assure compatibility and ... This Senior Director position is eligible to participate in the...you will have primary accountability for the oversight of Coding , Clinical Documentation Integrity (CDI) and Health Information Management… more
    Scripps Health (08/15/25)
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  • Medical Director - National Medicare

    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 ... Medical Director work assignments involve moderately complex to complex issues...conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes,… more
    Humana (08/21/25)
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  • Associate Medical Director…

    Sumitomo Pharma (Sacramento, CA)
    …seeking a dynamic, highly motivated, and experienced individual for the position of **Associate Medical Director .** The Associate Medical Director will ... for SMPA investigational and commercial products. The incumbent will provide medical safety support for safety signal management throughout product lifecycle… more
    Sumitomo Pharma (08/15/25)
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  • Director , Prospective + Concurrent Risk…

    Datavant (Sacramento, CA)
    …requirements, medical record standards, and regulatory guidance impacting concurrent coding or risk adjustment. + Product experience integrating into EHRs or ... experiences to realize our bold vision for healthcare. **Role Overview** As the Director of Prospective + Concurrent Risk Adjustment Products, you will lead the… more
    Datavant (08/08/25)
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  • Health Information Management Director

    HCA Healthcare (San Jose, CA)
    …to join an organization that invests in you as a Health Information Management Director ? At Good Samaritan Hospital, you come first. HCA Healthcare has committed up ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...We are looking for a dedicated Health Information Management Director like you to be a part of our… more
    HCA Healthcare (06/21/25)
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