- CVS Health (Sacramento, CA)
- …clinical expertise in either written or verbal forms including communication with clinical or coding staff, federal regulators and vendor coding resources. + ... by clinical documentation in accordance with all State and Federal regulations and internal policies and procedures. + Proven...Minimum of 3 years recent and related experience in medical record documentation review, diagnosis coding , and/or… more
- Providence (Mission Hills, CA)
- …surgery, and diagnostic studies are included. Preparation will require completion of medical documentation audits and analysis of coding and billing patterns ... practice. The goal is to ensure compliance with federal , state, and private third-party payor coding ...3 years education of providers in ICD9 and CPT4 coding principles. + 3 years auditing medical … more
- Highmark Health (Sacramento, CA)
- …**GENERAL OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data ... arranges for education/training of facility healthcare professionals in use of coding guidelines and practices, proper documentation techniques, medical … more
- Ventura County (Ventura, CA)
- … coding practices are in compliance with ICD-10 CM/PCS and CPT coding guidelines, Federal and State regulations and Payer-specific guidelines as required; ... education to the physicians on documentation requirements to establish medical necessity based on coding guidelines for assignment of accurate DRG and SOI, ROM… more
- CenterWell (Sacramento, CA)
- **Become a part of our caring community and help us put health first** The Medical Coding Professional extracts clinical information from a variety of medical ... codes (eg, ICD-10-CM, CPT) to patient records. The Medical Coding Professional 2 work assignments are...wholly owned subsidiary of Humana, complies with all applicable federal civil rights laws and does not discriminate on… more
- 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 ... health information, healthcare administration, or a related field. + **Certification in medical coding (CRC- Certified Risk Adjustment Coder) or demonstrated… more
- Providence (CA)
- **Description** ** Coding Policy Analyst** **_Remote_** The Coding Policy Analyst is responsible for the coordination of technically detailed work that has a ... within Providence Health Plan (PHP). This position will update and create Coding Policies and associated edit configurations within the PHP claims editing system.… 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 + ... Description UCLA Health is seeking a highly experienced Professional Coding Department Manager to oversee daily operations for a multi-specialty coding team… more
- Datavant (Sacramento, CA)
- …will provide superior quality by performing audits pertaining to risk adjustment coding efforts. The individual will be responsible for daily operations pertaining ... assurance program + Play a key role in ensuring coding compliance and accuracy + Monitor the performance of...new and existing services, while ensuring compliance with organizational, federal , state, and third-party requirements. + Assist in the… more
- Humana (Sacramento, CA)
- …by ensuring compliance with governmental requirements for clinics across both federal and state requirements. The work assignments involve moderately complex to ... Research compliance issues and recommends changes that assure compliance with federal and/or state requirements related to Provider Clinic operations, billing,… more