- 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...development needs. + Assist with investigative research related to coding questions, state and federal policies, and… 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
- 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
- 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
- Banner Health (CA)
- …you. **Requirements:** + **5 years recent experience in acute-care Inpatient facility-based medical coding (clearly reflected in your attached resume);** + **DRG ... principles, as recommended by the American Health Information Management Association coding competencies. Requires an in-depth knowledge of medical terminology,… 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