- University of Southern California (Alhambra, CA)
- …rules, guidelines, and conventions. * Ability to improve APC/HCC assignments based on medical necessity documentation & coding of PDx, SecDx, and CPT/HCPCS in ... Medical Terminology, Anatomy & Physiology and a certified coding course. Must possess a thorough knowledge of ICD/DRG...competencies. + Req 10 years Experience in ICD, CPT/HCPCS coding of inpatient & outpatient medical records… more
- CenterWell (Sacramento, CA)
- …required: RHIA, RHIT, CCS, CRC, or CPC + Minimum 5 years' progressive experience in medical coding operations + Minimum of 3 years' direct experience managing or ... degree preferred. **Knowledge, Skills, and Abilities** + Advanced understanding of medical coding guidelines, healthcare regulations (including HIPAA, state and… more
- Ventura County (Ventura, CA)
- …Specialist certification combined with extensive supervisory experience overseeing other coding specialists. PAYROLL TITLE: Senior Program Administrator ... cases; + Provides education to the physicians on documentation requirements to establish medical necessity based on coding guidelines for assignment of accurate… more
- Cytel (Sacramento, CA)
- …knowledge of medical terminology, clinical trial processes, regulatory requirements, and coding best practices. The Senior Medical Coder serves as ... The Senior Medical Coder plays a critical...The Senior Medical Coder plays a critical role in supporting...to maintain high-quality data that meet global regulatory standards. ** Medical Coding ** + Perform complex medical… more
- University of Southern California (Alhambra, CA)
- …department charge processes to improve charge capture and coding compliance. The Senior RI Specialist also coordinates with Keck Medical Center of USC ... the billing system and CDM management tools . The Senior RI Specialist shall ensure that the Chargemaster (CDM)...combination of clinical service delivery (nursing or allied health), coding , provider billing, medical records, charge audit… more
- Oracle (Sacramento, CA)
- …clinical data and technology, as we aim to develop cutting-edge AI solutions for medical coding and billing processes. The successful candidate will play a ... Role:** We are seeking a highly skilled and experienced Senior Inpatient HIM Coder to join our dynamic healthcare...to the creation and improvement of AI models for medical coding . + Utilize your extensive knowledge… more
- Humana (Sacramento, CA)
- …part of our caring community and help us put health first** The Senior Medical /Financial Risk Evaluation Professional is responsible for supporting the ... development, implementation and monitoring of medical /financial risk. The Senior Medical /Financial...Medicare Advantage and Medicaid State Regulations + Certified Professional Coding (AAPC) + Previous experience working with the internal… more
- City National Bank (Los Angeles, CA)
- *PLATFORM SENIOR DEVELOPER* WHAT IS THE OPPORTUNITY? Under the general supervision of the CNB IT Platform leadership, the Senior Platform Developer will perform ... performance. Specific tasks may consist of solution design and coding , performing unit testing, and providing on-call technical and..., CI/CD , Agile development and Design thinking.At the senior level, an emphasis is placed on mentoring staff,… more
- City National Bank (El Segundo, CA)
- * SENIOR SOLUTIONS ARCHITECT* WHAT IS THE OPPORTUNITY? Senior Solution Architect is responsible for designing, developing and maintaining on-premises and cloud ... other Team Members. Participates in creating SDLC, Architecture, Design and Coding standards. Identifies complex business problems and participates in generating… more
- Oracle (Sacramento, CA)
- …+ Knowledge of medical and insurance terminology, MS-DRG, APR-DRG, CPT, ICD coding structures, and billing forms (UB, 1500). + Experience with coding , ... clinical and reimbursement tasks such as charting, documentation, and coding by applying power of generative AI. Our diverse...in this exciting arena. We are looking for a Senior Claims Denial Prevention and Appeals Specialist for providing… more