• Compliance Auditor - Regulatory Compliance - Sharp…

    Sharp HealthCare (San Diego, CA)
    …Administrative Contractor) requirements. **Required Qualifications** + 3 Years experience auditing coding and medical record documentation in an ambulatory care ... guidelines and procedures to assist in provider's understanding of requirements for medical documentation and coding .Performs training for new providers with… more
    Sharp HealthCare (03/20/25)
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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 ... Cycle where you will have primary accountability for the oversight of Coding , Clinical Documentation Integrity (CDI) and Health Information Management HIM. The… more
    Scripps Health (05/16/25)
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  • Senior Medical Director PV and MM

    Kelly Services (South San Francisco, CA)
    … contact person for questions related to clinical trial and for emergency unblinding. * Medical review of coding , ensure accuracy of MedDRA coding of adverse ... events' terms, medical history, and WHO Drug coding of concomitant medications. * Medical review..., dental, vision, telemedicine, term life, whole life, accident insurance , critical illness, a legal plan, and short-term disability.… more
    Kelly Services (06/07/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Costa Mesa, CA)
    …you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance ... of medical audit activities. + Draws on advanced ICD-10 coding expertise, mastery of clinical guidelines, and industry knowledge to substantiate conclusions. +… more
    Elevance Health (06/04/25)
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  • Pre-Service Utilization Management LVN

    Dignity Health (Bakersfield, CA)
    …and ability to apply or modify as appropriate. - Knowledge of ICD-10, CPT, HCPCS coding , medical terminology and insurance benefits. - Knowledge of legal and ... levels of hierarchy and composition of compliant denial notices to review medical records, authorize requested services and prepare cases for physician review based… more
    Dignity Health (05/15/25)
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  • Revenue Cycle Manager - Ambulatory Care

    Ventura County (Ventura, CA)
    …procedural changes, as well as to keep team informed of changes to coding , health plans/programs or other regulatory requirements; + Conducts monthly meetings with ... billing guidelines and updates; + Identifies and monitors compliance of coding and billing of all interdepartmental functions, services, supplies, medications, and… more
    Ventura County (04/03/25)
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  • Accounts Receivable Insurance Collector

    Cardinal Health (Fresno, CA)
    …of trust with customers and internal business partners.. **Job Summary:** The AR Insurance Collector is responsible for the timely follow-up and resolution of ... insurance claims. This role ensures accurate and efficient collection...claim discrepancies. + Maintain up-to-date knowledge of payer policies, coding changes, and reimbursement guidelines. + Ensure compliance with… more
    Cardinal Health (03/26/25)
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  • RCM Cash Application Specialist

    ZOLL Medical Corporation (San Jose, CA)
    …teams to ensure timely and accurate payment processing. Stay updated on insurance regulations, coding changes, and billing guidelines. Maintain confidentiality ... to ensure timely and accurate payment processing. + Stay updated on insurance regulations, coding changes, and billing guidelines. + Maintain confidentiality… more
    ZOLL Medical Corporation (06/05/25)
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  • Exercise Physiologist

    Lompoc Valley Medical Center (Lompoc, CA)
    …+ This position reports to the Clinical Manager and the Cardiac Rehab Medical Director oversees clinical duties. + Provides various types of muscular endurance ... families who participate in the program. + V erify insurance coverage and obtain insurance authorization when...+ Maintains EMR documentation to ensure efficient and accurate coding and billing of services. + Determine when assistance… more
    Lompoc Valley Medical Center (06/05/25)
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  • Clinical Documentation Improvement (CDI)…

    Guidehouse (Escondido, CA)
    …reflects our commitment to creating a diverse and supportive workplace. Benefits include: + Medical , Rx, Dental & Vision Insurance + Personal and Family Sick ... documentation clarification. In this role, you will collaborate closely with Coders, Coding Educators, Coding Quality Auditors, Case managers, Quality Department… more
    Guidehouse (04/25/25)
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