- LA Care Health Plan (Los Angeles, CA)
- …or external providers. Complete medically tailored meals dietary assessments through electronic medical record review , telephonic assessment with members, ... The Health Educator II Registered Dietitian provides nutritional counseling as Medical Nutrition Therapy and Diabetes Self-Management Education and completes dietary… more
- LA Care Health Plan (Los Angeles, CA)
- … medical and reimbursement policies within the claim adjudication process through medical record review for Payment Integrity and Utilization Management ... position serves as a subject matter expert (SME), performing medical records reviews to include quality audits...lead on any issues identified during research or claims review . Applies subject expertise in evaluating business operations and… more
- Sutter Health (San Francisco, CA)
- …but is not limited to issue clarification through interviews with patients and families, medical record review , policy and procedure review , interviews ... to patients on behalf of the organization. Analytical skills, including medical record review /analysis, investigate of quality of care complaints and… more
- Datavant (Sacramento, CA)
- …with carving out OBS hours a plus but not required. **What You Will Do:** + Review medical records and assign accurate codes for diagnoses and procedures. + ... Assign and sequence codes accurately based on medical record documentation. + Assign the appropriate...testing to be given annually in accordance with employee review **What We Offer:** + Benefits for Full-Time employees:… more
- Datavant (Sacramento, CA)
- …our bold vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses using a ... severity of a patient's health status. **You will:** + Review , analyze, and code diagnostic information in a patient's..., analyze, and code diagnostic information in a patient's medical record based on client specific guidelines… more
- Sharp HealthCare (San Diego, CA)
- …relevant, comprehensive information and data according to specifications.Complete comprehensive medical record review to gather information.Communicate ... necessary and/or not covered benefit and refer to Utilization Review Committee. Ensures that all denials for medical... Review Committee. Ensures that all denials for medical necessity are issued under the direction of the… more
- Cedars-Sinai (Los Angeles, CA)
- …new services for appropriate pseudo-code creation. Identifies possible coding deficiencies through charge/ medical record review and coordinates coding ... knowledge of assigned areas for accurate assessment of charge review . + Inputs specialty or cosmetic charges, creates manual...PB - Group 3 CSMCF **Business Entity** : Cedars-Sinai Medical Center **Job Category** : Patient Financial Services **Job… more
- Human Longevity, Inc. (San Francisco, CA)
- …fulfill incoming and outgoing record requests + Ensure timely retrieval of external medical records to support scheduled client visits + Submit records ... Medical Records Associate Join Our Innovative...with HIPAA and internal privacy protocols when handling all records + Support special projects or bulk record… more
- Datavant (Sacramento, CA)
- …**What We're Looking For:** As an HCC (Hierarchical Condition Category) Auditor you will review medical records that have been coded in a standardized ... and or auditors + Participate in weekly coding project review meetings + Any other tasks asked by quality...CIC or CRC) + A strong knowledge base of medical terminology, medical abbreviations, pharmacology, and disease… more
- City and County of San Francisco (San Francisco, CA)
- …and review police reports, victim and witness statements, plus lab and medical reports. Review Body Worn Camera footage. Conduct extensive interviews of ... victims, witnesses, and suspects. Digitally audio record the interviews and write interview reports and summaries,...obtain documents and digital media, such as patient treatment records and video surveillance footage. With the utmost discretion,… more