- Cognizant (Sacramento, CA)
- …system data and verify against UB or HCFA paper or EDI information. + Evaluate medical records to determine if the service rendered was medically appropriate and ... regarding health coverage as stated in the employer's plan document . You will be valued member of the Cognizant...+ Knowledge of physician practice and hospital coding, and medical terminology, CPT, HCPCA, ICD-10 + Experience making payments… more
- The County of Los Angeles (Los Angeles, CA)
- …grievances and disciplinary problems. Other positions are assigned such functions as: review and analysis of State, Federal and local legislation and regulations ... the field. Evaluates performance by determining effectiveness in enforcing applicable medical care standards and regulations, counseling evaluators for purposes of… more
- Cognizant (Sacramento, CA)
- …with the corresponding UB, HCFA paper, or EDI information. + Responsible for reviewing medical records when necessary to determine if the service rendered was ... **Fully Remote US Based** Claims Processors to join our growing team. The ** Medical ** **Claims Processor** is responsible for the timely and accurate adjudication of… more
- Sharp HealthCare (San Diego, CA)
- …in-patient Care Management program that includes initial and concurrent review ; case management/discharge planning activities. Responsible for operational planning ... consistent with existing policies and/or principles. Responsible for managing medical management activities to include tracking, trending and analyzing UM data.… more
- The County of Los Angeles (Los Angeles, CA)
- …contractors and other IT technical staff in order to design, develop, code review , build, test, demo, document , deploy, and maintain business applications as ... information regarding education, please see the Employment Information (http://file.lacounty.gov/SDSInter/dhr/247636\_EmploymentInformation.pdf) document on the LA County Jobs website. If you… more
- The County of Los Angeles (Los Angeles, CA)
- …reports, issues citations or violations and collects appropriate fees. + Maintains records and prepares reports on inspections, pest control activities and related ... official transcript, or letter/certificate from an accredited institution. The document must clearly demonstrate the degree(s) you are in...will need a copy of your form DD214 to review , so please include that in your application or… more
- The County of Los Angeles (Los Angeles, CA)
- …pests and diseases; pesticide use applications, storage equipment, worker safety records , and pesticide illness complaints; shipments for compliance with labeling, ... by analyzing information; investigating code violations; gathering evidence; maintaining records ; and following standard English, grammar, mechanics, punctuation, and… more
- Stanford Health Care (Menlo Park, CA)
- …tangible results for both the facility and the planet. + **Lead Medical Sustainability Projects:** Steer the preparation, progress, and reporting for sustainability ... Reinvestment Program (CSRP). You'll provide concise verbal and written summaries, document approvals, and ensure alignment with our sustainability goals. +… more
- The County of Los Angeles (Los Angeles, CA)
- …Supervises professional accounting systems analysis work in connection with the review , development, and implementation of large scale and complex computerized and ... Supervises the evaluation of control systems. + Supervises the review of audit findings prepared by the County Auditor...calendar days from application submission to ###@ph.lacounty.gov . The document should be in English; if it is in… more
- The County of Los Angeles (Los Angeles, CA)
- …(CDU), DHS hospitals are training sites for physicians completing their Graduate Medical Education in nearly every medical specialty and subspecialty. In ... addition, to its direct clinical services, DHS also runs the Emergency Medical Services (EMS) Agency and the County's 911 emergency response system, as well as… more