- Dignity Health (San Luis Obispo, CA)
- …patient safety and risk reduction, patient experience, efficiency, FMEAS, root cause analyses and medical staff improvement (eg case review for peer review , ... an acute care setting + Must be able to perform case reviews for medical staff peer review and medical and/or surgical Registry Abstraction + One (1) year… more
- United Therapeutics (Sacramento, CA)
- …development + Knowledge of data entry processing, from start to finish (QC, medical review , regulatory submissions) + Prior clinical or post marketing experience ... process improvements, and strengthens overall ICSR quality including retrospective review and ensuring proactive corrective/preventive actions are implemented to… more
- LA Care Health Plan (Los Angeles, CA)
- …external providers. Complete medically tailored meals dietary assessments through electronic medical record review , telephonic assessment with members, and ... The Health Educator II Registered Dietitian provides nutritional counseling as Medical Nutrition Therapy and Diabetes Self-Management Education and completes dietary… more
- Sharp HealthCare (San Diego, CA)
- …that are not medically necessary and/or not covered benefit and refer to Utilization Review Committee. Ensures that all denials for medical necessity are issued ... relevant, comprehensive information and data according to specifications.Complete comprehensive medical record review to gather information.Communicate effectively… 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 with ... compassion to patients on behalf of the organization. Analytical skills, including medical record review /analysis, investigate of quality of care complaints and… 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 review ... 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
- 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 ... projects. The position serves as a subject matter expert (SME), performing medical records reviews to include quality audits as well as validation of accuracy and… more
- Datavant (Sacramento, CA)
- …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 ... attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a...testing to be given annually in accordance with employee review **What We Offer:** + Benefits for Full-Time employees:… more
- Datavant (Sacramento, CA)
- …bold vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses using a standardized ... 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 for the… more
- Canon USA & Affiliates (Sacramento, CA)
- …of the business unit. + Support regulatory activities by managing image quality review with external medical experts, providing clinical expertise, and reviewing ... **Mgr Medical Affairs - Clinical Development Sr - HIT...and external experts. Support marketing in developing collaterals and review of collaterals for clinical accuracy and adherence to… more