- Sharp HealthCare (San Diego, CA)
- …Collaborate with clinical team to communicate changes in pre-authorization, denial, medical review , appeals, managed care contracts, and referrals to ... of financial planning for their transplant surgery, VAD implant, and future medical needs as well as assuring transplant department billing compliance. The primary… more
- Elevance Health (Cerritos, CA)
- …and medical records to either approve or summarize and route to nursing and/or medical staff for review . + The grievance and appeal work is subject to ... to convey the determination. + Responsibilities exclude conducting any utilization or medical management review activities which require the interpretation of… more
- CoreCivic (California City, CA)
- …duplication of those services. + Maintain absolute security and confidentiality of all medical records. Review medical files to determine all provided ... physician, provides advanced nursing services and patient care in the facility's medical program to inmates/residents. The successful applicant should be able to… more
- Bristol Myers Squibb (San Diego, CA)
- …Team (SDT) and may be a member of the Clinical Development Team (CDT) + Leads medical data review of trial data, including eligibility review + Holds ... / Objective** + Serves as a primary source of medical accountability and oversight for multiple clinical trials +...the disease area by attending scientific conferences and ongoing review of the literature + Keeps abreast of development… more
- Veterans Affairs, Veterans Health Administration (Palo Alto, CA)
- …VBA/DoD Integrated Disability Evaluation System (IDES). This includes interview and examination, medical record review , medical opinion formulation, and ... issues/concerns, proposing needed changes in operating procedures and policies for review in consultation with leadership. Remains knowledgeable about current Joint… more
- Cedars-Sinai (Torrance, CA)
- …services for appropriate pseudo-code creation. + Identifies possible coding deficiencies through charge/ medical record review and coordinates coding review ... 19 years in a row for providing the highest-quality medical care in Los Angeles. We also were awarded...knowledge of assigned areas for accurate assessment of charge review . + Inputs specialty or cosmetic charges, creates manual… more
- Wellpath (Roseville, CA)
- …and assisting with civil commitments when necessary. Psychiatrists also participate in medical review committees and deliver consultations to facility staff. ... * Growth and training **Perks and Benefits** In addition to comprehensive benefits including medical , dental, vision, paid time off, and 401k, we foster a work, life… more
- Prime Healthcare (Redding, CA)
- …information, visit www.shastaregional.com. Responsibilities Coder/Coding Coordinator would contribute towards medical record review and analysis while utilizing ... Overview Shasta Regional Medical Center is a 226-bed acute care facility...in scanning, indexing, analysis, etc. Participates in other chart review projects and other duties as assigned. Qualifications EDUCATION,… more
- Dignity Health (Sacramento, 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
- AbbVie (Irvine, CA)
- … by Medical , Regulatory and Legal partners + Manages the weekly review Medical /Legal/Regulatory meeting agenda and supports client and senior account leads ... that solve serious health issues today and address the medical challenges of tomorrow. We strive to have a...and needs + Ensure all deliverables are ready for review prior to the formal submission in Veeva and… more