- LA Care Health Plan (Los Angeles, CA)
- Payment Integrity Nurse Coder RN III Job Category: Clinical Department: Claims Integrity Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ... net required to achieve that purpose. Job Summary The Payment Integrity Nurse Coder RN III is responsible for...Nurse (RN) - Active, current and unrestricted California License Certified Professional Coder (CPC) designation by the American Academy… more
- Molina Healthcare (San Diego, CA)
- …and responsibility for oversight, production, and resolution of Health Plan Payment Integrity (PI) recovery concepts. This role executes and monitors Health ... and State regulatory requirements are met for pre-pay edits, post payment datamining, and overpayment recovery which improves encounter submissions, reduces General… more
- Elevance Health (Costa Mesa, CA)
- **Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 - 2 days ... an accommodation is granted as required by law._ **Carelon Payment Integrity** is a proud member of the Elevance...Associate Degree in Nursing and/or current certification as a Certified Professional Coder (AAPC or AHIMA) and minimum of… more
- Emanate Health (Covina, CA)
- …**J** **ob Summary** Reporting to the Manager Physician Coding Services, the Certified Coder Professional will be responsible for reviewing an evaluating clinical ... within medical records to ensure high quality and compliant coding. The Certified Coder Professional will provide training, consultation, and feedback to clinicians… more
- Alameda Health System (Oakland, CA)
- Certified Coder + Oakland, CA + Information Systems + Health Information Servcies + Full Time - Day + 28.19 - 46.95 + Req #:41965-31091 + FTE:1 + Posted:August 6, ... current on changes in coding and billing standards. 3. Strives for the optimal payment to which the facility is legally entitled, remembering that it is unethical… more
- BrightSpring Health Services (San Bernardino, CA)
- …we encourage you to apply today! Qualifications: Must be a Board Certified Behavior Analyst (BCBA). Must have experience implementing Applied Behavior Analysis ... seated to standing regularly. + State Specific Requirements: + Illinois:Board Certified Behavior Analysts (BCBA), Licensed Clinical Psychologist, Board Certified … more
- BrightSpring Health Services (San Bernardino, CA)
- …we encourage you to apply today! Qualifications: Must be a Board Certified Behavior Analyst (BCBA). Must have experience implementing Applied Behavior Analysis ... or Master's Degree in Psychology, Counseling, or related discipline. Board Certified Behavior Analyst (BCBA) certification is required. * Computer Skills/Data Entry:… more
- Walmart (Roseville, CA)
- …refunds and exchanges using appropriate procedures for different membership and payment typesProvides Pharmacy products and services to Members in accordance with ... Company policies and procedures by assisting with processing prescription and OTC orders and purchases stocking and securing Pharmacy supplies and merchandise entering prescription information or filing prescriptions and completing and maintaining paperwork… more
- BrightSpring Health Services (Glendale, CA)
- …personal information (Social Security Number, credit card, driver's license, bank information, or payment for work equipment, etc.) from you via text or email. If ... you are suspicious of a job posting or job-related email mentioning our company, please contact us at ###@brightspringhealth.com . Click here (https://www.brightspringhealth.com/careers/frequently-asked-questions/) for additional FAQ information. Job… more
- Walmart (Chino, CA)
- …refunds, and exchanges using appropriate procedures for different membership and payment types. Provides Pharmacy products and services to Members in accordance ... with Company policies and procedures by assisting with processing prescription and OTC orders and purchases, stocking and securing Pharmacy supplies and merchandise, entering prescription information or filing prescriptions, and completing and maintaining… more
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