- Stanford Health Care (Palo Alto, CA)
- …may include reviewing prescription and diagnosis; acting as liaison with physician and supportive care personnel; preparing equipment, such as immobilization, ... records. + Displays a thorough understanding of radiation oncology billing and coding . Reviews treatment/ simulation documentation and billing on a daily basis for… more
- Sharp HealthCare (San Diego, CA)
- …Therapeutics.Committee changes such as new or revised guidelines, drafting Benefit Coding Requests, and communication of changes to PBM vendor.Performs training for ... includes rationale for denial, potential appropriate alternatives, proposed member and physician denial letter language. Pharmacy technicians are not authorized to… more
- Fujifilm (Sacramento, CA)
- …to include: + Order Entry and creation as well as physician decision support. + Patient Registration, precertification, authorization, data collection and ... trending. + Provide guidance to customer on best practice for proper billing, coding , and collection under current commercial and federal payer rules for local… more
- Sedgwick (Orange, CA)
- …claimant and client. + Ensures claim files are properly documented and claims coding is correct. + May process complex lifetime medical and/or defined period medical ... claims which include state and physician filings and decisions on appropriate treatments recommended by utilization review. + Maintains professional client… more
- Cedars-Sinai (Los Angeles, CA)
- …accounts with minimal assistance. Submits appeals and collect monies relative to physician reimbursement. Services as a technical resource (subject matter expert) to ... billing and collection practices. + Detailed knowledge of medical terminology and coding (ICD, CPT, HCPCS, procedure, bill type, diagnosis and revenue codes). +… more
- Sharp HealthCare (Chula Vista, CA)
- …time, QC, resource, technical modifiers, technologist/student/RN/Radiologist)Provide correct coding of exams, billing modifiers, suppliesDepart patient in ... to: What the procedure is, how long it is going to take, physician involved, contrast administration and mode of delivery, positioning, instructions related to… more
- Dignity Health (Woodland, CA)
- …medical findings, diagnoses, and treatment plans. + Ensure compliance with coding and billing regulations. **Diagnostic Procedures:** + Order and interpret ... Signing bonus, relocation incentive + Comprehensive healthcare benefits, 401K + Physician Wellness Program Salary Compensation: $533,095 **Dignity Health** _is a… more
- Humana (Sacramento, CA)
- …require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and outpatient ... scope. The Medical Director may speak with contracted external physicians, physician groups, facilities, or community groups to support regional market priorities,… more
- UCLA Health (Los Angeles, CA)
- …work as part of team and establish cooperative working relationships with administrators, physician , peers, and the public. + Skill in speaking with persons of ... + Knowledge of medical terminology + Knowledge of CPT and ICD-10 coding + Familiarity with insurance authorization process + Experience with varied computer… more
- Sutter Health (Modesto, CA)
- …the acute care patient experience. This position works in collaboration with the Physician , Utilization Manager, Medical Social Worker and bedside RN to assure the ... levels of care and associated regulatory compliance requirements. General understanding of coding and DRG assignment process preferred. Must be able to effectively… more