- Sharp HealthCare (Coronado, 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
- Humana (Sacramento, CA)
- …may require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, dispute, grievance, and appeals processes, and ... scope. The Medical Director may speak with contracted external physicians, physician groups, facilities, or community groups to support regional market priorities,… more
- Dignity Health (Bakersfield, CA)
- …project team management skills. - Advanced knowledge of healthcare claims processing, coding (ICD-10, CPT, HCPCS), and billing practices. - Proficiency in using a ... Organization (Dignity Health MSO) is to build a system-wide integrated physician -centric, full-service management service organization structure. We offer a menu of… more
- AccentCare, Inc. (West Hills, CA)
- …you! + LVN License preferred + 3-7 years of experience in facility/ physician relationships with a deep understanding of facility discharge processes, preferred. + ... Clients. + Requests, H&P, Discharge Summary, and other documents needed for ICD 10 coding by the CPOCC team, if not received with the referral information. Our… more
- Danaher Corporation (Brea, CA)
- …clinical testing, and are used in hospitals, reference and research laboratories, and physician offices around the world. Every hour around the world, more than one ... management software solutions - from documentation and design to configuration, coding , testing, implementation, and ongoing support. You will leverage your strong… more
- Sutter Health (Burlingame, 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
- Humana (Sacramento, CA)
- …duties include, but may not be limited to, an overview of coding practices and clinical documentation, grievance and appeals processes (including pharmacy), and ... The Medical Director may occasionally speak with contracted external physicians, physician groups, facilities, or community groups to support regional market… more
- 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
- Sutter Health (Oakland, 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 ... of care and associated regulatory compliance requirements. + General understanding of coding and DRG assignment process preferred. + Must be able to effectively… more