- 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
- Sedgwick (Glendale, 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
- CVS Health (Sacramento, CA)
- …and guidance to other engineers on privacy-aware development practices, secure coding , and data lifecycle protection. **REQUIRED QUALIFICATIONS** + 5+ years of ... affirmative action employer, and is an equal opportunity employer, as are the physician -owned businesses for which CVS Health provides management services. We do not… more
- Dignity Health (Bakersfield, CA)
- …care or healthcare environment. + Strong 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
- Stanford Health Care (San Jose, 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
- Sacramento Behavioral Healthcare Hospital (Santa Rosa, CA)
- …and coordinating the activities concerning analyzing, compiling, abstracting, transcribing, coding , indexing and filing of patient records. Ensures that the ... + Attend monthly credentials committee meetings. + Provide support to physicians, physician office staff, health plan contacts and company departments as necessary.… more
- Sedgwick (San Diego, 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
- Sharp HealthCare (San Diego, CA)
- …to: What the procedure is, how long it is going to take, physician involved, contrast administration and mode of delivery, positioning, instructions related to ... (contrast, fluoroscopy time, QC, resource, technical modifiers, technologist/student/RN/Radiologist).Provide correct coding of exams, billing modifiers, supplies.Depart patient in IDXrad… more
- Cedars-Sinai (CA)
- …including leading all aspects of the review for performance management and accurate coding . + Develops and supervise compliance with corrective action plans as a ... a compliance resource to CSHS and affiliates, including contracted and employed physician practices. + Aggregates, analyze, and report audit results, identify error… more
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