- Fresenius Medical Center (Newport Beach, CA)
- …the Annual Standing Order Review and Internal Classification of Disease (ICD) coding . + Manages clinic financials including efficient utilization of supplies or ... scheduling and payroll. PHYSICIANS: + Facilitates the application process for physician privileges and compliance with Fresenius Medical Care Medical Staff By-Laws.… more
- Dignity Health (Bakersfield, CA)
- …to review medical records, authorize requested services and prepare cases for physician review based on medical necessity. The position partners with both the ... to apply or modify as appropriate. - Knowledge of ICD-10, CPT, HCPCS coding , medical terminology and insurance benefits. - Knowledge of legal and ethical… more
- Dignity Health (Woodland, CA)
- …medical findings, diagnoses, and treatment plans. + Ensure compliance with coding and billing regulations. **Diagnostic Procedures:** + Order and interpret ... a growing multispecialty group, is seeking to add a BE/BC Gastroenterology Physician . Candidates with ERCP preferred, but not required. **Opportunity Highlights:** +… more
- Sharp HealthCare (Chula Vista, CA)
- …and effective manner. + Daily operationsMaintains department regulatory requirements.Verify physician order and utilizes RIS correctly to complete all ... out appropriate information (contrast, QC, resource, technical modifiers, billing modifiers, coding of exam, technologist / student / RN / Radiologist).Complete no… more
- Fresenius Medical Center (San Bernardino, CA)
- …Annual Standing Order Review and Internal Classification of Disease (ICD) coding . *Manages clinic financials including efficient utilization of supplies or equipment ... staff scheduling and payroll. PHYSICIANS: Facilitates the application process for physician privileges and compliance with Fresenius Medical Care Medical Staff… 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
- Sedgwick (Roseville, 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
- 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
- Dignity Health (Bakersfield, CA)
- …Visual Analytics, Business Rues Manager, Model Manager, SQL and SAS coding . Previous experience with analyzing large datasets and developing data-driven statistical ... 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
- Medtronic (CA)
- …authorization requirements and obtaining authorization when required. Works directly with physician offices and payers to facilitate patient access to various ... of relevant experience **Nice to Have** + 4 years of experience + AAPC Coding Certificate + College Degree + Sales Force User + Customer Service Experience… more