- Stanford Health Care (Palo Alto, CA)
- …assisting program(2) Completion of medical assistant training by a licensed physician or podiatrist(3) Certification as medical assistant through a Medical Board ... to use and apply medical terminology in performing his/her duties.* Knowledge of coding and billing regulations.* Knowledge of computer systems and software used in… more
- Parexel (Sacramento, CA)
- …documents written by various Parexel divisions for safety issues. + Review coding of adverse events and concomitant medications for accuracy and consistency. + ... or pediatric clinical patient care. Past experience as a Medical Monitor, Physician in Industry, or as a Clinical Trial Primary Investigator or Sub-Investigator… more
- Elevance Health (Los Angeles, CA)
- …outside of the client health plan network. + Notifies ordering physician or rendering service provider office of the preauthorization determination decision. ... and Experiences:** + Familiarity with Utilization Management Guidelines, ICD-9 and CPT-4 coding , and managed health care including HMO, PPO and POS plans strongly… more
- CVS Health (CA)
- …appeals, and reviews of claim determinations, providing clinical expertise and judgement. Coding and reimbursement expertise is also appreciated but not required. As ... a physician leader, you will also maintain your clinical expertise through continuing education and other activities. **Required Qualifications** *2 or more years of… more
- Stanford Health Care (Palo Alto, CA)
- …assisting program(2) Completion of medical assistant training by a licensed physician or podiatrist(3) Certification as medical assistant through a Medical Board ... use and apply medical terminology in performing his/her duties. + Knowledge of coding and billing regulations. + Knowledge of computer systems and software used in… more
- Stanford Health Care (Palo Alto, CA)
- …assisting program* (2) Completion of medical assistant training by a licensed physician or podiatrist* (3) Certification as medical assistant through a Medical Board ... use and apply medical terminology in performing his/her duties. + Knowledge of coding and billing regulations. + Knowledge of computer systems and software used in… 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
- Stanford Health Care (Palo Alto, CA)
- …+ Identify opportunities to improve utilization, quality of care, access issues and physician profiling. + Acts as a resource for provider and patient education as ... (Milliman, Inferqual, Medicare, Health Plan) + Knowledge of medical terminology and medical coding , including but not limited to ICD-10, CPT, HCPCS, ASA + Knowledge… 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
- Sharp HealthCare (San Diego, CA)
- …working knowledge of claims processing, contract adjudication, and CPT/ICD 10 and HCPCS coding . + Ability to maintain good working relationships with Physician ... and Provider representatives is critical and is required. + Demonstrate analytical ability in a health related or claims adjudication system environment. Sharp HealthCare is an equal opportunity/affirmative action employer. All qualified applicants will… more