- Avispa Technology (Los Angeles, CA)
- …on client needs and business objectives. * Interface with executive and physician leadership to present findings and recommendations. * Audit data from multiple ... * Experience using Visio and Microsoft Publisher. * Familiarity with healthcare coding systems (eg, ICD-10-CM/PCS, UB-04, HCPCS, MS DRG, CPT). * Understanding of… 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. ... care programs including HMO, PPO, and POS and with ICD-9 and CPT 4 coding preferred. For candidates working in person or virtually in the below location(s), the… more
- Sutter Health (Roseville, 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
- 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
- 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
- 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
- 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 Francisco, 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
- 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
- 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
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