- Sedgwick (Los Angeles, CA)
- …in Financial Services & Insurance Sr. Claims Specialist, Medical Malpractice | Professional Liability | California **PRIMARY PURPOSE** : To analyze complex or ... needed. + Communicates claim activity and processing with the client; maintains professional client relationships. + Ensures claim files are properly documented and… more
- Sharp HealthCare (San Diego, CA)
- …**FTE** 1 **Shift Start Time** **Shift End Time** Bachelor's Degree; Certified Professional Coder (CPC) - AAPC **Hours** **:** **Shift Start Time:** Variable **Shift ... and hiring teams. **What You Will Do** To provide coding support and appeal guidance relating to reimbursement issues....account follow up in a business office + Certified Professional Coder (CPC) - AAPC -REQUIRED **Preferred Qualifications** +… more
- Ascension Health (Redlands, CA)
- …(ICD), Current Procedural Terminology (CPT) or Healthcare Common Procedure Coding System (HCPCS) codes, creating Ambulatory Patient Classification (APC) or ... (DRG) assignments. + Obtain acceptable productivity/quality rates as defined per coding policy. + Querie physicians when code assignments are not straightforward… more
- Sutter Health (Sacramento, CA)
- …for activities which improve the accuracy of facility outpatient clinical documentation coding and charging, including education with the clinical departments and ... coding staff and root cause correction to support accurate...or General Education Diploma (GED) **CERTIFICATION & LICENSURE:** CPC-Certified Professional Coder OR COC-Certified Outpatient Coder OR RHIA- Registered… more
- Highmark Health (Sacramento, CA)
- …Technician (RHIT) + Registered Health Information Associate (RHIA) + Certified Coding Specialist Physician (CCS-P) + Certified Professional Coder (CPC) ... and apply diagnoses and procedures utilizing ICD and CPT coding systems and assists in decreasing the average accounts...and cash flow as it pertains to the unbilled coding report. (10%) + Keeps informed of the changes/updates… more
- Highmark Health (Sacramento, CA)
- …Clinical Criteria Writing:** Research, analyze, and synthesize clinical literature, professional society guidelines, and internal data to develop clear, concise, ... clinical outcomes, cost, and member experience. + **Operational Integration & Coding :** Engage non-clinical teams to ensure operational guidelines are aligned with… more
- Cedars-Sinai (Los Angeles, CA)
- …with established timelines. The Specialist: + Performs accurate and timely coding charge posting (CPT, ICD-10, HCPCS, modifiers) + Maintains familiarity with ... such issues as CMS coding regulations, Medicare rules, visits and procedures on the...including (but limited to) documentation and files in a professional and confidential manner. + Supports CSHS core values,… more
- J&J Family of Companies (Orange, CA)
- …authorizations and appeals, reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations (local payers, government payers, ... of national, regional, local, and account market dynamics including coverage and coding requirements. + Grow the knowledge of hub and specialty distribution channels… more
- Highmark Health (Sacramento, CA)
- … coding courses in anatomy, physiology and medical terminology + Certified Coding Specialist (CCS) **OR** Certified In-patient Professional Coder (CIC) + ... data, interpret and apply diagnoses and procedures utilizing ICD coding systems and assists in decreasing the average accounts...and cash flow as it pertains to the unbilled coding report. (10%) + Keeps informed of the changes/updates… more
- University of Southern California (Alhambra, CA)
- …Specialist shall ensure that the Chargemaster (CDM) is consistent with all coding and billing regulations and accurately represents services provided. This includes ... meetings to evaluate department charge processes to improve charge capture and coding compliance. The Senior RI Specialist also coordinates with Keck Medical Center… more