- Humana (Sacramento, CA)
- …of our caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ensure ... correct coding guidelines are met (eg, ICD-10-CM, CPT, HCPCS). The...associate engagement & your well-being. We also provide excellent professional development & continued education. **Use your skills to… more
- Elevance Health (Los Angeles, CA)
- **DRG Coding Auditor Principal** **_Virtual: _** _ _ This role enables associates to work virtually full-time, with the exception of required in-person training ... to recover, eliminate and prevent unnecessary medical-expense spending. The **DRG Coding Auditor Principal** is responsible for auditing inpatient medical records on… more
- Highmark Health (Sacramento, CA)
- …using skills including but not limited to Hierarchical Condition Category (HCC) Coding , medical coding , clinical terminology and anatomy/physiology, Centers for ... Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment Data Validation (RADV) Audits....or CERTIFICATIONS** **Required** (any of the following) + Certified Professional Coder (CPC) + Certified Risk Coder (CRC) +… more
- Emanate Health (Covina, CA)
- …and the #19 ranked company in the country. Job Summary The HCC Coding Specialist is responsible for the oversight and execution of HCC (Hierarchical Condition ... Category) and STAR Measures-related coding functions. This role collaborates closely with the IPA Director, Health Plan partners, MSO personnel, physicians, and… more
- Datavant (Sacramento, CA)
- …complex problems with technology-forward solutions. Datavanters bring a diversity of professional , educational and life experiences to realize our bold vision for ... healthcare. The Coding Supervisor serves as a working supervisor with oversight...daily basis, including education on time management and best coding practices. + Provide coaching and feedback on achieving… more
- Capital One (San Francisco, CA)
- …Master's Degree in Computer Science or a related field + 10+ years of professional experience coding in commonly used languages like Java, Python, Go, ... JavaScript/TypeScript, Swift, etc. + 10+ years of professional experience in the full lifecycle of system development, from conception through architecture,… more
- Sharp HealthCare (San Diego, CA)
- …**Shift** Day **FTE** 1 **Shift Start Time** **Shift End Time** Certified Professional Coder (CPC) - AAPC; Certified Coding Specialist--Physician-based (CCS-P) - ... materials and presenting to a large group of professionals. + Certified Professional Coder (CPC) - AAPC **OR** Certified Coding Specialist--Physician-based… more
- Capital One (San Francisco, CA)
- …Master's Degree in Computer Science or a related field + 10+ years of professional experience coding in commonly used languages like Java, Python, Go, ... JavaScript, TypeScript, Swift, + 7+ years of experience in event-driven systems and architecting scalable, fault-tolerant, highly-available services + 7+ years of experience in building high-performance API platforms and federated BFF architectures (GraphQL,… more
- Rady Children's Hospital San Diego (San Diego, CA)
- JOB SUMMARY: Under the direction of the Manager, Professional Billing & Coding , the Billing & Collections Rep I is responsible to review and process charges via ... our EMR system. They are responsible to process the paper charge tickets that are received for services provided at non-RCHSD locations. Using applicable reports, the incumbent ensures that all expected charges are received and entered from providers. This… more
- SpaceX (Hawthorne, CA)
- …Bachelor's degree in an engineering, math, or scientific discipline OR 2+ years of professional experience coding in an object-oriented language in lieu of a ... degree (including internships, design/build/compete project teams) + 1+ years of experience with a programming language such as Python, JavaScript, SQL, Linux PREFERRED SKILLS AND EXPERIENCE: + Strong competency in software development practices including… more