• Lead Clinical Systems Analyst - Epic Resolute…

    Stanford Health Care (Palo Alto, CA)
    …- Charge capture workflow knowledge - Prior experience supporting hospital and/or professional coding workflows Certification requirements, at least one of the ... following Epic certifications: - Resolute Professional Billing - Resolute Hospital Billing - Charge Router...information from coworkers and clients in a tactfully and professional manner + Ability to use effective approaches for… more
    Stanford Health Care (11/20/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Walnut Creek, CA)
    …Documentation Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such ... + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance...our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors… more
    Elevance Health (01/07/26)
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  • Revenue Cycle Specialist IV (ENT)

    Cedars-Sinai (Torrance, CA)
    …or collection experience required. + Active CPC. + A minimum of 5 years of professional coding highly preferred. + High school diploma or GED required. College ... level courses in finance, business or health insurance preferred. + Strong English proficiency, including using proper spelling and grammar, and solid verbal communication skills. + Business math skills including ability to add, subtract, multiply and divide… more
    Cedars-Sinai (12/11/25)
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  • Senior Coding Denials Management Specialist…

    University of Southern California (Los Angeles, CA)
    Coding Clinic, and CPT Assistant to maintain knowledge of the principles of coding . * Keep up-to-date and reviews other professional journals and newsletters ... In accordance with current federal & state coding compliance regulations and guidelines, the HIM ...and respond appropriately; handle special requests in a sensitive, professional manner. Demonstrates the ability to perform in-depth clinical… more
    University of Southern California (01/11/26)
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  • Program Management Lead, Offshore Coding

    CenterWell (Sacramento, CA)
    …and help us put health first** The Program Management Lead, Offshore Coding Operations conducts quality assurance audits of medical records and ICD-9/10 diagnosis ... Services (CMS) and other government agencies. The Program Management Lead, Offshore Coding Operations works on problems of diverse scope and complexity ranging from… more
    CenterWell (01/06/26)
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  • Medical Coding Auditor

    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
    Humana (01/07/26)
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  • DRG Coding Auditor Principal

    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
    Elevance Health (12/24/25)
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  • Hierarchical Condition Category (HCC)…

    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
    Highmark Health (12/19/25)
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  • HCC Coding Specialist - Exempt - Full Time…

    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
    Emanate Health (10/17/25)
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  • Supervisor, HCC Risk Adjustment Coding

    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
    Datavant (12/30/25)
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