- 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
- TP-Link North America, Inc. (Irvine, CA)
- …source code to identify potential security vulnerabilities, ensure compliance with coding standards, and enhance the overall security posture of our applications. ... thorough audits of source code to identify vulnerabilities, security weaknesses, and coding inefficiencies. + Review and analyze code across a variety of programming… more
- Cognizant (Sacramento, CA)
- …M-F flexible hours An **inpatient hospital medical coder** is a healthcare professional responsible for reviewing and analyzing patient medical records from hospital ... on **ICD-10-CM** (International Classification of Diseases) and **PCS** (Procedure Coding System) standards. . **Responsibilities** + Review clinical documentation… more
- Providence (CA)
- …Specialist shall ensure that the Chargemaster (CDM) is consistent with all coding and billing regulations and accurately represents services provided. The Senior CDM ... for the training of Hospital ministry staff regarding the CDM Maintenance process, coding updates and charge capture improvement. The Senior CDM Specialist acts as a… more
- UCLA Health (Los Angeles, CA)
- …organization. Help ensure the operational efficiency of a complex health system. Take your professional expertise to the next level. You can do all this and more at ... UCLA Health. You will be responsible for coding diagnoses and procedures for assigned cases. This will...will involve using your knowledge of UCLA, AHA - Coding Clinic, and AMA - CPT Assistant guidelines, medical… more
- UCLA Health (Los Angeles, CA)
- …Drive internal customer satisfaction and the efficient processing of hospital charges. Take your professional expertise to the next level. You can do all of this and ... Medi-Cal, and other policies. You'll apply your extensive knowledge of hospital billing, coding , and pricing practices, as well as advanced data analysis skills, to… more