- Sharp HealthCare (San Diego, CA)
- …Case Management, Quality , etc.) in developing SHC's standardized documentation, medical necessity, coding and billing policies and guidelines in accordance ... the position, and employer business practices. **What You Will Do** The Compliance Coding Auditor is responsible for the administration of the Sharp HealthCare's… more
- Highmark Health (Sacramento, CA)
- …related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of ... (Outpatient): Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or… more
- CVS Health (Sacramento, CA)
- …Qualifications** + Minimum of 1 year recent and related experience in medical record documentation review, diagnosis coding , and/or auditing. + Completion ... every day. **Position Summary** + Responsible for performing audit and abstraction of medical records (provider and/or vendor) to identify and submit ICD codes that… more
- Datavant (Sacramento, CA)
- …As an Auditor , HCC Risk Adjustment Coder, you will review medical records to identify and code diagnoses using a standardized system, ensuring accurate ... to the table:** + Minimum 3 years of HCC coding experience + Minimum 2 years of HCC Auditing...Medicare, commercial, and Medicaid sectors. + In-depth knowledge of medical terminology, abbreviations, pharmacology, and disease processes. + Ability… more
- Humana (Sacramento, CA)
- …of our caring community and help us put health first** The Senior Inpatient Medical Coding Professional extracts clinical information from a variety of ... an in-depth evaluation of variable factors. **Responsibilities** The Senior Inpatient Medical Coding Professional confirms appropriate diagnosis related group… more
- Elevance Health (Costa Mesa, CA)
- …- Friday 8AM -5PM (local time) The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure ... **Diagnosis Related Group Clinical Validation Auditor -RN** **Virtual:** This role enables associates to work...an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and… more
- Datavant (Sacramento, CA)
- …vision for healthcare. **What We're Looking For:** As an HCC (Hierarchical Condition Category) Auditor you will review medical records that have been coded in a ... You Will Do:** + Audit coded charts assigned by quality supervisor per the client guidelines + Ability to...a diagnosis level + Answer rebuttals entered on the auditor by coders and or auditors + Participate in… more
- Scripps Health (San Diego, CA)
- …overall career. * Our specialties have been nationally recognized for quality in areas such as cardiovascular care, oncology, orthopedics, geriatrics, obstetrics ... Skills:* * Five (5) years experience in a Revenue Integrity, Coding or Auditing division. * Experience required with reimbursement methodologies, auditing… more