- Elevance Health (Los Angeles, CA)
- …documentation supports the conditions and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims. **How you will make ... and formulate detailed audit findings letters. + Maintains accuracy and quality standards as established by audit management. + Identifies potential documentation… more
- ASM Research, An Accenture Federal Services Company (Sacramento, CA)
- …of hardware, OS, and other platform specifications, and 4+ years of experience providing quality assurance review and the evaluation of new and existing software ... one discipline, such as application support, database administration, software quality assurance/ quality control, software engineering, network telecommunications,… more
- BMO Financial Group (San Ramon, CA)
- …and maintains risk decision-support strategies using analytical solutions to enable high- quality , fact-based decisions for a designated risk portfolio. Supports the ... development of the strategy and roadmap for data quality , data analytics, data modeling, reporting, business intelligence, and...Cards; + Hold discussions with and present to various review and challenge teams, internal and external auditors and… more
- Teleflex (Pleasanton, CA)
- …medical technologies, Teleflex is driven by our purpose to improve the health and quality of people's lives. Through our vision to become the most trusted partner in ... including scheduling, budgeting, and documentation. * Serve as the technical specialist for the organization in the application of advanced concepts, principles,… more
- System One (Oakland, CA)
- …legislation and HSE Management System; + Participate to the annual management review meetings. REQUIRED SKILLS AND EXPERIENCE + OSHA 30-Hour or Cal-OSHA 30-Hour ... as a Certified Instruction Trainer CIT or Safety Management Specialist (SMS) + 5+ Years of Rail Construction of...get work done more efficiently and economically, without compromising quality . System One not only serves as a valued… more
- Harris & Associates (San Diego, CA)
- …others, and conduct other necessary activities to meet client project needs. + Provide quality control review of project deliverables prior to submittal to the ... the ability to coordinate effectively with the project team and complete high- quality work within project budgets and deadlines. A strong work ethic, positive… more
- Prime Healthcare (Anaheim, CA)
- …www.westanaheimmedctr.com. Responsibilities Under the supervision of the Director, the Payment Review Specialist position is responsible for accurate and timely ... an award-winning team of dedicated professionals committed to our core values of quality , compassion and community! West Anaheim Medical Center, a member of Prime… more
- Cedars-Sinai (Los Angeles, CA)
- …other related edits. + Begins to draft communication under quality review to physicians/providers/external departments regarding documentation ... systems, assigning applicable ICD-10-CM codes while adhering to productivity and quality standards for assigned areas or specialties (Facility or Professional). This… more
- Dignity Health (Bakersfield, CA)
- …is an advanced-level role responsible for the detailed and accurate processing, review , and adjudication of complex healthcare claims. This position requires expert ... Equivalent work experience will be considered. + Certified Medical Reimbursement Specialist (CMRS), or similar certification is preferred. + CPC - Certified… more
- Parexel (Sacramento, CA)
- …conviction in what we do. We believe in our values, Patients First, Quality , Respect, Empowerment & Accountability. **Parexel is looking for a Medical Director with ... is essential to the medical monitor role and will be manifested in high quality consultation on protocol development or drug development programs, medical review … more