- Cedars-Sinai (Torrance, CA)
- …pseudo-code creation. + Identifies possible coding deficiencies through charge/medical record review and coordinates coding review to ensure accurate ... Award 19 years in a row for providing the highest- quality medical care in Los Angeles. We also were...I be doing in this role?** The Revenue Cycle Specialist III works under general supervision and following established… more
- Cedars-Sinai (Los Angeles, CA)
- …A minimum of 5 years of experience in Acute Clinical Care, Utilization Review , Coding , or Case Management required Working knowledge of Joint Commission ... States? Do you have a passion for the highest quality and patient happiness? Then please respond to this...of America's Best Hospitals. As our next Clinical Documentation Specialist , you will work under the general direction of… more
- Datavant (Sacramento, CA)
- …our bold vision for healthcare. **What We're Looking For:** As a Clinical Documentation Quality Improvement (CDQI) Specialist , you will play a pivotal role in ... to enhance documentation clarity, completeness, and overall medical record quality . By ensuring accurate and comprehensive physician documentation, you will… more
- UCLA Health (Los Angeles, CA)
- …and appeals. Leverage your expertise to support UCLA Health's commitment to accuracy and quality in claim processing. As an Audit and Appeals Specialist , you ... will: + Facilitate responses to regulatory audits related to billing, coding , and collection practices in compliance with federal and state guidelines + Collect,… more
- Cedars-Sinai (CA)
- …primary contact for all health plans audits, including leading all aspects of the review for performance management and accurate coding . + Develops and supervise ... **Job Description** The Managed Care Compliance Specialist is responsible for assisting with the implementation of the internal auditing and monitoring program… more
- Datavant (Sacramento, CA)
- …realize our bold vision for healthcare. The purpose of the Denial Prevention Specialist is to effectively defend utilization of available health services, review ... letter Identification of referrals to the medical director for review + Select appropriate preferred and contracted providers +...documents and records + Meets or exceeds production and quality metrics + Attend all mandatory meetings and trainings… more
- Dignity Health (Bakersfield, CA)
- **Job Summary and Responsibilities** The Claims Research Specialist will oversee and manage research efforts related to claims overpayments, underpayments, and ... issues within a managed care service organization. This role involves review /ensuring accurate and timely resolution of discrepancies, and working collaboratively… more
- University of Southern California (Alhambra, CA)
- …coding accuracy rate as determined by any internal or external review of coding and/or department quality review (s). + Ability to achieve a minimum of ... by any internal or external review of coding and/or department quality review (s)....and/or outpatient clinic preferred. Required Licenses/Certifications: + Req Certified Coding Specialist - CCS (AHIMA) OR AHIMA… more
- HCA Healthcare (Campbell, CA)
- …submission deadlines Required + Experience using Cozeva Required + Certified HCC Coding Specialist Required + Certified Professional Coder Required + Certified ... to ensure Representatives are armed with actionable data to review with physicians for timely closure of Quality... Quality Specialist Preferred Physician Services Group (https://careers.hcahealthcare.com/pages/physician-services)… more
- Cedars-Sinai (CA)
- …Software and Executive Dashboard. + **Data Review :** Analyze clinical documentation, coding data, and quality metrics to identify gaps and trends, generating ... Award 19 years in a row for providing the highest- quality medical care in Los Angeles. We were also...extensively with CDI staff and leadership, and medical records coding staff. + **DRG Analysis:** Perform ongoing DRG analysis… more