- University of Southern California (Alhambra, CA)
- As the center of clinical charge capture, the Revenue Integrity (RI) Specialist provides leadership to the daily CDM maintenance workflow between the various ... the standard policy for maintaining the CDM. The RI Specialist is responsible for the timely and accurate synchronization...provided. This includes ensuring all annual updates required by Medicare and other third-party payers are up to date.… more
- LA Care Health Plan (Panorama City, CA)
- Community Resource Center Specialist III Job Category: Customer Service Department: Community Resource Center-Panorama Location: Panorama City, CA, US, 91402 ... to achieve that purpose. Job Summary The Community Resource Center (CRC) Specialist III builds and maintains meaningful relationships with members of the community,… more
- Deloitte (Los Angeles, CA)
- Healthcare Clinical Documentation Specialist - Senior Consultant Our Deloitte Regulatory, Risk & Forensic team helps client leaders translate multifaceted risk ... defensible actions that strengthen, protect, and transform their organization. Join our team and use advanced data, AI, and emerging technologies with industry… more
- University of Southern California (Los Angeles, CA)
- …compliance regulations and guidelines, the HIM Coding Denials Management Specialist " analyze, investigate, mitigate, and resolve all coding-related 'claims denials' ... specific to ICD-10-CM, ICD-10-PCS, CPT/HCPCS, DRGs, APCs, and Modifiers-from Medicare , Medi-Cal, MAC, RAC, and commercial insurance companies -when there… more
- University of Southern California (Los Angeles, CA)
- The Clinical Nurse Specialist serves as a resource/consultant for all departments regarding clinical specialty, conducts/ participates in research across varied ... educates and guides the nursing staff and health care team members in the provision of patient care. Develops,...hospital and community. Facilitates the training of clinical nurse specialist students and other nursing students as necessary in… more
- University of Southern California (Newport Beach, CA)
- The Clinical Authorization Specialist will take the lead in securing medical authorizations from third party payers (commercial and government) for outpatient ... other infused treatments as needed in assigned service line. The Specialist will be instrumental in obtaining written documentation, submitting tracking, reporting… more
- LA Care Health Plan (Los Angeles, CA)
- Lead Community Resource Center Job Category: Customer Service Department: Community Resource Center-Metro LA Location: Los Angeles, CA, US, 90006 Position Type: Full ... net required to achieve that purpose. Job Summary The Lead Community Resource Center (CRC) is responsible for the...CRC Manager with developing a successful and cohesive CRC team . The CRCs serve anyone in the community in… more
- Stanford Health Care (Palo Alto, CA)
- …internal and operational controls designed to ensure that processes and practices lead to appropriate execution of regulatory requirements and guidelines related to ... federal and state regulations and guidelines, CMS (Centers for Medicare and Medicaid Services) and OIG (Office of Inspector...output + Ability to work effectively both as a team player and leader + Knowledge of Epic EMR… more
- UCLA Health (Los Angeles, CA)
- …Health by joining our team as a Compliance Auditor, MAPD, focused on Medicare Advantage (Part C) and Prescription Drug (Part D) programs. In this vital role, you ... more. * Design and improve audit toolkits based on Medicare Advantage and Part D risk areas. * Collaborate...experience. + Certified Professional Coder (CPC) or Certified Coding Specialist (CCS), highly desired. + 5 or more years… more
- University of Southern California (Los Angeles, CA)
- …related health policy topics. The Senior SAS Research Programmer will serve as lead programmer and technical specialist on research projects that use ... The programmer is an integral part of the research team and works closely with the principal investigator and...Stata, SQL, Microsoft and Linux systems. + Serves as lead programmer or technical specialist on research… more