- LA Care Health Plan (Los Angeles, CA)
- …and member risk scoring. Knowledge of diagnosis documentation, encounter data, and coding completeness to optimize plan revenue and quality scores. Knowledge ... Mission: LA Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and...NAMAS Certified HCC Coder (CHCC (TM) ); AHIMA Certified Coding Specialist (CCS(R)) Domain Focus: Medical Cost Driver Analytics… more
- Leidos (Vista, CA)
- …technical projects, mentoring engineers, and ensuring the delivery of secure, high- quality software solutions. The role also emphasizes leveraging AI-assisted ... coding tools, such as Claude Code, to enhance productivity...innovation. **Key Responsibilities:** + **Technical Leadership and Collaboration:** + Lead the design, development, testing, and maintenance of software… more
- CVS Health (TX)
- …in support of medical management programs to promote the delivery of high quality , constituent focused medical care with a focus on clinical and payment policy. ... support and business direction in these areas. Knowledge of Aetna clinical and coding policy and experience with appeals, claim review, reimbursement issues, and … more
- University of Colorado (Aurora, CO)
- …5+ years of post-certification clinical experience + Proven record of maintaining coding accuracy and compliance + Participation in quality initiatives, ... orthotic principles and best practices. + Supervise orthotics staff, ensuring quality , efficiency, and compliance with departmental standards. + Maintain accurate… more
- Highmark Health (Denver, CO)
- …technical leadership is a significant advantage. **ESSENTIAL RESPONSIBILITIES** + Takes a lead role for analyzing, designing, coding , testing and implementing ... to contractual/access requirements) As a Senior Application Developer, you will lead the design, development, and implementation of complex systematic solutions,… more
- City National Bank (Los Angeles, CA)
- …matter expertise, tools, Architecture, analysis and critical thinking skills, Secure coding , Performance optimization, best practices and standards , Education . * ... reliability and performance. Specific tasks may consist of solution design and coding , performing unit testing, and providing on-call technical and business support.… more
- Hartford HealthCare (Hartford, CT)
- …largest robotic surgery center in the Northeast and the Center for Education , Simulation and Innovation (CESI), one of the most-advanced medical simulation training ... practice operations by optimizing front-end workflows, ensuring accurate billing and coding , and driving continuous improvement initiatives * Works closely with … more
- Walmart (Sunnyvale, CA)
- …Technology Organization. The ideal candidate will have experience as a tech lead and strong development background in Micro Service Architectures using backend ... Spring Boot, Kafka technologies and a proven track record of delivering high- quality scalable software applications. You will collaborate with our product team,… more
- Institute of Electrical and Electronics Engineers (Los Alamitos, CA)
- …principles and apply the knowledge in the development. - Assist the tech lead and director by architecting scalable and high- quality solutions that meet ... assignments under the guidance of the director and tech lead . This position is based in the Los Alamitos,...in coding . Follow the IEEE Computer Society coding approach. - Ensure high- quality deliverables through… more
- Mount Sinai Health System (New York, NY)
- …processes across the entire revenue cycle-including registration, pre-authorization, coding , billing, collections, reimbursement, and financial analysis-to drive ... and reducing denials. ? Expertise in authorization, registration, billing, coding , reimbursement methodologies, and regulatory compliance. ? Deep understanding of… more
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