- TEKsystems (San Bernardino, CA)
- Clinical Appeals Nurse - Revenue Cycle Management We are looking for a Clinical Appeals Nurse to join our Revenue Cycle Management team. In this role, ... and ability to interpret complex medical records. + Experience in clinical appeals , utilization review, or revenue cycle management. + Excellent attention to… more
- University of Southern California (Arcadia, CA)
- …Documentation Improvement Practitioner (CDIP) certification status preferred. + Certified Clinical Documentation Specialist (CCDS) credential preferred. Pay ... for both formal and informal education for physicians, nursing, and other clinical staff. + Meets established productivity targets for record review and appropriate… more
- University of Southern California (Alhambra, CA)
- …and claims submission. * Works cooperatively with HIM Coding Support and/or Clinical Documentation Improvement Specialist in obtaining documentation to complete ... compliance regulations and guidelines, the HIM Coding Denials Management Specialist " analyze, investigate, mitigate, and resolve all coding-related 'claims denials'… more
- Cedars-Sinai (Torrance, CA)
- …and resolve denied or underpaid claims; prepare and submit timely, accurate written appeals with supporting clinical / billing documentations in accordance with ... I be doing in this role?** The Revenue Cycle Specialist III works under general supervision and following established...including progress notes, lab results, pathology reports, and other clinical records, to support accurate billing, appeals ,… more
- City and County of San Francisco (San Francisco, CA)
- …limited to experience: + Working with vulnerable patient populations + Supervising clinical and administrative professionals + Improving clinical quality + ... The terms of this announcement may be appealed under Civil Service Rule 110.4. Such appeals must be submitted in writing to the Department of Human Resources, 1 S… more
- LA Care Health Plan (Los Angeles, CA)
- …dates for each file. Inform nurses of a new case received from Grievance and Appeals Specialist .; submit all Grievances and Appeals response letters to ... Authorization Technician II (ALD) Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition… more
- Ventura County (Ventura, CA)
- …team of Coders (Inpatient & Outpatient), coding productivity and collaborate with Clinical Documentation Specialist team; + Provides coding guidance to staff ... the Health Information Management (HIM) department related to coding and CDI ( clinical documentation improvement). The ideal candidate will have a Bachelor's Degree… more
- The County of Los Angeles (Los Angeles, CA)
- …Accountant I Accountant II Administrative Assistant I Administrative Assistant I, SC Appeals Hearing Specialist Board Specialist Employment Services ... in nearly every medical specialty and subspecialty. In addition, to its direct clinical services, DHS also runs the Emergency Medical Services (EMS) Agency and the… more
- Evolent (Sacramento, CA)
- …guidance and expertise to ensure the application of best practices. + Provides clinical rationale for standard and expedited appeals . + Discusses determinations ... Are you ready to make a meaningful impact on patient care in a non- clinical setting? Join our Utilization Management team as a Field Medical Director, Cardiovascular… more
- Elevance Health (Los Angeles, CA)
- …Coding Specialist , CIC as a Certified Inpatient Coder, or Certified Clinical Documentation Specialist (CCDS). + Requires minimum of 10 years experience ... may be so complex and advanced that disputes or appeals may only be reviewed by other DRG Coding...Clinics, and the ICD-10 Alphabetic and Tabular Indices), complex clinical guidelines and maintaining objectivity in the performance of… more