- Humana (Sacramento, CA)
- **Become a part of our caring community and help us put health first** The Payment Integrity Professional 2 contributes to overall cost reduction by ... guidelines and data anomalies to ensure correct claim payment . The Payment Integrity Professional 2 work assignments require in depth research, cross… more
- LA Care Health Plan (Los Angeles, CA)
- Registered Nurse - Payment Integrity Nurse Coder RN III Job Category: Clinical Department: Claims Integrity Location: Los Angeles, CA, US, 90017 Position ... to support the safety net required to achieve that purpose. Job Summary The Payment Integrity Nurse Coder RN III is responsible for investigating, reviewing, and… more
- City National Bank (Los Angeles, CA)
- *MANAGER OF AUDIT SR- PAYMENT AND FRAUD OPERATIONS* WHAT IS THE OPPORTUNITY? The Senior Manager of Audit for Payment and Fraud Operations will support City ... Compliance governance processes and the system of internal controls over the Bank's Payment and Fraud Operations. Position will also provide support to meet the… more
- Sharp HealthCare (San Diego, CA)
- …Regular **Shift** Day **FTE** 1 **Shift Start Time** **Shift End Time** Certified Professional Coder (CPC) - AAPC; Driver's License - CA Department of Motor Vehicles ... To be the operational subject matter expert on all charge integrity solutions, support charge description master maintenance efforts, coordinate revenue enhancement… more
- Alameda Health System (Oakland, CA)
- …providing expertise to assist and educate appropriate staff on charging efficiencies, ensuring payment integrity and the accuracy of charging practices. The RI ... through AAPC (CPC, COC, CIC) and/or certification as a Revenue Cycle Integrity Professional (CRIP). Certification needed within 1 year of date of hire. Alameda… more
- County of El Dorado (Placerville, CA)
- Social Worker III - Quality Assurance Quality Integrity Print (https://www.governmentjobs.com/careers/edcgov/jobs/newprint/4963039) Apply Social Worker III - ... Quality Assurance Quality Integrity Salary $80,017.60 - $97,281.60 Annually Location Placerville, CA...methods; may serve as a lead worker over subordinate professional staff supporting an assigned program or function; provides… more
- Emanate Health (Covina, CA)
- …and thorough understanding of the effect of data quality on potential payment , utilization and reimbursement for multiple medical professional service ... to the Manager Physician Coding Services, the Certified Coder Professional will be responsible for reviewing an evaluating clinical...and each team member as part of our family. ** Integrity .** We believe in fairness and honesty and are… more
- Humana (Sacramento, CA)
- …community and help us put health first** The Encounter Data Management Professional 1 develops business processes to ensure successful submission and reconciliation ... improvements of encounter submission processes. Understands own work area professional concepts/standards, regulations, strategies and operating standards. Makes decisions… more
- Terumo Neuro (Aliso Viejo, CA)
- **12824BR** **Title:** Sr Coordinator, Professional Affairs & Clinical Education **Job Description:** Provide technical, clinical, educational, administrative, and ... PACE activity. + Advise and mentor for completion of payment tracking for ongoing proctor and program support. +...processes and requirements as well as demonstrate Ethics and Integrity in all matters and at all levels throughout… more
- PayJunction (Santa Barbara, CA)
- …equivalent industry experience. + Java Development & Deployment : + 8+ years of professional experience developing and deploying payment services in Java . + ... seeking a Staff Engineer that owns, leads design, and implements highly available payment solutions that our partners' rely on. Using the agile development process… more
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