• Certified Risk Coder

    Insight Global (Campbell, CA)
    …https://insightglobal.com/workforce-privacy-policy/ . Skills and Requirements -5+ years of experience as a risk adjustment coder , CRC, or CMC -Must have active ... Job Description As an HCC Medical Coder , your primary responsibilities will revolve around ensuring accurate and compliant coding practices. You'll need to maintain… more
    Insight Global (05/08/24)
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  • Hierarchical Condition Category (HCC) Coding…

    Highmark Health (Sacramento, CA)
    …**Required** (any of the following) + Certified Professional Coder (CPC) + Certified Risk Coder (CRC) + Certified Coding Specialist (CCS) + ... will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs such as Medicare Advantage (MA) and Affordable Care Act… more
    Highmark Health (04/25/24)
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  • Coding Compliance Manager (DDQ)

    Sutter Health (Sacramento, CA)
    …**CERTIFICATION & LICENSURE:** CCS- Certified Coding Specialist OR CPC- Certified Professional Coder OR CRC- Certified Risk Adjustment Coder OR ... CCDS- Certified Clinical Documentation Specialist OR CIC- Certified Inpatient Coder **TYPICAL EXPERIENCE:** 10 years recent relevant experience **SKILLS AND… more
    Sutter Health (03/21/24)
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  • Manager of Medicare Advantage Coding, Education…

    UCLA Health (Los Angeles, CA)
    …occasional travel to local provider offices + Required Certified Professional Coder (CPC-I) certification, Certified Risk Adjustment (CRC) coder ... serve as a Subject Matter Expert for Medicare Advantage risk adjustment. Salary offers are determined based on various...not currently possess) + Six or more years of risk adjustment experience + Three to five years of… more
    UCLA Health (03/06/24)
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  • Coder -SRS

    Sharp HealthCare (San Diego, CA)
    …**Required Qualifications** + HS Diploma or Equivalent + 2 Years Experience as a certified coder and experience in Medical Billing. + Certified Professional ... Day **FTE** 1 **Shift Start Time** **Shift End Time** HS Diploma or Equivalent; Certified Professional Coder (CPC) - AAPC **Hours** **:** **Shift Start Time:**… more
    Sharp HealthCare (04/12/24)
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  • Chart Auditor - Coder

    Robert Half Accountemps (Los Angeles, CA)
    …Graduate from an accredited program in one of the following areas: LVN, RN, Certified Coding Specialist or detail-oriented Coder . Pref 1 year Experience in ... manages bill holds relating to charge reviews held by Risk Management. + Coordinates approvals with Risk ...by Risk Management. + Coordinates approvals with Risk Management and bill release process. + Conduct concurrent… more
    Robert Half Accountemps (05/20/24)
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  • Investigations Consultant

    Highmark Health (Sacramento, CA)
    …**Required** + None **Preferred** + Certified Fraud Examiner (CFE) + Certified Professional Coder (CPC) + Certified Professional Coder ... home health and durable medical equipment to identify key areas of risk exposure and develop plans to mitigate risks and maximize financial recoveries/savings.… more
    Highmark Health (05/07/24)
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  • Coding Auditor, Admin CBO - Full Time 80

    Trinity Health (Fresno, CA)
    …Trinity practices and policies. Partners with leadership to improve HCC and other Risk Adjustment capture with provider and coder education. Conducts ongoing ... and other note types with prior auditing experience is preferred. 3. Certified Professional Coder (CPC), Registered Health Information Technician (RHIT), CRC… more
    Trinity Health (03/27/24)
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  • Compliance Coding Auditor (OS)

    Sharp HealthCare (San Diego, CA)
    …(CDIP), or AAPC Certified Inpatient Hospital/Facility (CIC), or Certified Professional Coder (CPC) certification. Certified Clinical Documentation ... Regular **Shift** Day **FTE** 1 **Shift Start Time** **Shift End Time** Other; Certified Health Care Compliance (CHC) - Compliance Certification Board; Certified more
    Sharp HealthCare (04/16/24)
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  • Provider Documentation Educator

    Alameda Health System (Oakland, CA)
    …the following E/M coding rules, CPT-4, HCPCS, ICD-10-CM/PCS. Required Licenses/Certifications: AAPC Certified Professional Coder (CPC) or AHIMA's Certified ... inpatient and outpatient data and reviews patterns and trends to identify potential risk areas. 2. Evaluates the quality of clinical documentation and monitors the… more
    Alameda Health System (05/04/24)
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  • Senior Director, Revenue Cycle - Bonus Eligible

    Scripps Health (San Diego, CA)
    …Information Technician) . AHIMA CCS ( Certified Coding Specialist) or AAPC CPC ( Certified Professional Coder ) . Knowledge of ICD and/or CPT/HCPCS coding . ... (HCCs) for accuracy and compliance as relates to Outpatient CDI. Monitors Risk Adjustment Factor (RAF) Scores. . Directs instructions and education activities for… more
    Scripps Health (05/21/24)
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  • Pro-Fee Auditor and Trainer, Healthcare Compliance

    UCLA Health (Los Angeles, CA)
    …target pay range is $105,200.00 - $144,000.00. Qualifications Along with the Certified Professional Coder (CPC) certification, we are seeking individuals with: ... include: Auditing and Monitoring: * Independently complete assignments, manage risk -based audits and projects, perform regulatory research, investigations, participate… more
    UCLA Health (04/06/24)
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