- APN Consulting, Inc (Long Beach, CA)
- Title: Case Manager IIDuration: 3 monthsREMOTEJob Description:* Is this position remote? Yes, the position is remote.o Are there any location requirements? Living in ... Pacific Time ZoneClient would be interested in a case manager who has worked with children, and they don't...collaborative plan of careCoordinates and monitors members progress and services to ensure consistent cost effective care that complies… more
- Emanate Health (Covina, CA)
- …the coding subject matter expert for the physicians. Collaborates with physician practices and client services managers to improve documentation and conducts ... clinicians on their documentation to ensure Emanate Health Medical Group Services receives appropriate reimbursement and conforms to applicable guidelines and… more
- UCLA Health (Los Angeles, CA)
- …of educational materials and presentations + Five or more years of physician billing/ coding experience + Previous managerial experience + Exceptional ... adherence to all regulatory and CMS compliance requirements. You will manage the coding consultants who provide audit, coding expertise, and provider education… more
- Sharp HealthCare (San Diego, CA)
- …the appropriateness of queries with the overall goal of improving physician documentation and achieve accurate coding .Maintain professional relationship with ... **Facility:** System Services **City** San Diego **Department** **Job Status** Regular...employer business practices. **What You Will Do** The Compliance Coding Auditor is responsible for the administration of the… more
- Stryker (San Jose, CA)
- …+ Excellent knowledge of CPT, ICD-9, ICD-10, APC, HCPCS and revenue coding ; inpatient/outpatient ASC and physician reimbursement across government and private ... Stryker Products + Lead and confidently deliver internal and external coding , coverage, reimbursement/market access strategies, education, tools and support +… more
- Sharp HealthCare (San Diego, CA)
- …You Will Do** The CMI performs clinical/medical necessity reviews and authorizes medical services that meet medical criteria. The review of care is region specific ... and consists of outpatient healthcare services on pre-certification requests, outpatient procedures, outpatient services...criteria of the health plan as to whether that service is the service is covered.Reviews for… more
- Sutter Health (San Francisco, CA)
- …the acute care patient experience. This position works in collaboration with the Physician , Utilization Manager , Medical Social Worker and bedside RN to assure ... families, physicians, the interdisciplinary team, nursing management, quality, ancillary services , third party payers and review agencies, claims and finance… more
- Sharp HealthCare (San Diego, CA)
- …Emergency Department calls including outgoing calls for consultations and ancillary services . Calls to physicians and ancillary service areas will ... a manner that facilitate maximum financial reimbursement and promotes premier customer service . This role utilizes Patient Secure to identify the accurate patient… more
- Bausch + Lomb (San Francisco, CA)
- …advancement of eye health in the future. **Overview** The Field Reimbursement Manager (FRM) is a field-based non-promotional position who will use their extensive ... on the use of Bausch + Lomb patient assistance and reimbursement support services , including but not limited to web-based provider programs and tools, and provide… more
- Cedars-Sinai (Los Angeles, CA)
- … Supervisor and Manager . + Meets productivity and quality standards as designated by Coding Manager + Understands coding trends to include NCD, LCD, and ... guidelines. + Identifies trends and issues with overall division and individual physician coding practices and presents solutions. + Maintains confidentiality of… more
- Huron Consulting Group (San Francisco, CA)
- …reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. ... clinical outcomes, create a more consumer-centric healthcare experience, and drive physician , patient and employee engagement across the enterprise. Join our team… more
- HCA Healthcare (Campbell, CA)
- … and/or billing experience. . Minimum 1 year experience with HCC coding and risk adjustment Physician Services Group ... the HCC & Risk Management Specialist's primary function is to assist and educate physician providers on proper coding of all current medical conditions to the… more
- Providence (CA)
- …footprint states, AK, CA, OR, WA, TX, NM, or MT.** Under the direction of the Coding Manager , the Coder appropriately assigns MS/DRG's, ICD, and CPT codes to all ... Information Management Association upon hire. Or + National Certified Coding Specialist - Physician - American Health...our Benefits and Rewards. **About the Team** Providence Shared Services is a service line within Providence… more
- Providence (Torrance, CA)
- …**Coder - \*Remote * Most States Eligible** Under the direction of the Coding Manager , the Coder appropriately assigns MS/DRG's, ICD, and CPT codes ... Information Management Association Or + Upon hire: National Certified Coding Specialist - Physician - American Health...our Benefits and Rewards. **About the Team** Providence Shared Services is a service line within Providence… more
- Providence (CA)
- **Description** **Coder - Remote, Most States Eligible.** Under the direction of the Coding Manager , the Coder appropriately assigns MS/DRG's, ICD, and CPT codes ... Information Management Association or + Upon hire: National Certified Coding Specialist - Physician - American Health...our Benefits and Rewards. **About the Team** Providence Shared Services is a service line within Providence… more
- Sutter Health (San Francisco, CA)
- …and Utilization Management throughout the acute care patient experience. The RN Case Manager works in collaboration with the Physician , Medical Social Worker and ... CPMC-California Pacific Med Center Van Ness **Position Overview:** The RN Case Manager is responsible for Care Coordination, Care Transitions, Discharge Planning… more
- Fresenius Medical Center (Santa Paula, CA)
- **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. ... leading your business, and advanced leadership. As a Clinical Manager , you may advance your career into an Area...+ Partners with internal Human Resources, Quality, and Technical Services departments. + Collaborates with or functions as the… more
- Sutter Health (Modesto, CA)
- …the health status of the citizens of greater Stanislaus County. We extend selected services to other communities whenever this will meet the critical needs and when ... resources. We pursue our mission by providing and promoting effective health care services and by fostering an integrated system of care in partnership with… more
- Sutter Health (Burlingame, CA)
- …the acute care patient experience. This position works in collaboration with the Physician , Utilization Manager , Medical Social Worker and bedside RN to assure ... families, physicians, the interdisciplinary team, nursing management, quality, ancillary services , third party payers and review agencies, claims and finance… more
- Cardinal Health (Sacramento, CA)
- …fully integrates direct drug distribution to site-of-care with non-commercial pharmacy services , patient access support, and financial programs, Sonexus Health, a ... to the customer experience and better control of product success. Personalized service and creative solutions executed through a flexible technology platform means… more
