Clinical Policy Coder RN II — Policy & Coding Lead
Working Nurse
Working Nurse in Los Angeles is seeking a Clinical Policy Clinical Coder RN II who will analyze, interpret, and operationalize medical and utilization management policies to ensure accurate coding and appropriate authorization requirements. You will translate policy requirements into diagnosis, procedure, and service code logic, collaborate with internal teams, and support compliant claims processing, program implementation, and regulatory adherence. #J-18808-Ljbffr Working Nurse
Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Clinical Policy Coder RN II — Policy & Coding Lead in Los Angeles, CA vacancy
$102.18k
...Clinical Policy Clinical Coder RN II Job Category: Clinical Department: Utilization Management Location:... ...management policies to ensure accurate coding, appropriate authorization... ...internal teams. Participate in and lead specialty and cross-functional workgroups...PolicyFull time- L.A. Care Health Plan is seeking a Clinical Policy Nurse II to lead analytical research and policy assessment affecting claims and Utilization Management... ...include developing policy content, maintaining coding for authorization matrices, and presenting findings to stakeholders...Policy
- ...A prominent healthcare institution in California is seeking an experienced Coder II for a remote position. The role involves assigning ICD-10-CM and CPT codes for patient services. Candidates must have a CPC certification and familiarity with multi-specialty surgical coding...SuggestedRemote work
Cedars-Sinai
Los Angeles, CA2 days ago - Community Hospital of Huntington Park in Huntington Park, CA seeks a Charge Registered Nurse II for the Emergency Department on the night shift. You will lead nursing care on an assigned unit, coordinate with a multidisciplinary team, and ensure optimal patient outcomes...SuggestedFull timeRelocation packageShift workNight shift
- ...Park in Huntington Park, CA is seeking a Charge Registered Nurse II for the ED to work full-time nights on a 12-hour shift schedule.... ...$10,000 sign-on/retention bonus for full-time roles. The Charge RN leads nursing care on the unit, coordinates with multidisciplinary...SuggestedFull timeRelocation packageShift workNight shift
$120k - $180k
...The Senior Cyber Security Engineer will lead and execute security initiatives across the... ...development teams to implement secure coding practices and threat modeling during design... ...protect application endpoints. Support WAF policy management and application-layer threat...PolicyFull time- Kennedy Care Center in Los Angeles, CA is seeking a Registered Nurse (RN) to supervise day-to-day nursing activities and ensure care meets... ...standards. The RN will oversee nursing staff, participate in policy updates, and coordinate resident care plans with physicians and...PolicyLocal area
- careers-centralhealth seeks a Clinical Quality and Utilization Review Specialist to oversee... ...coordinate reviews, ensure medical necessity, and lead quality improvement initiatives across... ..., and ensuring compliance with bylaws, policies, and accreditation standards. #J-18808-...Policy
- ...nursing care per the nursing process, within established standards, policies, and procedures. The role emphasizes leadership, teamwork,... ...year of recent acute or ambulatory care experience, California RN license, and BLS. Per diem scheduling, onsite at Coastline Medical...PolicyDaily paid
- ...and operating within AbbVie’s business code of conduct, policies and all applicable laws and... ...dynamics, accounts, disease, product, clinical and sales expertise and share this market... ...district colleagues and matrix team, etc. Leads by example; Consistently displays positive...PolicyTemporary work
GrabJobs
Los Angeles, CA1 day ago - ...Certified Medical Coder- Remote We are seeking a Certified Medical Coder- Remote to... ...values. Skills At least 1 years recent coding experience including coding surgical... ...general supervision, according to established policies, procedures and protocols, codes all...PolicyRemote job
- ...Pega Lead System Architect Duration: 6 months contract + C2H (Remote) Location:... ...~ Strong understanding Pega Guardrails, coding standards, scalability and reusable aspects... ...with other teams including Integrations, Policy Administration, Claim Administration, and...PolicyContract workImmediate startRemote work
ABCS, Inc. IT Executive and Contingent Workforce Staffing
Glendale, CA1 day ago - Adventist Health in Bell Gardens, CA, seeks an RN Lead for the ED to provide unit-based leadership and manage nursing staff. The role... ...requirements in California. ACLS, PALS, NIHSS certifications are required or recommended per policy. #J-18808-Ljbffr Adventist HealthPolicy
- ...within the assigned base station area. This role requires RN licensure with current BLS, ACLS, and PALS/ENPC... ...prior EMS/ED experience. The position focuses on planning, policy implementation, and clinical support for EMS teams. The role emphasizes compliance with...Policy
$88.85k
...Utilization Management Admissions Liaison RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017... ...critical-thinking skills, detailed knowledge of medical policies, clinical guidelines and benefit plans to complete reviews...PolicyFull timeNight shift$88.85k
...achieve that purpose. Job Summary The Delegation Oversight Clinical Auditor RN II is responsible for ensuring that delegates contracted to... ...requirements and new legislation through the maintenance of required policies/procedures/workflows/processes/audit tools necessary to...Policy- ...Job Description The Clinical Documentation Specialist (CDS) II is a more experienced CDS, spending... ...and severity level using coding rules and guidelines with... ..., case managers, coders and other members of the care... ...Licenses and Certification RN State License - Upon Hire...
- Cedars-Sinai is seeking a Clinical Documentation Specialist II to independently review medical records, create documentation... ...for clarification. Partnerships with coding and care teams are essential. The position requires an RN license, relevant CDI credentials, and at...
$88.85k
...safety net required to achieve that purpose. Job Summary The Clinical Policy Nurse RN II is responsible for analytical research, trending, and... ...as a liaison to ensure the ongoing maintenance of clinical coding for the authorization matrix. Duties Assess federal, state...PolicyLocal area- ...regional community. The university leads multiple partnerships and... ...Supplemental Instruction Leader II will assist students with... ...all university procedures and policies. Ensure commitment to the students... ...completion of the pre-clinical curriculum at a US or International...PolicyContract workWork at officeLocal areaImmediate start10 hours per weekFlexible hours
Charles R. Drew University of Med & Sc
Los Angeles, CAmore than 2 months ago $88.85k
...Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position... ...timelines as defined by the most current department policy. Facilitate/review requests for Higher level of care or...PolicyFull time- The Lead MA is responsible for overseeing the daily clinical and operational functions supporting the Wound Care Programs... ...Ensure accurate and complete ICD‑10 coding and clinical documentation.... ...compliance with organizational policies, regulatory requirements, and documentation...Policy
$115k - $160k
...for a highly motivated Dangerous Goods (DG) Lead, known internally as a Global Logistics... ...execution, and continuous improvement of DG policies, controls, and processes to ensure safe,... ...must be a (i) U.S. citizen or national, (ii) U.S. lawful, permanent resident (aka green...PolicyPermanent employmentTemporary workWork at officeWeekend work$130k - $150k
...enabling human life on Mars.OFFLINE PAID MEDIA LEAD (STARLINK)The Paid Media team is seeking a... ...paid sick leave pursuant to Company policy which satisfies or exceeds the accrual, carryover... ...must be a (i) U.S. citizen or national, (ii) U.S. lawful, permanent resident (aka...PolicyPermanent employmentTemporary workWork at officeLocal areaWeekend work- ...LVN II-Pasadena Vision Center-Ophthalmology-On Call Under the... ...standards of care, policies and procedures. Demonstrates performance... ...effectiveness in work habits and clinical practice and treats co-workers... ...protocols. Respond to Code Blues. Take and record patient...PolicyWork at officeLocal areaShift work
Kaiser Permanente
Pasadena, CA5 days ago - ...innovation. Are you ready to bring your clinical proficiencies to a world-class Medical... ...and counseling according to interpersonal policies and procedures to improve performance under... .... Works in a collaborative role with leads, supervisors, managers and related...PolicyFull time
Cedars-Sinai
Beverly Hills, CA1 day ago $31.98 - $49.57 per hour
...role? Under general direction of the Coding Supervisor, (using knowledge of CSMC and... ...highest quality data possible Duties of this Coder II include: Performs accurate and timely... ...care and business matters. Follows policies and procedures pertinent to the coding...PolicyRemote workShift workCedars-Sinai
Los Angeles, CA2 days ago- ...Float Pool Registered Nurse (FPRN) II is a flexible and experienced professional RN who is competent to work within... ...groups. The FPRN II is an expert clinical nurse who utilizes the nursing... ...interdisciplinary team, carrying out established policies, procedures and standards to meet...PolicyFull timeFlexible hoursShift workNight shift
$2,235 per week
...Registered Nurse (RN) | Telemetry Location: Los Angeles, CA... ...Travel Teams are WELCOME! ~ Level II Trauma & Teaching Facility... ...Licenses BLS, ACLS, NIH Call-off Policy Log in to view Benefits and... ...Benefits Package Clinical Support Extra Ways To Earn...PolicyFull timeContract workImmediate startShift workNight shiftFlexCare
Los Angeles, CA1 day ago- ...Clinical Nurse II, Procedural The Clinical Nurse II, Procedural provides individualized and specialized... ...the state of California and Center policies and procedures. Functions... ...preferred Licenses and Certifications: RN State License - Upon Hire minimum Current...PolicyDay shift
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Clinical Policy Coder RN II — Policy & Coding Lead. Be the first to apply!
Related searches
- part time remote medical coder Los Angeles, CA
- remote medical coder (no experience in coding) Los Angeles, CA
- transplant rn Los Angeles, CA
- injection rn Los Angeles, CA
- fema rn Los Angeles, CA
- aesthetic rn Los Angeles, CA
- icu rn Los Angeles, CA
- school rn Los Angeles, CA
- labor and delivery registered nurse rn Los Angeles, CA
- rn weekend Los Angeles, CA