RN II: Clinical Policy & Coding Specialist
L.A. Care Health Plan
L.A. Care Health Plan is seeking a Clinical Policy Clinical Coder RN II to ensure accurate coding and compliant claims processing. The role involves analyzing clinical policies, translating them into coding logic, and working with various teams to ensure compliance with regulations. Candidates should have extensive experience in clinical nursing (minimum 8 years) and expertise in medical coding. The position offers a comprehensive benefits package including paid time off, medical, dental, and vision insurance. #J-18808-Ljbffr L.A. Care Health Plan
Vacancy posted 9 hours ago
Similar jobs that could be interesting for youBased on the RN II: Clinical Policy & Coding Specialist in Los Angeles, CA vacancy
$88.85k
...CA, US, 90017 Job Category: Clinical Position Type: Full Time Requisition... ...(UM) Claims Review Nurse RN II is responsible for conducting... ...with established clinical policies and regulatory standards. This... ...documentation supports billed services, coding is accurate and aligned with...PolicyFull timeL.A. Care Health Plan
Los Angeles, CA1 day ago- Working Nurse in Los Angeles is seeking a Clinical Policy Clinical Coder RN II to ensure accurate medical coding and compliance with regulations. The role requires collaboration with stakeholders to implement policies and oversee utilization management. The ideal candidate...PolicyFull timeShift work
$102.18k
Clinical Policy Clinical Coder RN II Shift: Full Time Pay Range: $102,183.00 (Min.) - $132,838.00 (Mid.) - $163,492.00 (Max.) Location: Los Angeles... ...and utilization management policies to ensure accurate coding, appropriate authorization requirements, compliant claims...PolicyFull timeShift work$88.85k
...Clinical Policy Nurse RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full... ...a liaison to ensure the ongoing maintenance of clinical coding for the authorization matrix. Duties Assess federal,...PolicyFull timeLocal area$102.18k
...net required to achieve that purpose. Job Summary The Clinical Policy Clinical Coder RN II is responsible for analyzing, interpreting, and operationalizing... ...and utilization management policies to ensure accurate coding, appropriate authorization requirements, compliant...Policy- ...Revenue Integrity Specialist II | Cedars‑Sinai Apply for the Revenue Integrity Specialist II... ...revenue gaps. Perform accurate and timely coding charge posting (CPT, ICD-10, HCPCS, modifiers... ...physician coding practices. Follow policies and procedures pertinent to CRI & PFS Departments...Policy
Cedars-Sinai
Los Angeles, CA3 days ago $55.93k - $72.38k
...Distribution Specialist II Kite is seeking to cure cancer by applying cutting-edge technology in the field of cell therapy. We are a... ...products, materials, and equipment in accordance with established policies and procedures. Ensure individual training requirements...PolicyShift workKite Pharma
Santa Monica, CA2 days ago$55.93k - $72.38k
...of licensed cell therapies. We are seeking a Distribution Specialist II to join our team in Santa Monica. This individual will plan,... ...products, materials, and equipment in accordance with established policies and procedures. Ensure individual training requirements...PolicyFor contractorsLocal areaShift workGilead Sciences
Santa Monica, CA3 days ago- ...role? The Revenue Integrity Spec II, of Compliance and Revenue... ...accordance with established timelines. The Specialist: Performs accurate and timely coding charge posting (CPT, ICD-10, HCPCS... ..., as applicable. Follows policies and procedures pertinent to CRI &...Policy
Cedars-Sinai
Los Angeles, CA1 day ago $77.69 - $95.08 per hour
...Primary Care Physicians, Specialists and various disciplines... .../families. Acts as a clinical liaison, per their... ...health plan benefits, policies, and procedures for members... ...clinical experience as an RN in an acute care or... ...English/Spanish) Level II required. Preferred Qualifications...PolicyDaily paidContract workWork at officeShift work- The Aerospace Corporation is seeking a Fleet Vehicle Specialist II/III in El Segundo, CA. This position involves managing fleet vehicles... ...conducting inspections, and ensuring compliance with corporate policies. Ideal candidates will possess a High School Diploma, a valid...Policy
- Premier America Credit Union is seeking an Accounting Generalist II to manage a variety of complex financial activities. Your role... ...maintaining general ledgers, and ensuring compliance with financial policies. The ideal candidate will have a minimum of seven years of...Policy
- Senior Information Governance Specialist II At Kirkland & Ellis, we don’t just meet the standard for legal excellence — we set it. Our culture... ...(IT), and senior Risk Management leaders to ensure policies, client requirements, and applicable laws are applied consistently...PolicyLocal areaWorldwideFlexible hours
- ...Job Title Revenue Cycle Specialist II Job Description Align yourself with an organization... ...and following established practices, policies, and guidelines, provides commercial... ...the department and properly uses activity codes. Accurately enters data in fields. Maintains...PolicyRemote workShift work
$27.22 per hour
...commitment to uphold our unifying values. We are seeking a Culinary Specialist II to join our rapidly growing team. Opportunity Are you... .... Maintain personal and professional tools in adherence with policies and procedures. Report any maintenance issue to the unit chef...PolicyHourly payTemporary work$21.72 per hour
...to‑order meals to the Trojan campus and visitors. The Culinary Specialist II will prepare and cook high‑quality food using fresh, locally... ...disability, or any other characteristic protected by law or USC policy. USC observes affirmative action obligations consistent with...PolicyHourly payTemporary work$28.8 - $35 per hour
...Member Experience Specialist II Join SkyOne Federal Credit Union as a Full-Time Member Experience Specialist II in the vibrant city... ...to our mission of delivering exceptional service. Adhering to policies and procedures while meeting individual and team performance...PolicyHourly payFull timeLocal area$60.78k
Appeals and Grievances Specialist II Job Category: Customer Service Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition... ...and integrity, reporting noncompliance, adhering to company policy and procedures, including accreditation requirements,...PolicyFull timeLocal areaRemote workShift workWeekend work$29.5 per hour
...Summary:Ready to move your career forward? As a Collision Repair Specialist II with Penske, you’ll perform diagnostic procedures and truck... ...adhering to DOT, OSHA, and all Penske safety and maintenance policies; including but not limited to the correct selection and use...Policy$22.88 - $37.08 per hour
...management and oversight of accountable property. The Fleet Vehicle Specialist II/III is a part of the existing team of experienced personnel... ...washed, and maintained/repaired in accordance with Corporate Policy and industry standards for safe, reliable vehicle operation...PolicyHourly payFull timeWork at officeImmediate startRemote workRelocation packageFlexible hours$28.72 per hour
...Line Cook II (Culinary Specialist II) From fine dining restaurants to residential dining, USC Hospitality serves thousands of students, athletes... ...Maintain personal and professional tools in adherence with policies and procedures. Report any maintenance issue to the unit...PolicyHourly payTemporary work- A healthcare diagnostics company in Los Angeles is seeking a Clinical Lab Scientist II to perform complex laboratory tests and ensure adherence to policies. The ideal candidate holds a Bachelor's degree in Medical Technology and has at least 6 months of relevant experience...PolicyHourly payNight shift
- ...Under general supervision and following established practices, policies, and guidelines, provides commercial and government billing and... ...we are seeking: Expert knowledge of medical terminology and coding (ICD, CPT, HCPCS, modifiers, procedure, bill type, diagnosis, and...PolicyRemote work
$27.22 per hour
Opportunity The Culinary Specialist II will prepare food for guests using fresh, locally sourced ingredients. The role maintains high standards... .... Maintain personal and professional tools in adherence with policies and procedures. Report any maintenance issue to the unit chef...PolicyHourly payTemporary work$141.97k - $156.55k
...Transplant Coordinator II - RN Join us in transforming lives every day. At OneLegacy... ...Transplant Coordinator (PTC-II) is the clinical professional responsible for all aspects... ...medical practices, the donor requirements, policies & procedures, practices, and goals of...PolicyFull timeWork at officeShift workNight shiftOneLegacy
El Segundo, CA9 hours ago$88.85k - $142.17k
L.A. Care Health Plan is seeking a Clinical Policy Nurse RN II in Los Angeles, CA. This position involves researching and evaluating healthcare policies related to regulatory compliance and health outcomes. The ideal candidate will have over 5 years in Clinical Nursing,...PolicyFull time- Job Description The Delegation Oversight Clinical Auditor RN II is responsible for ensuring that delegates contracted to perform Utilization... ...legislation. This is achieved through the maintenance of required policies, procedures, workflows, processes, and audit tools...Policy
- ...career and customer-oriented Information Technology/Assurance Specialist II I to join our team in El Segundo, CA. The Information... ...maintained, and disposed of in strict accordance with security policies. Providing leadership, mentoring, and quality assurance...PolicyWork at office
MANTECH
Los Angeles, CA9 hours ago $88.85k
...Delegation Oversight Clinical Auditor RN II Job Category: Clinical Department: Compliance Location: Los Angeles, CA, US, 90017 Position Type... ...and new legislation through the maintenance of required policies/procedures/workflows/processes/audit tools necessary to meet...PolicyFull time- ...supervision and following established practices, policies, and guidelines, provides commercial... ...-up coverage. This hybrid Revenue Cycle Specialist II is responsible for Medicare Claim Edits... ...department and properly uses activity codes. Correctly enters data in fields....Policy
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to RN II: Clinical Policy & Coding Specialist. Be the first to apply!
Related searches
- rn relocation bonus Los Angeles, CA
- new grad rn residency Los Angeles, CA
- flex rn Los Angeles, CA
- charge registered nurse Los Angeles, CA
- ccu rn Los Angeles, CA
- international registered travel nurse Los Angeles, CA
- picu rn Los Angeles, CA
- registered nurses covid-19 Los Angeles, CA
- interventional radiology rn Los Angeles, CA
- rn risk management Los Angeles, CA