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- ...Configure and map benefit plans for diverse products (HMO, POS, Medi-Cal, Medicare, Exchange). Align CPT, HCPCS, REV, ICD-10 codes to benefit categories and validate coding logic. Analyze authorization rules and Division of Financial Responsibility (DOFR)...Suggested
Hill Physicians Medical Group
San Ramon, CA13 days ago - ...the program uses highly trained staff members to perform a concurrent inpatient review of the record. This allows the record to be coded post discharge in a timely and accurate manner. A highly successful CDI program is based on a highly interactive process between physicians...SuggestedFull timeTemporary workPart timeWork experience placementWork from homeMonday to FridayDay shift
- ...compliance research support to physicians, non-physician practitioners, leadership, and administrative staff on documentation and coding requirements. Determines the adequacy of medical record documentation, coding, and billing, using established compliance auditing and...SuggestedFull timePart timeWork experience placementWork at officeRemote work
- ...or equivalent. 2. Graduated in accredited medical billing program (please DO NOT apply if you don't hold a medical billing and coding certificate) 3. Minimum three-years of experience in medical practice. 4. Typing skills at least 50 wpm 5. Required to be fully...SuggestedWork at officeImmediate startFlexible hours
$27 - $37 per hour
...healthcare professional responsible for reviewing and analyzing patient medical records from hospital stays and assigning standardized codes for diagnoses and procedures. These codes are primarily based on **ICD-10-CM** (International Classification of Diseases) and **PCS*...SuggestedHourly payFull timeTemporary workRemote workFlexible hours- ...and lead forecasting efforts to assess the impact of reimbursement changes. Additionally, this position provides daily support for coding and reimbursement needs across negotiations, claims processing, and provider setup. A minimum of one certification is required: CPC...SuggestedFull timeTemporary workPart timeWork at officeRemote work
$30 per hour
...forecasting Conduct audits and ensure compliance Collaborate with other departments May be responsible for T& E reports, coding, account classification and reimbursement amounts May be responsible for preparation and sales and other tax returns Equal Opportunity...SuggestedWork at officeLocal areaWorldwideRelocation2 days per weekEnterprise Holdings
San Ramon, CA3 days ago$75k - $97k
...accurately. The ideal candidate will have strong critical thinking and analytical skills, experience with benefit interpretation, medical coding and claims adjudication. Base pay $75,000.00/yr - $97,000.00/yr Note: Pay range provided by Hill Physicians Medical Group. Your...SuggestedFull timeWork at officeShift work$1,660 - $1,854 per week
Aya Healthcare has an immediate opening for the following position: Medical Coder in San Leandro, CA. This is a 25-week contract position that requires at least one year of Medical Coder experience. Make $1,660/week - $1,854/week. Want a job close to home? We’ve ...SuggestedContract workLocal areaImmediate startAya Healthcare
San Leandro, CA21 days ago$59.3k - $80.9k
**Become a part of our caring community and help us put health first** The Coding Educator 2 identifies opportunities to improve provider documentation and creates an education plan tailored to each assigned provider. The Coding Educator 2 will be responsible for arranging...SuggestedBi-weekly payFull timeTemporary workApprenticeshipLive inWork at officeRemote workWork from homeHome office$31 per hour
...Location:** Remote (Flexible Hours, Monday-Friday) **About the Role** Cognizant Technology Solutions is seeking an experienced **ICD-10 Coding Consultant - Outpatient** to join our team and support one or more of our healthcare clients. This is a **remote position**...SuggestedHourly payTemporary workRemote workMonday to FridayFlexible hoursWeekday work$250k
...flexible increments (i.e. 1-10 hour units). Ability to deliver exceptional care experience. Possess excellent documentation and coding skills in the EMR accurately and efficiently. Embody a commitment to high-quality medical care with the ability to contribute to...SuggestedFull timeFor contractorsRemote workRelocation packageFlexible hoursShift workWeekday workThe Permanente Medical Group
Alameda, CA5 days ago$19.6 per hour
...realize our bold vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement...SuggestedFull timeWork at officeRemote workFlexible hours$130.84 per hour
...processes that ensure patients are in the appropriate level of care with supporting documentation of regulatory compliance and accurate coding. The Physician Advisor (PA) conducts clinical reviews on cases referred by UM/CM staff and or other healthcare professionals to...SuggestedFull timeWork at officeMonday to FridayShift workWeekend workSutter Health
Oakland, CA3 days ago- ...Health The Certified Medical Coder represents Roots Community Health Center, supporting the Director of Billing and the Billing and Coding Administrator. This position collaborates with providers, billing specialists and the finance team to perform efficient medical...SuggestedTemporary workWork at officeLocal area
$23.7 - $46.35 per hour
...as you take on some tough challenges. Primary Responsibilities: Identify appropriate assignment of ICD - 10 - CM and ICD - 10 - PCS Codes for inpatient services provided in a hospital setting and understand their impact on the DRG with reference to CC / MCC, while adhering...Remote jobHourly payDaily paidMinimum wageFull timePart timeWork experience placementLocal areaRelocation packageMonday to Friday$48.3k - $65.9k
**Become a part of our caring community and help us put health first** Code Edit Disputes team reviews and educates providers when there is a dispute on adjudicated claims that contain a code editing related denial or financial recovery. The Medical Coding Coordinator...Bi-weekly payFull timeTemporary workApprenticeshipRemote workWork from homeHome officeMonday to Friday$18.5 - $42.35 per hour
...Position Summary** Responsible for performing audit and abstraction of medical records (provider and/or vendor) to identify and submit ICD codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are...Hourly payFull timeTemporary workWork at officeLocal areaFlexible hours$59.3k - $80.9k
...Become a part of our caring community and help us put health first The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ensure correct coding guidelines are met. Work assignments are varied and frequently require interpretation...Full timeTemporary workApprenticeshipWork at officeRemote workWork from home$18.5 - $42.35 per hour
...Position Summary** Responsible for performing audit and abstraction of medical records (provider and/or vendor) to identify and submit ICD codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are...Hourly payFull timeTemporary workWork at officeLocal areaFlexible hours- ...and industry best practices, and making recommendations for improvements where needed. Review credit attributes to ensure accurate coding of credit bureau information for use in credit decisions. Investigate and resolve consumer credit bureau disputes, including a review...Work at office
- ...work of other engineers and provide mentorship on your area of knowledge. Create and maintain technical design documents. Delve into code written by other engineers and take ownership of existing systems as needed. Keep current on technological developments and...Flexible hours
- ...words plugged in. Nice to have skills Experience with TOMCAT, JBOSS and Agile. Roles and responsibilities 70% of this role will be coding and 30% will be cross functionality with a team of PM’s, QM’s, and CM’s. Additional Information All your information will be kept confidential...
- ...objectives, regulatory compliance, quality initiatives, policy and procedures, and personnel management. Create annual education based on coding and CDI industry updates, documentation gaps and trends, and evidenced based clinical care updates. Develops and promotes...Full timeTemporary workPart timeWork experience placementFlexible hours
- ...and reporting at the property level Process vendor invoices in a timely fashion, ensuring compliance with contracts and proper coding Track invoices to ensure vendors are submitting timely Prepare and distribute Tenant billings Provide management team with...Temporary workWork at office
Ascend Talent Solutions
Oakland, CA7 days ago - Job Description Job Description This Legal Administrator Position Features: • Weekly Pay • Long Term • Stable Organization Immediate need for legal administrator seeking weekly pay, long term and stable organization . Fast pace collaborative experience, office...Weekly payTemporary workWork at officeImmediate start
AppleOne
Martinez, CA5 days ago - ...organizations to obtain authorization. Enters all authorization requests into the patient's electronic health record utilizing appropriate codes, treatment types and providers. Communicates with physicians and department staff when there are issues with authorization....Work at officeRemote work
Diverse Lynx
Emeryville, CA4 days ago $214.44k - $221.1k
...vary in length. Those committed to delivering a superior patient care experience. Individuals with strong documentation and coding skills in an electronic medical record (EMR) system. Healthcare providers who prioritize high-quality care and strive to meet organizational...Full timeFor contractorsRemote workRelocation packageFlexible hoursShift workWeekday workThe Permanente Medical Group
Alameda, CA3 days ago- Join National Dentex - a leading healthcare organization specializing in the dental industry! We offer a full spectrum of specialized products, services, and technologies to address any dental restoration need. Currently, we have 50 labs throughout the country. We are ...Full timeWork at officeLocal areaMonday to Friday
NDX
Danville, CA2 days ago - ...community resources and alternate funding programs is desired. Knowledge of InterQual screening criteria as well as DRG, ICD and CPT coding is preferred. LICENSURE/CERTIFICATION Current licensure as a Registered Nurse with the Texas State Board of Nurse Examiners is...
University Health Careers
Pleasanton, CA1 day ago
