Acute Coding Quality Review Auditor (Remote) Adventist Health SystemAcute Coding Quality Review Auditor (Remote)Roseville, CARemoteUses performance improvement analyses to improve the accuracy, integrity and quality of patient data, ensure minimal variation in coding practices, and improve the quality of physician documentation within the body of the medical record to support code assignments which results in appropriate reimbursement and data integrity. Essential Functions: Performs regularly scheduled quality reviews and audits per departmental policies and procedures (routine, pre-bill, policy driven, targeted, and post-bill) for hospital inpatient and/or outpatient coding.
Clinical Coding Analyst RN, Consultant Blue Cross and Blue Shield AssociationClinical Coding Analyst RN, ConsultantEl Dorado Hills, CAIn this role you will be supporting the FCR team in addition to a small clinical coder team of 2 clinical coders who will be responsible for performing in-depth quality audits of hospital claims to support ICD-10-CM and ICD-10 PCS codes as well as EDC (Emergency Department Coding), MS-DRG and APR-DRG reviews based on clinical determination. Acts as a resource and helps to validate post claim DRG downgrade denials related to coding and clinical determination to support appeal strategy, tracking by disease, payer and denial activity and works with teams to create transparency and improvements to mitigate and prevent denials.
Manager, Coding (Remote) Adventist Health SystemManager, Coding (Remote)Roseville, CARemoteDevelops and coordinates educational and training programs regarding elements of the coding program such as compliance, appropriate documentation and accurate coding to all appropriate staff including coding staff, providers, billing staff and ancillary departments. Our compassionate and talented team of more than 38,000 includes employees, physicians, Medical Staff, and volunteers driven in pursuit of one mission: living God''s love by inspiring health, wholeness and hope.
Acute Coding Quality Review Auditor (Remote) Adventist HealthAcute Coding Quality Review Auditor (Remote)Roseville, CARemoteUses performance improvement analyses to improve the accuracy, integrity and quality of patient data, ensure minimal variation in coding practices, and improve the quality of physician documentation within the body of the medical record to support code assignments which results in appropriate reimbursement and data integrity. Essential Functions: Performs regularly scheduled quality reviews and audits per departmental policies and procedures (routine, pre-bill, policy driven, targeted, and post-bill) for hospital inpatient and/or outpatient coding.
Manager, Coding (Remote) Adventist HealthManager, Coding (Remote)Roseville, CARemoteDevelops and coordinates educational and training programs regarding elements of the coding program such as compliance, appropriate documentation and accurate coding to all appropriate staff including coding staff, providers, billing staff and ancillary departments. Reviews claim denials and rejections pertaining to coding and medical necessity issues and, when necessary, implements corrective action plan to prevent similar denials and rejections from recurring.
Coding Instructor Code NinjasCoding InstructorElk Grove, CaliforniaWe are looking for Code Sensei (Coding Instructor) for this coming Summer Camps schedule to join our team of dynamic, energetic, forward thinking minds, working toward our common goal: providing a fun and safe learning environment for children. Parents are thrilled as their children gain confidence and new skills including coding, math, logic, and problem-solving, as they progress from white to black belt.
Coding Instructor Cognito LLCCoding InstructorElk Grove, CAWe are looking for Code Sensei (Coding Instructor) for this coming Summer Camps schedule to join our team of dynamic, energetic, forward thinking minds, working toward our common goal: providing a fun and safe learning environment for children. Parents are thrilled as their children gain confidence and new skills including coding, math, logic, and problem-solving, as they progress from white to black belt.
Home Health Medical Biller / Intake Coordinator Compassionate Home Health LtdHome Health Medical Biller / Intake CoordinatorRoseville, CAFull timeHome health experience is strongly preferred, but candidates with relevant medical billing or healthcare administrative experience are encouraged to apply. We are committed to delivering high-quality, compassionate care while fostering a collaborative and supportive work environment for our team members.
Epic Billing Queue Management Technician | Roseville, CA Talented Medical SolutionsEpic Billing Queue Management Technician | Roseville, CARoseville, CA$27–$29We’re looking for an Epic Billing Queue Management Technician to manage daily billing work queues, resolve claim and charge issues, and keep accounts moving efficiently toward accurate, timely reimbursement. Monitor and work Epic Resolute billing queues, including claim edits, charge review, follow-up, denials, and credits.
Epic Billing Queue Management Technician - Pay negotiable Talented Medical SolutionsEpic Billing Queue Management Technician - Pay negotiableRoseville, CA$26–$27Manages daily Epic Resolute Hospital Billing (HB) work queues, including claim edits, charge review, follow-up, denials, and credits. Working knowledge of UB-04, CMS-1500, CPT, HCPCS, ICD-10, and revenue codes – Required .
Epic Billing Queue Management Technician Talented Medical SolutionsEpic Billing Queue Management TechnicianRoseville, CA$1,300–$1,400The Technician identifies error trends, escalates systemic issues, and collaborates with billing, coding, and IT teams to reduce queue volumes, minimize claim delays, and support timely, accurate reimbursement. The Epic Billing Queue Management Technician is responsible for the daily monitoring, prioritization, and resolution of billing work queues within the Epic Resolute Hospital Billing (HB) applications.
Sr. Cancer Center Specialty Certified Coder (Remote) Adventist HealthSr. Cancer Center Specialty Certified Coder (Remote)Roseville, CARemoteReviews and resolves medical necessity edits that may apply for any outpatient surgical encounters, applying hospital and professional modifiers to CPT codes and processes any errors associated with the revenue cycle process. Monitors Discharged Not Billed (DNB) accounts, and as a team, ensure timely, compliant processing of outpatient and inpatient encounters through the hospital and professional revenue cycle.
NewEpic Billing Queue Management Technician 3B Healthcare, IncEpic Billing Queue Management TechnicianRoseville, CAThe Technician identifies error trends, escalates systemic issues, and collaborates with billing, coding, and IT teams to reduce queue volumes, minimize claim delays, and support timely, accurate reimbursement. Job Summary: The Epic Billing Queue Management Technician is responsible for the daily monitoring, prioritization, and resolution of billing work queues within the Epic Resolute Hospital Billing (HB) applications.
QCDI Coder CommonSpirit HealthQCDI CoderRancho Cordova, CAAs our Quality Clinical Documentation Improvement (QCDI) Coding Specialist, your primary focus will be to facilitate and ensure the comprehensive capture of billing data for the purpose of accurately reporting HCC's, participating in the reconciliation of patient medical and billing records, and identifying reimbursement/quality of care opportunities. We strive to create purposeful work settings where staff can provide great care, while advancing in knowledge and experience through challenging work assignments and stimulating relationships.
Health Information Technician Chapa-DeHealth Information TechnicianRocklin, CA$25–$27 / hourAbout Us: Chapa-De is a non-profit community outpatient health center with a mission to advance the health and well-being of American Indians and low income individuals living in our communities by providing convenient access to high quality, compassionate care. Preference in filling vacancies will be given to qualified Indian applicants in accordance with the Indian Preference Act (Title 25, U.S. Code, section 472 & 473).
NewRegion Director Revenue Cycle CommonSpirit HealthRegion Director Revenue CycleRancho Cordova, CARemoteThis division encompasses 1,200+ providers billing under DHMF/PHC, generating over $2.3B in annual Gross Revenue, and the role also provides critical billing agency services for California Hospital-owned and managed RHC, 1206(d), and 1204(a) physician clinics, representing an additional $24M in annual Gross Revenue. As our Regional Director Revenue Cycle you will serve as the preeminent revenue cycle leader for the Physician Enterprise (PE) California Region, charged with orchestrating the financial revenue cycle integrity and operational success of a complex, multi-site physician organization.
Clinical Documentation Integrity Specialist (Roseville) Adventist Health SystemClinical Documentation Integrity Specialist (Roseville)Roseville, CAWorking under the direction of quality leader, this role reviews patient records, recommends provider queries using established templates, and helps ensure documentation supports appropriate coding. Job Requirements: Education and Work Experience: Associate''s/Technical Degree in Nursing, Health Information Management, or related clinical field or equivalent combination of education/related experience: Required.
Sr. Certified Coder, Acute Sds-Obsv (Remote) Adventist HealthSr. Certified Coder, Acute Sds-Obsv (Remote)Roseville, CARemoteEssential Functions: Abstracts and assigns ICD-10-CM diagnosis codes and CPT procedure codes from the SDS and OBV patient record to ensure accurate APC assignment and to provide information required for reimbursement and statistical data submissions. Attends meetings and training pertaining to coder education, audit reviews, staff meetings, outpatient coder roundtable meetings, and SDC to OBV charges.
Sr. Certified Coder, Acute Inpatient (Remote) Adventist HealthSr. Certified Coder, Acute Inpatient (Remote)Roseville, CARemoteEssential Functions: Abstracts and assigns ICD-10-CM diagnosis codes and PCS codes from the inpatient patient record to ensure accurate MS-DRG and APR-DRG assignment and to provide information required for reimbursement and statistical data submissions. Job Summary: Reviews inpatient records to identify the diagnosis and procedure codes performed during the patients stay are valid and in accordance with coding conventions and guidelines.
Sr. Certified Coder, Acute Inpatient (Remote, Part-Time) Adventist HealthSr. Certified Coder, Acute Inpatient (Remote, Part-Time)Roseville, CARemoteEssential Functions: Abstracts and assigns ICD-10-CM diagnosis codes and PCS codes from the inpatient patient record to ensure accurate MS-DRG and APR-DRG assignment and to provide information required for reimbursement and statistical data submissions. Job Summary: Reviews inpatient records to identify the diagnosis and procedure codes performed during the patients stay are valid and in accordance with coding conventions and guidelines.