NewCode Enforcement Attorney JobotCode Enforcement AttorneySacramento, CA$140,000–$220,000 / yearInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. This role focuses on representing cities, counties, special districts, and public agencies in complex public safety matters and civil and criminal prosecution.
NewCoding Compliance Analyst III Sutter HealthCoding Compliance Analyst IIISacramento, CaliforniaA thorough understating of current hospital facility rules/ regulations/ guidelines/ policies/, coding and billing compliance, National Coverage Determinations (NCDs), Local Coverage Determinations (LCDs), and ICD-10-CM/PCS, CPT, and HCPCS is necessary to ensure accurate guidance is provided to those functional teams who rely upon it. Ability to design and implement regulatory and specialty specific education/ training to a wide variety of professionals including but not limited to professional coders, physicians, clinical documentation improvement specialists, other coding education professionals, non-coding professionals.
NewManager, Coding - Remote - Nationwide CEP America LLCManager, Coding - Remote - NationwideSacramento, CARemote$79,600–$99,500 / yearPerforms analysis of various reports (missed ancillaries, decreased levels, productivity, overtime, etc.) and interfaces with Medical Directors, Managers, Client Services, and takes appropriate actions and follows up as necessary. Interacts with Medical and Regional Directors to provide updates on relevant sites issues; participates in conference calls and on-site visits to help promote communication and clarify any coding issues that may arise.
Data & Coding Compliance Consultant Sutter HealthData & Coding Compliance ConsultantSacramento, CA$114,774.40–$172,161.60 / yearA thorough understating of current hospital facility rules/ regulations/ guidelines/ policies/, coding and billing compliance, National Coverage Determinations (NCDs), Local Coverage Determinations (LCDs), and ICD-10-CM/PCS, CPT, and HCPCS is necessary to ensure accurate guidance is provided to those functional teams who rely upon it. SKILLS AND KNOWLEDGE: Ability to design and implement regulatory and specialty specific education/ training to a wide variety of professionals including but not limited to professional coders, physicians, clinical documentation improvement specialists, other coding education professionals, non-coding professionals.
Outpatient Coding Assistant Director UCSF Medical CenterOutpatient Coding Assistant DirectorEmeryville, CADemonstrated leadership and managerial skills, with the ability to create and maintain a goal-oriented climate of teamwork and cooperation across departments for effective problem solving, conflict resolution, support for organizational values, and consistent achievement of targets and objectives. Under the direction of UCSF HIMS Leadership and in partnership with the Clinical Documentation Integrity program and related Apex Programs, this position is accountable for driving the implementation of the organizational best practices at UCSF HIMS Health to achieve optimum overall performance.
Clinical Documentation Specialist - Coding Pyramid Consulting, IncClinical Documentation Specialist - CodingOakland, CARemote$45–$50 / hourKey Requirements and Technology Experience: Minimum of four (4) years of clinical nursing experience in inpatient care, clinical documentation, discharge planning, or case management. Collaborate with physicians and medical coding staff to identify and clarify additional diagnoses impacting severity of illness and risk of mortality indicators.
Clinical Documentation Specialist - Coding Pyramid, IncClinical Documentation Specialist - CodingOakland, CA$45–$50 / hourFull timeKey Requirements and Technology Experience: Minimum of four (4) years of clinical nursing experience in inpatient care, clinical documentation, discharge planning, or case management. Collaborate with physicians and medical coding staff to identify and clarify additional diagnoses impacting severity of illness and risk of mortality indicators.
Epic Resolute Application Developer (Charge Router and Coding Skills) - 6260321 Accenture PlcEpic Resolute Application Developer (Charge Router and Coding Skills) - 6260321Sacramento, CAIn addition to delivering innovative solutions for Accenture's clients, you will work with a highly skilled, diverse network of people across Accenture businesses who are using the latest emerging technologies to address today's biggest business challenges. Dropping orders using chart review-> creating new patient encounter -> dropping an order and signing the order/Unite charge entry ->creating new encounter.
DISTRICT REPRESENTATIVE I, DIVISION OF CODES AND STANDARDS (NON-PEACE OFF) State Of CaliforniaDISTRICT REPRESENTATIVE I, DIVISION OF CODES AND STANDARDS (NON-PEACE OFF)Contra Costa County, CA$6,308–$7,825Candidates who reside more than 50 miles outside of the assigned geographical area may be interviewed; however, the selected candidate must have a primary residency within 50-miles of the assigned geographic area prior to appointment (and continue to maintain residency) as a condition of employment. This funding supports the construction, acquisition, rehabilitation, and preservation of affordable rental and ownership homes, provides permanent supportive housing options as well as stable, safe shelter for those experiencing homelessness.
Code Enforcement Officer Willdan Group IncCode Enforcement OfficerSan Rafael, CAThe qualified individual will be responsible for Conducting field investigations regarding possible violations of a variety of City/County codes and ordinances, and related municipal codes including zoning, nuisance, property maintenance, housing, transportation, and animal and business license/permits, health and sanitation. Public Agency Resources (PARS), a subsidiary of Willdan Group Inc., currently has an opening for a Part-time Code Enforcement Officer in the Sonoma CA area.
Urgent Care - Partner Veterinarian - Sacramento , {State_Code UsvtaUrgent Care - Partner Veterinarian - Sacramento , {State_CodeSacramento, CaliforniaAn exceptional veterinary hospital, with a dedicated team, is seeking an experienced Partner Veterinarian to provide leadership, superior patient and client care, and financial ownership in the hospital. The ideal leader for this hospital is a veterinarian who is prepared to manage a team of doctors and medical staff and successfully oversee the clinical direction of the practice while building equity.
Medical Billing Supervisor Solano County CailforniaMedical Billing SupervisorFairfield, CA$83,155.86–$101,076.47 / yearThe Medical Billing Supervisor plans, organizes and supervises the medical insurance billing functions and accounting/clerical staff for the Department of Health and Social Services' Medical Billing Unit; assists in developing, implementing and maintaining the department-specific patient accounting and billing systems; serves as the electronic health record billing liaison between the County and the State; and resolves technical billing problems in coordination with the claim management system and clearing house provider. Possession of one (1) of a valid and current certification is required, such as a: Certified Coding Associate (CCA), Certified Coding Specialist (CCS), Certified Documentation Expert-Outpatient (CDEO), Certified Professional Coder (CPC), or related certification from a recognized accredited college, university, or professional association (e.g., American Academy of Professional Coders (AAPC) or American Medical Billing Association (AMBA)).
Medical Billing Specialist Center Point, IncMedical Billing SpecialistSan Rafael, California$28–$30About Center Point, Inc: Center Point’s mission is to provide comprehensive social, educational, vocational, medical, psychological, housing, and rehabilitation services to combat social problems such as substance abuse, poverty, unemployment, and homelessness. Center Point offers rehabilitation and treatment services that interrupt the abusive cycles of psychological, social, and economic dislocation by providing critical training and support so that individuals and families can claim self-worth and dignity.
NewEntry Level Medical Billing Assistant Revel StaffingEntry Level Medical Billing AssistantSacramento, CaliforniaThe Medical Billing Assistant will help prepare and review insurance claims, assist with basic billing and coding tasks, update patient and insurance information, and support the administrative workflows that help keep clinical operations running smoothly. This person should be comfortable learning billing and coding processes, communicating with patients professionally, and maintaining accuracy when working with claims, records, and confidential information.
Medical Billing Specialist, Orthopedics, (Novato), Full-Time, Days MarinHealth Medical CenterMedical Billing Specialist, Orthopedics, (Novato), Full-Time, DaysNovato, CA$23–$27.40 / hourMarinHealth is already realizing the benefits of impressive growth and has consistently earned high praise and accolades, including being Named One of the Top 250 Hospitals Nationwide by Healthgrades, receiving a 5-star Ranking for Overall Hospital Quality from the Centers for Medicare and Medicaid Services, and being named the Best Hospital in San Francisco/Marin by Bay Area Parent, among others. We attract healthcare's most talented trailblazers who appreciate having the best of both worlds: the pioneering medicine of an academic medical center combined with an independent hospitals personalized, caring touch.
Revenue Cycle Manager Salma HealthRevenue Cycle ManagerSacramento, CaliforniaIn addition to traditional revenue cycle management responsibilities, this position requires hands-on expertise in mental health billing as well as experience working on third-party insurance verification, prior authorization, and revenue cycle management tools and systems. We are the brain health company of the future, integrating care delivery, technology innovation, and research breakthroughs to better understand brain biology and diagnose, treat, and ultimately cure brain disorders across all stages of life.
NewMedical & Dental Billing Clerk and Administrative Assistant Winters Healthcare Foundation IncMedical & Dental Billing Clerk and Administrative AssistantCA$24.75–$31 / hourThe Billing Clerk and Administrative Assistant will support the full billing cycle including accuracy, claims management, payment posting, patient billing inquiries, administrative coordination, and Board activities, including meeting preparation, governance materials, records management, and Board member support. Following successful completion of onboarding, employee will be eligible for Winters Healthcares 4 Day Work Week pilot and transition to a 32-hour workweek while maintaining compensation equivalent to 40 hours worked.
Hospital Billing Coordinator Deloitte Touche Tohmatsu LtdHospital Billing CoordinatorCA$50,000–$60,000 / yearOur purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG) Elevance Health IncDiagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG)CA$86,560–$155,808 / yearPreferred Skills, Capabilities and Experiences: One or more of the following certifications are preferred: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Clinical Documentation Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or CIC. Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5 years of experience working with ICD-9/10CM, MS-DRG, AP-DRG and APR-DRG; or any combination of education and experience, which would provide an equivalent background.
Adult Education Career Technical Education Medical/Business Office Teacher (Monday - Thursday 10:30 am -12:30 pm) 8-10 hours per week Liberty Union High School DistrictAdult Education Career Technical Education Medical/Business Office Teacher (Monday - Thursday 10:30 am -12:30 pm) 8-10 hours per weekBrentwood, CASITE: Liberty Adult Education Center Courses may include: Customer Relations, Business Math, Business English, Medical Terminology, and related Medical Front Office, Medical Law & Ethics, Electronic Health Records, Medical Coding & Billing. • Strong knowledge of subject areas such as customer relations, basic business mathematics, professional writing, medical terminology, and administrative healthcare procedures.
Biller/Account Receivable Kerae MedicalBiller/Account ReceivableWalnut Creek, California$23–$25Responsibilities: Submitting and tracking claims for DME services, ensuring proper coding using HCPCS and ICD-10 codes. Posting charges, payments, and explanations of benefits (EOBs) to patient accounts and Private Facility Accounts.
NewCharge Master Analyst Sutter HealthCharge Master AnalystSacramento, CaliforniaMaintains the CDM data elements (billing description, Current Procedural Terminology/Healthcare Procedure Coding System codes, revenue codes for Inpatient/Outpatient and appropriate modifiers) in the CDM software. Serves as a subject matter expert for Charge Description Master (CDM) regulatory requirements and guidelines and payer contractual obligations in order to ensure CDM line items are aligned with current billing, coding regulations, guidelines, and contractual obligations.
Professional Surgical Coder II (Onsite, Hybrid, Remote) NorthBay Medical CenterProfessional Surgical Coder II (Onsite, Hybrid, Remote)Fairfield, CARemote$42.24–$51.34 / hourWe are expanding access to care across our communities through two acute-care hospitals, including a Level II Trauma Center and a Level III NICU maternity unit, along with a cancer center, urgent care locations, and a growing network of primary and specialty care clinics. At NorthBay, the Professional Surgical Coder will play a crucial role in accurately translating medical procedures and diagnoses into ICD 10, CPT and HCPCS codes in an accurate and timely manner for professional surgery charges in the outpatient and inpatient settings.
Director, Patient Financial Services, Hospital Billing NorthBay Medical CenterDirector, Patient Financial Services, Hospital BillingFairfield, CA$185,000–$200,000 / yeart NorthBay Health, the Director of Patient Financial Services Hospital Billing (HB) will be responsible building and leading a highly effective centralized billing, follow-up, and collections department for NorthBay Health hospitals, ambulatory surgery centers, collaborate closely with and contributed to the success of other areas of the NorthBay Revenue Cycle, including but not limited to, front-end and middle revenue cycle operations, ambulatory revenue cycle operations, as well as collaborating with non-Revenue Cycle areas of NorthBay to contribute to the overall operational, financial, quality, and safety achievements and excellence of NorthBay Health. We are expanding access to care across our communities through two acute-care hospitals, including a Level II Trauma Center and a Level III NICU maternity unit, along with a cancer center, urgent care locations, and a growing network of primary and specialty care clinics.
NewClinic Assistant Rogers Memorial HospitalClinic AssistantWalnut Creek, CA$25.69–$34.52 / hourThis location is operated under a collective bargaining agreement which will determine placement in the wage scale - all new hires will be paid at a rate on the scale and placed at that step of the scale, while all internal hires'' wages will align to their years of service. The Clinic Assistant performs receptionist and billing responsibilities related to clinic operations; coordinates patient information, maintains confidentiality of patient files, and coordinates billing functions with central offices.
Hospital Billing Operator Deloitte Touche Tohmatsu LtdHospital Billing OperatorCA$70,000–$90,000 / yearOur purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
Medical Office Coordinator - Wound Care - Jovive Wound Care - Walnut Creek CEP America LLCMedical Office Coordinator - Wound Care - Jovive Wound Care - Walnut CreekWalnut Creek, CA$24.99–$31.24 / hourPartner with Clinic Manager to identify and implement policy, process, and workflow improvements and changes to increase office efficiency and address areas of deficiency in patient experience concerns, production, and quality of care. Applie knowledge of ICD-10 (International Classification of Diseases, 10th revision) and CPT (Current Procedural Terminology) coding of procedures and enters documentation into medical record as directed by the licensed care provider.
NewCoder Outpatient Speciality Sutter HealthCoder Outpatient SpecialityBerkeley, CA$47.58–$66.60 / hourTotal compensation considers multiple factors, including, but not limited to a candidate's experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Job Description: Accurately assigns ICD-10 diagnosis and CPT procedure codes for outpatient specialty services in the hospital or office setting.
Medical Records Technician (Coder) US Department of Health and Human ServicesMedical Records Technician (Coder)CA$50,460–$72,644 / yearRequired as applicable for the purposes of specific eligibility and appointment claim(s), and position requirements: Indian Preference Applicants: If claiming Indian preference, applicants must provide a completed copy of the Form BIA-4432, "Verification of Indian Preference for Employment in the BIA and IHS Only." Refer to BIA-4432 link: Verification of Indian Preference for Employment in the BIA and IHS When an Indian Preference candidate possesses Veterans preference the rules regarding Veterans preference apply under ESEP and the applicant must provide documentation in order to receive preference.
Professional Fee Coder - Analyst II (part-time / per diem) UCSF Medical CenterProfessional Fee Coder - Analyst II (part-time / per diem)Emeryville, CAProfessional Fee Coder - Analyst II, under the direction of their Revenue Manager and Associate Director, will provide support in areas of revenue operations related to coding, auditing, and training for their designated areas. Detail-oriented, with demonstrated organizational skills and the ability to manage time efficiently, prioritize tasks, set schedules, and complete projects in a timely and cost-effective manner.
DRG Clinical Validation Lead Elevance Health IncDRG Clinical Validation LeadWalnut Creek, CA$89,520–$161,136 / yearPreferred Skills, Capabilities and Experiences: One or more of the following certifications are preferred: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Clinical Documentation Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or CIC. How you will make an impact: Conducts pre-certification, retrospective, out of network and appropriateness of treatment setting reviews to ensure compliance with applicable criteria, medical policy, and member eligibility, benefits, and contracts.
Compliance Analyst III - Delegation Oversight Sutter HealthCompliance Analyst III - Delegation OversightSacramento, CA$104,332.80–$156,499.20 / yearFamiliar with healthcare industry, including current trends, cultural concerns, and local/state/federal regulations, such as the CA Knox-Keene Act, California Insurance Code, Office of Inspector General (OIG) Work Plan, Affordable Care Act (ACA), and HIPAA regulations, in addition to federal and state reimbursement program requirements (e.g., Medicare and Medi-Cal). Key responsibilities include preparing and organizing audit documentation, supporting audit execution and follow-up activities, maintaining oversight trackers and dashboards, analyzing performance and compliance data, and identifying potential risks or gaps.
NewMedical Case Management Nurse Sacramento County CouncilMedical Case Management NurseSacramento, CA$111,332.16–$135,344.16 / yearNOTE: If you meet the minimum qualifications (via the information you provided on your application and requested documentation), your exam score (based on your supplemental questionnaire responses) places you within the reachable ranks on the resulting eligible list and you are invited to interview; you will be asked to expand on, clarify, and/or provide examples to support your responses on this exam (supplemental questionnaire). Persons claiming eligibility for disabled veterans preference must submit to the employment office, on or before the application deadline date, a certification from the United States Veterans Administration or a military service department, dated within 1 year, which certifies the present existence of a service related disability of 10% or more, or other acceptable proof of such disability as a result of his/her military service.
Cardiovascular Data Administrator, Marin Heart Institute, Full-Time, Days MarinHealth Medical CenterCardiovascular Data Administrator, Marin Heart Institute, Full-Time, DaysCA$44.69–$67.03 / hourMarinHealth is already realizing the benefits of impressive growth and has consistently earned high praise and accolades, including being Named One of the Top 250 Hospitals Nationwide by Healthgrades, receiving a 5-star Ranking for Overall Hospital Quality from the Centers for Medicare and Medicaid Services, and being named the Best Hospital in San Francisco/Marin by Bay Area Parent, among others. Prerequisite Skills: Knowledge of clinical paths or guidelines for cardiac diagnoses to include: congestive heart failure, acute myocardial infarction, open-heart surgery, cardiac catheterization, PCI procedures and CRM (cardiac rhythm management).
Revenue Cycle Informaticist NorthBay Medical CenterRevenue Cycle InformaticistFairfield, CA$33–$41 / hourThe Revenue Cycle Informaticist partners closely with Patient Financial Services, Revenue Cycle leadership, and enabling teams (e.g., IT/analytics) to intake and prioritize reporting needs, translate data into actionable insights, and drive sustainable operational change in support of staffing, volume, and performance decisions. Serve as a key Epic reporting and analytics resource for revenue cycle, leveraging Epic tools as applicable (e.g., Reporting Workbench, dashboards, and enterprise data sources) and partnering with IT/analytics teams for advanced data sets as needed.
NewAccounts Receivable Analyst Deloitte Touche Tohmatsu LtdAccounts Receivable AnalystSacramento, CA$70,000–$90,000 / yearAs an Accounts Receivable Analyst you will deliver Back End Revenue Cycle Management (RCM) services, including Billing and Claims Submission, A/R Follow-up, Denials Management, Payment Posting, and Credits and Refunds, for health care provider client. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
Market Analysis Bachelor's Intern Kaiser PermanenteMarket Analysis Bachelor's InternWalnut Creek, CARevenue Cycle team members are required to build strong collaboration with clinical, operational, and financial partners to deliver a seamless revenue cycle that supports organizational sustainability and patient trust. Internship Projects: The intern role will partner directly with the Market Executive to perform an analysis of collections, charges, and various other Key Performance Indicators at the Market and Service Area level.
NewInpatient Audit Specialist FT- Sign on Bonus DatavantInpatient Audit Specialist FT- Sign on BonusSacramento, CARemote$35–$45 / hourAs an Inpatient Auditing Specialist you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, interim coding management, and coding workflow operations reviews. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies.
NewInpatient Audit Specialist FT DatavantInpatient Audit Specialist FTSacramento, CARemote$35–$45 / hourAs an Inpatient Auditing Specialist you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, interim coding management, and coding workflow operations reviews. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, andlife sciences companies.
NewAccounts Receivable Coordinator Deloitte Touche Tohmatsu LtdAccounts Receivable CoordinatorSacramento, CA$50,000–$60,000 / yearOur purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
Specialist (Tissue Inventory), Surgery, Part-Time, (32 Hour Week), Days MarinHealth Medical CenterSpecialist (Tissue Inventory), Surgery, Part-Time, (32 Hour Week), DaysCA$37.89–$50.07 / hourMarinHealth is already realizing the benefits of impressive growth and has consistently earned high praise and accolades, including being Named One of the Top 250 Hospitals Nationwide by Healthgrades, receiving a 5-star Ranking for Overall Hospital Quality from the Centers for Medicare and Medicaid Services, and being named the Best Hospital in San Francisco/Marin by Bay Area Parent, among others. Serves as a subject matter expert for Champion Tissue Tracking system; participates in perioperative committees such as Value Analysis Team and the Sustainability Purchasing Revenue committee; and, assists Director of Supply Chain and Executive Director of Perioperative Services with contract compliance and negotiating pricing for perioperative tissue/implants.
NewProfee Audit Specialist - FT DatavantProfee Audit Specialist - FTSacramento, CARemote$35–$45 / hourAs a Profee Auditing Specialist, you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, interim coding management, and coding workflow operations reviews. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, andlife sciences companies.
NewProFee Audit Specialist- FT DatavantProFee Audit Specialist- FTSacramento, CARemote$35–$45 / hourAs a Profee Auditing Specialist, you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, interim coding management, and coding workflow operations reviews. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies.
Clinical Program Manager International Rescue CommitteeClinical Program ManagerOakland, CaliforniaThis is an opportunity to implement and operationalize ACBHD’s established EI model — activating clinical operations, standing up Medi-Cal billing infrastructure, and building IRC’s capacity to deliver high-quality early intervention behavioral health services in Alameda County. Job Overview: The International Rescue Committee (IRC) is launching a new Early Intervention (EI) Specialty Mental Health Services (SMHS) program in partnership with Alameda County Behavioral Health Department (ACBHD), funded under the Behavioral Health Services Act (BHSA).
NewInpatient Coder Kaiser PermanenteInpatient CoderOakland, CAAll work must be performed in accordance with the rules, regulations and coding conventions of ICD-CM Official Guidelines for Coding and Reporting, Coding Clinic published by the American Hospital Association, the ICD-CM, ICD-PCS, CPT and HCPCS code book, CPT Assistant, NCCI Edits, CMS, OSHPD and Kaiser Permanentes organizational and institutional coding guidelines. The Inpatient Coder is expected to code and abstract Observation (OBS), Hospital Ambulatory Surgery (HAS), Emergency Department (ED), and complex Hospital Outpatient Visit (CHOY) services when needed.
Billing Specialist - Dental Image Specialty PartnersBilling Specialist - DentalWest Sacramento, CAPropelled by our core values of Integrity, Efficiency, Teamwork, and Going Above and Beyond, we are committed to excellence in every facet of our work: providing the best experience for our patients and cultivating a workplace where everybody thrives together. Image Specialty Partner (ISP) is a doctor-led dental partnership organization where we believe that a healthy, beautiful smile is more than just an aesthetic feature – it is a catalyst for confidence and self-esteem.
Clinical Documentation Integrity (CDI) Specialist Pyramid Consulting, IncClinical Documentation Integrity (CDI) SpecialistCalifornia, CARemote$45–$50 / hourBy applying to our jobs you agree to receive calls, AI-generated calls, text messages, or emails from Pyramid Consulting, Inc. and its affiliates, and contracted partners. Identify opportunities to improve documentation related to severity of illness (SOI), risk of mortality (ROM), quality indicators, and reimbursement.
Operations Supervisor (Dental) Community Medical CentersOperations Supervisor (Dental)Vacaville, CAAs one of the region's largest healthcare providers, our growing network of neighborhood health centers serves over 100,000 patients in San Joaquin and Solano counties. KNOWLEDGE, SKILLS, AND ABILITIES: Knowledge of ambulatory care, CPT/ICD- 10 coding procedures and be familiar with Medi-Cal, Medicare, and commercial insurance billing procedures.
Utilization Management Nurse RN 5 Wollborg Michelson RecruitingUtilization Management Nurse RN 5Oakland, CAProvides referrals to Case Management, Disease Management, Appeals and Grievance, and Quality departments as needed. Supports post-service and prior authorization review processes and collaborates with clinical leadership to ensure appropriate care determinations.
Appeals & Grievance RN Wollborg Michelson RecruitingAppeals & Grievance RNOakland, CAUtilize National Coverage Determination (NCD), Local Coverage Determination (LCD), Milliman Care Guidelines, and other nationally recognized clinical guidelines such as NCCN and ACOG. This role is responsible for concurrent review of medical records and documentation, determining appropriate outcomes, and ensuring members have quality access to provider care.