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.
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.
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.
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.
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.
NewEpic 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.
NewEpic 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 .
NewEpic 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.
Billing Specialist Western Sierra Medical CenterBilling SpecialistGrass Valley, CASuccessful completion of program in medical billing; current Certified Medical Reimbursement Specialist (CMRS) certification; Training and experience in a FQHC setting preferred: Unless otherwise indicated, one year of current experience within the last three years in a comparable job classification required. Under general supervision the Billing Specialist is responsible for timely submission of claims to insurance companies from a wide variety of medical providers and facilities, as well as monitoring and ensuring, that payments for medical services are received in a timely manner.
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.
Front Desk / Medical Records United Surgical Partners InternationalFront Desk / Medical RecordsCitrus Heights, CA$24–$27 / hourMust have a high school diploma or equivalent with two years of work experience in medical office, hospital or clinic office administration with experience in patient services, scheduling, billing, coding or related fields. Must demonstrate the desire and ability to work productively within a Team concept while utilizing exceptional interpersonal and communication skills to independently interact with physicians, patients, family members and all levels of staff.
Patient Account Services Lead (30379) AMPLA HEALTHPatient Account Services Lead (30379)Yuba City, CAThe Lead is responsible for ensuring claims are processed accurately and timely, assisting with workflow prioritization, mentoring staff, identifying process improvements, and serving as the primary resource for complex payer issues. GENERAL PURPOSE: Under the direction of the Patient Account Services (PAS) Supervisor, the Patient Account Services Lead serves as the departments technical expert and workflow coordinator.
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.
Clinical Documentation Integrity Specialist (Onsite, Roseville CA) Adventist HealthClinical Documentation Integrity Specialist (Onsite, Roseville CA)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 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.
Sr. Certified Coder, Acute Inpatient (Remote) Adventist Health SystemSr. 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. 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.
Sr. Certified Coder, Acute Inpatient (Remote, Part-time) Adventist Health SystemSr. 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. 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.
Sr. Certified Coder, Acute SDS-OBSV (Remote) Adventist Health SystemSr. 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.