Refine Your Search
Displaying results 136 - 150 of 3,386
Manager, Billing & Audit - USC Care MSO CBO - Full Time 8 Hour Days (Exempt) (Non-Union)
Keck Medicine of USC - Alhambra, CA
Billing Manager will be responsible for all aspects of Commercial and Governmental billing. Position must possess in-depth knowledge of National Uniform Billing Regulations. Responsibilities will include all internal holds, billing system holds and bridges, management of edits; all designed to generate a defect-free claim. Position will manage internal resources and chart auditors. <...
Coding Compliance Auditor (HIM Inpatient) - HIM Financial - Full Time 8 Hour Days (Non-Exempt) (Non-Union)
Keck Medicine of USC - Alhambra, CA
In accordance with current federal & state coding compliance regulations and guidelines, the 'IP Coding Compliance Auditor" performs 2nd level reviews of previously coded inpatient accounts for MS-DRG validation purposes—including the accuracy and completeness of all ICD-10-CM and ICD-10-PCS code assigned by inpatient coders. Ensure appropriate MS-DRG & APR-DRG, including SOI & ROM score...
HIM-I Coder - HIM Financial - Full Time 8 Hour Days (Non-Exempt) (Non-Union)
Keck Medicine of USC - Alhambra, CA
In accordance with federal coding compliance regulations and guidelines, use current ICD-10-CM, CPT-4, and HCPCS code sets/systems to accurately abstract, code, and electronically record into the 3M Coding & Reimburse System (3M-CRS) & the coding abstracting system (3M-ClinTrac), all diagnoses and minor invasive and non-invasive procedures, documented by any physician in outpatient medic...
IT Analyst, Business Intelligence/Data Warehouse - USC Care MSO Business Intelligence - Full Time 8 Hour Days (Exempt)(Non-Union)
Keck Medicine of USC - Alhambra, CA
Actively design and develop ETL solutions that transform data for decision-making with Microsoft SSIS. Use expertise in SSIS to create packages that handle complex business workflows and are capable of understanding the existing packages. independently. Experience with Version Control tools. Troubleshoot problems including system failure, SSIS failure, SQL stored procedures, and use SSIS...
Case Manager, RN - Value Based Service Org - Full Time 8 Hour Days (Non-Exempt) (Non-Union)
Keck Medicine of USC - Alhambra, CA
In collaboration with the interdisciplinary team, the Case Manager provides care coordination services evaluating options and services required to meet an individual's health care needs to promote cost-effective, quality outcomes. Serves as a consultant to members of the health care team in the management of specific patient populations. The role integrates the functions of complex case ...
Case Manager, RN - Value Based Service Org - Full Time 8 Hour Days (Non-Exempt) (Non-Union)
Keck Medicine of USC - Alhambra, CA
In collaboration with the interdisciplinary team, the Case Manager provides care coordination services evaluating options and services required to meet an individual's health care needs to promote cost-effective, quality outcomes. Serves as a consultant to members of the health care team in the management of specific patient populations. The role integrates the functions of complex case ...
Discharge Planning Coordinator - Value Based Service Org - Full Time 8 Hour Days (Non-Exempt) (Non-Union)
Keck Medicine of USC - Alhambra, CA
Provides department support for the Case Management team to facilitate discharge planning and ensure appropriate throughput. Works with Case Managers and Case Management Assistants to ensure discharge plans are communicated to patients and families and enables a positive patient experience with discharge process. Follows up post discharge with patients to ensure arranged post acute servi...
Collector, MSO CBO - MSO CBO USC Care - Full Time 8 Hour Days (Non-Exempt) (Non-Union)
Keck Medicine of USC - Alhambra, CA
The Collector Appeal Specialist is responsible for accurately processing inpatient and out-patient claims to third party payers and private pays, following all mandated billing guidelines. Responsible for ensuring timely filing and guidelines are met; provided quality control checks on paper and electronic claims; process tracers, denial and related correspondence; initiate appeals; comp...
HIM Coder I - HIM Financial - Full Time 8 Hour Days (Non-Exempt) (Non-Union)
Keck Medicine of USC - Alhambra, CA
In accordance with federal coding compliance regulations and guidelines, use current ICD-10-CM, CPT-4, and HCPCS code sets/systems to accurately abstract, code, and electronically record into the 3M Coding & Reimburse System (3M-CRS) & the coding abstracting system (3M-ClinTrac), all diagnoses and minor invasive and non-invasive procedures, documented by any physician in outpatient medic...
HIM Coder I - HIM Financial - Full Time 8 Hour Days (Non-Exempt) (Non-Union)
Keck Medicine of USC - Alhambra, CA
In accordance with federal coding compliance regulations and guidelines, use current ICD-10-CM, CPT-4, and HCPCS code sets/systems to accurately abstract, code, and electronically record into the 3M Coding & Reimburse System (3M-CRS) & the coding abstracting system (3M-ClinTrac), all diagnoses and minor invasive and non-invasive procedures, documented by any physician in outpatient medic...
Financial Clearance Specialist II - Pre-Arrival - Full Time 8 Hour Days (Non-Exempt) (Non-Union)
Keck Medicine of USC - Alhambra, CA
The Financial Clearance Specialist II is responsible for ensuring insurance eligibility, benefit verification, and the authorization processes are complete in the time allowed by the insurance companies to prevent denials or penalties. Specialist II are responsible for documenting accurate insurance information and authorization details to optimize reimbursement from both the payer and p...
Coder - Patient Accounting - Full Time 8 Hour Days (Non-Exempt) (Non-Union)
Keck Medicine of USC - Alhambra, CA
Codes and abstracts documents such as patient charts and pathology reports utilizing diagnostic codes. Enters data into computer system(s). Essential Duties: Codes, abstracts and SMARTS, inpatient, concurrent and/or Ambulatory Surgery and/or Outpatient Records accurately and in a timely period of time in accordance with regulatory agencies, corporate and Hospit...
Coder, HIM Editor - HIM Financial - Full Time 8 Hour Days (Non-Exempt) (Non-Union)
Keck Medicine of USC - Alhambra, CA
In accordance with federal coding compliance regulations and guidelines, use current ICD-10-CM, CPT-4, and HCPCS code sets, OCE/NCCI, CMS Transmittals, and other federal billing/coding regulations, manuals, rules, and guidelines to analyze, troubleshoot, and resolve all coding related edits generated within the coding, billing, and Clearinghouse systems: PBAR, nThrive (formerly MedAssets...
Health Information Management Coder II - HIM Financial - Full Time 8 Hour Days (Non-Exempt) (Non-Union)
Keck Medicine of USC - Alhambra, CA
In accordance with federal coding compliance regulations and guidelines, use current ICD-10-CM, CPT-4, and HCPCS code sets/systems to accurately abstract, code, and electronically record into the 3M Coding & Reimburse System (3M-CRS) & the coding abstracting system (3M-ClinTrac), all diagnoses, surgical procedures, and other significant invasive and non-invasive procedures documented by ...
Lead Health Information Coder - HIM Financial - Part Time 5 Hour Days (Non-Exempt) (Non-Union)
Keck Medicine of USC - Alhambra, CA
Assists the HIM coding supervisor by providing daily DNFB/DNFC oversight over all 'Outpatient Ancillary/Clinic Visits' coding operations. Provide coding liaison functionalities between HIM Coding and Patient Financial Services (PFS) on denial management coding related edits, items, and issues. Perform IP & OP coding auditing functions. In accordance with current federal coding compliance...
