3 jobs found in Redding

Your Role As a Clinical Coding Analyst, Experienced specializing in code governance, you will play a pivotal role in ensuring coding standards, compliance, and best practices across development teams. Your responsibilities will include implementing and maintaining a code governance framework, conducting code reviews, optimizing development workflows, and ensuring adherence to industry standards. You will collaborate with cross-functional teams to establish coding guidelines, automate governance processes, and enhance overall software quality and security. Your expertise will drive efficiency, consistency, and compliance in coding practices, supporting scalable and maintainable solutions. Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow - personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams,...

Description Base Pay: $22.00 - $32.50 / hour JOB SUMMARY Certified coder with strong analytical skills to review charges and ensure accurate and appropriate billing to all payers including preferred experience with managed care plans. Knowledge of Medicare & Medi-Cal guidelines, including use of CCI, NCD, LCD edits and familiar with Medi-Cal modifiers & eTAR requirements. Experience in electronic claims submission, electronic health records, posting payments, working A/R including completion of CIF's & appeals. Works closely with the Billing Manager and the Director of Electronic Data Interchange as a team to maintain all aspects of the revenue cycle. JOB DUTIES AND RESPONSIBILITIES Accurate and review of appropriate billing of all charges based on CPT/ICD-10-CM and payer guidelines, especially Partnership HealthPlan. Use of EHR to verify correct coding and medical necessity. With assistance from training staff, provide training to medical front...

A healthcare provider in California is seeking a Billing Representative to manage claims submission and billing processes. You will verify insurance, resubmit denied claims, and ensure compliance with regulations while communicating with patients and payers. Ideal candidates have a high school diploma, prior experience in a medical setting, strong data-entry skills, and attention to detail. This role offers a competitive salary and benefits, supporting a team-focused environment to improve patient care. #J-18808-Ljbffr