40 jobs found in Sacramento

Medical Coding Auditor Become a part of our caring community and help us put health first. Humana is looking for an experienced medical coding auditor to handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, consider a Fortune 100 company that prioritizes its consumers' and staff's well-being. This company rewards performance, and you should strongly consider the Outpatient Medical Coding Auditor position. This role focuses on Durable Medical Equipment (DME) auditing and is part of the PPI Coding Disputes Team with Humana. The Disputes Auditor DME Outpatient Coding on the Disputes Team reports to the Manager. This role consults and collaborates with coding professionals within and across departments. The goal is to ensure high accountability of coding disputes outcomes for timeliness, compliance, and quality. Will be an experienced medical coding auditor with in-depth experience in outpatient DME coding disputes and...

Keish Environmental Is Hiring: Environmental Compliance Auditor Keish Environmental is seeking a self-motivated, enthusiastic individual to join our team as an Environmental Compliance Auditor. This position works alongside our clients, both in government and the private industry, to oversee all aspects of regulatory environmental and stormwater compliance on projects. About the Role In this role, the Environmental Compliance Auditor will be responsible for conducting forensic analyses of environmental compliance documents and providing management and oversight to ensure compliance with environmental commitments, including identifying and resolving compliance documentation issues, and ensuring regulatory requirements are met. You will Conduct inspection of environmental compliance reports and documentation, evaluate environmental documents, permits and other regulatory approvals, provide compliance advice, review and prepare reports and coordinate with relevant functional...

This is a full time remote based position that specializes in advancing product expertise and functional skills of global medical affairs teams. The AD will serve as a therapeutic area expert (i.e., Nephrology/Immunology) by leading the training supporting the GMA Business Unit products, strategy and priorities. This role will be responsible for developing and executing the core training curriculum for a new product across all launch phases as well as training New Hire MSLs & GMA personnel supporting their therapeutic area. In addition, this role will be integral in the support of the GMA Peak Performers series, focusing on upskilling the performance of Global Medical Affairs. This will require original idea proposals, slide development, execution and evaluation. Leading live and virtual classroom trainings will also be an important deliverable of this position. The AD will partner and oversee regional/local Training Leads for their therapeutic area to develop tailored...

About Otsuka We defy limitation, so that others can too. In going above and beyond-under any circumstances-for patients, families, providers, and for each other. It's this deep-rooted dedication that drives us to uncover answers to complex, underserved medical needs, so that patients can push past the limitations of their disease and achieve more than they thought was possible each day. About the Role The Omnichannel Center of Excellence is dedicated to driving innovation, building, and delivering capabilities that enhance Otsuka's opportunity to make an impact in the lives of those we serve. We achieve this through our relentless focus on customer centricity, patient empathy, expertise in enabling pathways for disease education and awareness of management options, and our unwavering commitment to supporting access to treatment. We are looking for an Omnichannel Data Scientist , Medical Omnichannel with strong expertise in artificial intelligence, encompassing...

INTRODUCTION NORCAL Ambulance was founded with a vision to operate differently in the emergency services industry. We prioritize the well-being of our employees, foster inclusivity, and attract individuals who take pride in their work. Since our establishment in 2004, we have experienced remarkable growth, with 13 stations and offices throughout northern California, a fleet of over 150 ambulances, and a team of over 900 dedicated professionals responding to countless calls each week. Our success can be directly attributed to the extraordinary efforts of our staff in delivering exceptional patient care. THE POSITION Responsible for the accurate and timely submission of medical claims to insurance and private payors, contracted facilities and/or Medicare, Medi-Cal and all other government programs. RESPONSIBILITIES • Conduct insurance verification and validation to ensure benefits are accurate for claim submission. • Identify and bill secondary or tertiary...

This is a repost. If you have previously applied for this position under JC-501297, you do not need to reapply. This position requires the incumbent to maintain consistent and regular attendance; communicate effectively (orally and in writing if both appropriate) in dealing with the public and/or other employees; develop and maintain knowledge and skill related to specific tasks, methodologies, materials, tools and equipment; complete assignments in a timely and efficient manner; and adhere to department policies and procedures regarding attendance, leave, and conduct. Under the general direction of the Supervising Management Auditor, the Senior Management Auditor provides supervision to a Staff Management Auditor and a group of professional auditors. Travel for this position is approximately 5% per year. This position may be eligible for hybrid telework under Government Code 14200 for eligible applicants residing in California, subject to the candidate meeting telework...

Job Type Full-time Description About Elica Health Centers: Join Elica's mission and become a part of a team where every day is an opportunity to make a positive impact in your community! At Elica Health Centers, we share a common goal: provide the best possible patient care to our growing community! Our passion extends throughout Elica, from the exceptional healthcare services we provide to our underserved patients at our Community Health Clinics and state-of-the-art mobile medicine program: Health on Wheels, to our Resource Center where we empower patients and members of the community to connect with resources to help them build healthy and full lives. What You Will Do: The successful candidate will be willing and able to: Greets and prepares patients by accurately obtaining vital signs, medical history, allergies, and medication reconciliation at each visit; documents information in Epic EHR and assists providers during exams and procedures. Prepares,...

Inpatient Medical Coding Auditor - PPI Coding Disputes Become a part of our caring community and help us put health first. The Inpatient Medical Coding Auditor - PPI Coding Disputes reporting to the Manager reviews the appropriate DRG and ICD-10-CM/PCS coding assignments for accuracy within the coding disputes team from a variety of medical records. The Disputes Auditor - MSDRG Inpatient Coding on the Disputes Team consults and collaborates with coding professionals within and across departments to ensure high accountability of coding disputes outcomes for timeliness, compliance and quality. Responsibilities: Will be an experienced medical coding auditor with in-depth experience in inpatient coding audits (MSDRG/APDRG) Ensures overall accuracy and compliance of coding disputes reviews by adhering to all appropriate coding guidelines and communicates disputes outcomes to providers in a professional and concise manner. Leverages advanced auditing expertise to make coding...

Coding Educator (Temp-To-Hire, 13 Weeks) Location: Within Sutter Health Footprint (Hybrid Mostly Remote With Local Travel) Type: Contingent / Temp-To-Hire Overview Sutter Health Is Seeking Experienced Professional Fee (Pro Fee)Focused Coding Educators To Support Large-Scale Chart Review, Coding Accuracy Validation, Physician Education, And Document... Key Responsibilities Include: Supporting large-scale chart review Validating coding accuracy Providing physician education Ensuring documentation accuracy Qualifications: Experience in professional fee coding Strong understanding of coding regulations and guidelines Excellent communication and teaching skills Additional Information: Job Id And Other Requisition Information Can Be Found At The Bottom Of This Post.

Hcc Coder Datavant is the data collaboration platform trusted for healthcare. 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. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical role in translating clinical...

Billing Medical Coder The Billing Medical Coder is responsible for the day-to-day coding and billing operations for all services billable under grants, federal, state, and county programs including Medicare, Medi-Cal, managed care and private insurances. Starting Bonus: $5,000 Location: Midtown - Sacramento, CA (95811). This role allows a hybrid schedule requiring 1-2 days per week on site. Training Period: 46 weeks onsite, 5 days per week Essential Functions: Review and adjudicate coding of services from documentation in a timely manner. Code physician/provider visit procedure notes to identify appropriate ICD10 and CPT4 codes for charge processing. Ensures that all diagnosis ICD10 codes and procedure CPT, HCPCS codes are identified, sequenced, and coded in an accurate and ethical manner for optimized reimbursement. Assigns Evaluation and Management codes and key concepts/elements documented in the patient note, utilizing defined coding guidelines applicable to...

Coding Educator Shift: Day 5x8-Hour (08:00 - 17:00) Location: Within Sutter Health Footprint (Hybrid Mostly Remote with Local Travel) Type: Contingent / Temp-to-Hire Overview Sutter Health is seeking experienced Professional Fee (Pro Fee)focused Coding Educators to support large-scale chart review, coding accuracy validation, and education for coding staff. The Coding Educator will play a critical role in ensuring coding accuracy and compliance with coding standards.

Company : Allegheny Health Network Job Description : General Overview This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD coding systems and assists in decreasing the average accounts receivable days. Essential Responsibilities Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD codes for diagnoses and procedures. (65%) Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%) Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%) Keeps informed of the changes/updates in ICD guidelines by attending appropriate training, reviewing coding clinics and other resources and implementing these updates in daily work. (5%) Performs...

Overview Datavant is a data platform company and the world’s leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world’s leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you’re stepping onto a high-performing, values-driven team. Together, we’re rising to the challenge of tackling some of healthcare’s most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. What We’re Looking For We’re looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal...

Overview We are seeking experienced Professional Fee (Pro Fee)–focused Coding Educators to support large-scale chart review, coding accuracy validation, physician education, and documentation improvement initiatives. These roles are high-visibility and require strong communication and presentation skills to engage directly with clinicians and support our revenue cycle, audit, and education functions. Candidates must live within the designated geographic footprint and be available for occasional on-site work and local travel. Positions are structured as 13-week temp-to-hire with conversion opportunities. Key Responsibilities Coding Education & Training Deliver physician and coder education for assigned groups, with emphasis on Pro Fee (ASC, surgery, outpatient) environments. Facilitate individual and group training sessions; must be comfortable presenting to clinicians. Address provider and coder questions related to documentation standards, audit findings, and coding...

A leading health insurance company is seeking an experienced Inpatient Medical Coding Auditor to work remotely. This role involves reviewing inpatient hospital claims and ensuring proper reimbursement through accurate coding. Candidates must possess relevant certifications and have at least 4 years of auditing experience. The position offers a competitive salary between $71,100 - $97,800 annually and benefits that support overall well-being. Occasional travel to the office for training may be required. #J-18808-Ljbffr

Physician Coding Educator - Consultant Location: 100% Remote (consultant; U.S.-based candidates eligible) Engagement Type: Consultant (13-week engagement) Overview We are seeking experienced Physician Coding Educators with deep Professional Fee expertise to support physician education, coding accuracy validation, chart review, and documentation improvement initiatives. These consultant roles require strong technical knowledge, sound audit judgment, and the ability to communicate effectively with clinicians and coding professionals. The ideal candidate is confident engaging directly with physicians, translating audit findings into actionable education, and improving documentation quality and coding consistency across professional fee environments. Core Responsibilities Physician & Coding Education • Deliver targeted education to physicians and coding staff with a focus on Professional Fee coding (ASC, surgical, outpatient settings). • Facilitate one-on-one and group...

Apply for Job Job ID 83608 Location Sacramento Full/Part Time Part Time Add to Favorite Jobs Email this Job Job Summary #CA-KN Under the general direction of the Supervisor, incumbent performs abstracting of medical services provided by UCDHS and affiliates. Incumbent identifies all billable services (IP Professional, Outpatient professional and facility, Hospital Service Departments, Freestanding, and Ancillary Services), CPT-4, ICD-10, and HCPCS codes for billing purposes to government agencies, insurance companies and patients. Incumbent is responsible for the accuracy of above procedure and diagnosis coding relative to corresponding documentation and standards. Incumbent will ensure compliance to all federal, state and carrier specific rules, regulations and requirements related to professional fee services are adhered to. Apply By Date: 3/9 /2026 at 11:59 pm - Interviews and recruiting process may occur at any time Minimum Qualifications - For full...

Datavant is the data collaboration platform trusted for healthcare. 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. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. What We're Looking For We're looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing...

Datavant is the data collaboration platform trusted for healthcare. 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. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. We're looking for experienced and credentialed outpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to help shape the...