• Clinical Documentation Improvement…

    Actalent (Sacramento, CA)
    …fully remote with one of California's largest hospital systems! Job Description The Clinical Documentation Specialist (CDS) will utilize their clinical ... in OBGYN, Pediatrics, and Inpatient Psychiatry. + Minimum 2-3 years of Clinical Documentation Specialist experience. + Licensure/Education: IMG with… more
    Actalent (03/04/25)
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  • Clinical Documentation

    Sutter Health (Sacramento, CA)
    …reviews of patient medical records to evaluate the accuracy and completeness of clinical documentation , ensuring notes reflect the severity of patient's illness ... + Critical thinking with the ability to analyze and interpret medical record/ clinical documentation and formulate appropriate physician queries. + Ability to… more
    Sutter Health (03/15/25)
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  • Hierarchical Condition Category (HCC) Coding…

    Highmark Health (Sacramento, CA)
    …categories. Supports other key objectives to drive capture of correct Risk Adjustment coding including documentation improvement, provider education, analyzing ... **Required** (any of the following) + Certified Professional Coder (CPC) + Certified Risk Coder (CRC) + Certified Coding Specialist (CCS) + Registered Health… more
    Highmark Health (03/04/25)
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  • Risk Adjustment Auditor I

    Baylor Scott & White Health (Sacramento, CA)
    …**KEY SUCCESS FACTORS** + Knowledge of ICD-10-CM and CPT coding conventions, and clinical documentation + Knowledge of and compliance with standards of ethical ... + Conducts provider audits and creates provider scorecards to offer feedback on Risk Adjustment Methodology + Interprets health record documentation to code and… more
    Baylor Scott & White Health (03/13/25)
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  • Coding Auditor Educator

    Highmark Health (Sacramento, CA)
    …Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code and modifier ... areas. Uses information to generate topics for education, training, process changes, risk reduction, optimization of reimbursement with new and current coders in… more
    Highmark Health (02/07/25)
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