Clinical Coding Analyst RN, Senior

Role Overview:The Clinical Coding Analyst RN Senior will be responsible for performing in-depth quality audits of hospital claims to support ICD-10-CM and ICD-10 PCS codes, as well as MS-DRG and APR-DRG reviews based on clinical determination. This role requires a strong understanding of medical necessity and reimbursement requirements, as well as the...

The Facility Compliance Review team reviews post service prepayment facility claims for contract compliance, industry billing standards, medical necessity and hospital acquired conditions/never events.. The Certified Clinical Coder Nurse, Senior will Clinical, Analyst, RN, Medical Director, Senior, Compliance, Insurance, Healthcare

Job OverviewWe are seeking a seasoned Clinical Coding Analyst RN, Senior to join our Facility Compliance Review team at Blue Shield of California.

Your Role The Facility Compliance Review team reviews post service prepayment facility claims for contract compliance, industry billing standards, medical necessity and hospital acquired conditions/never events.. The Certified Clinical Coder Nurse, Senior will report to the Senior Manager, Facility Compliance Review. In this role you will be performing...

Your Role The Facility Compliance Review team reviews post service prepayment facility claims for contract compliance, industry billing standards, medical necessity and hospital acquired conditions/never events.. The Certified Clinical Coder Nurse, Senior will report to the Senior Manager, Facility Compliance Review. In this role you will be performing...

About the RoleAre you a detail-oriented healthcare professional with a passion for delivering high-quality care? Blue Shield of California is seeking a skilled Clinical Coding Analyst RN, Senior to join our team. As a member of our Facility Compliance Review team, you will play a critical role in ensuring the accuracy and integrity of medical coding for our...

The Facility Compliance Review team reviews post service prepayment facility claims for contract compliance, industry billing standards, medical necessity and hospital acquired conditions/never events.. The Certified Clinical Coder Nurse, Lead/ Consu Clinical, Consultant, Analyst, RN, Medical Director, Compliance, Insurance, Healthcare

Your Role The Facility Compliance Review team reviews post service prepayment facility claims for contract compliance, industry billing standards, medical necessity and hospital acquired conditions/never events.. The Certified Clinical Coder Nurse, Lead/Consultant will report to the Senior Manager, Facility Compliance Review. In this role you will be...

Critical Role in Enhancing Healthcare QualityThe Senior Clinical Quality Analyst plays a vital part in elevating healthcare quality performance through intricate data analysis and reporting. This position demands the development of sophisticated data systems, the execution of high-level analyses for enhancing healthcare quality metrics, and collaboration...

Company Overview:Blue Shield of California is a leading healthcare organization that delivers best-in-class clinical quality analytics and informatics to enable high-quality and affordable member-centered care.About the Role:We are seeking an experienced Data Analyst - Clinical Quality Senior to join our team. This role will provide data, analytic, and...

Role OverviewThe Senior Clinical Quality Analyst plays a pivotal role in enhancing clinical quality performance through complex data analysis and reporting. This position involves the development of data systems, the execution of high-level analyses for improving healthcare quality metrics, and collaboration with various teams to support regulatory and...

About SCANSCAN is a leading not-for-profit organization dedicated to improving the lives of older adults in the United States. With over 45 years of experience, SCAN has established itself as a trusted expert in senior healthcare.The OpportunityWe are seeking a highly skilled Senior Medical Policy Analyst to join our team. As a key member of our Medical...

Your Role The Clinical Quality Analytics and Informatics team delivers best-in-class clinical quality analytics and informatics to enable high quality and affordable member-centered care. Our data, intelligence, and actionable insights help drive quality strategy, performance improvement, and regulatory reporting. The Clinical Quality Analyst - Senior will...

Clinical Quality Analytics, Senior at Blue Shield of California summary: The Senior Clinical Quality Analyst plays a critical role in enhancing clinical quality performance through complex data analysis and reporting. This position involves the development of data systems, the execution of high-level analyses for improving healthcare quality metrics, and...

Your Role The Clinical Quality Analytics and Informatics team delivers best-in-class clinical quality analytics and informatics to enable high quality and affordable member-centered care. Our data, intelligence, and actionable insights help drive quality strategy, performance improvement, and regulatory reporting. The Clinical Quality Analyst - Senior will...

Your Role The Clinical Quality Analytics and Informatics team delivers best-in-class clinical quality analytics and informatics to enable high quality and affordable member-centered care. Our data, intelligence, and actionable insights help drive quality strategy, performance improvement, and regulatory reporting.  The Clinical Quality Analyst - Senior will...

Your Role The Clinical Quality Analytics and Informatics team delivers best-in-class clinical quality analytics and informatics to enable high quality and affordable member-centered care. Our data, intelligence, and actionable insights help drive quality strategy, performance improvement, and regulatory reporting.  The Clinical Quality Analyst - Senior will...

Clinical Quality Analytics, Senior at Blue Shield of California summary: The Clinical Quality Analytics, Senior role focuses on delivering clinical quality analytics and informatics for member-centered care. This position involves conducting data analysis, developing reporting systems, and ensuring accuracy in clinical data for regulatory compliance. The...

Your RoleThe Clinical Quality Analytics and Informatics team delivers best-in-class clinical quality analytics and informatics to enable high quality and affordable member-centered care. Our data, intelligence, and actionable insights help drive quality strategy, performance improvement, and regulatory reporting. The Clinical Quality Analyst - Senior will...

Your Role The Clinical Quality Analytics and Informatics team delivers best-in-class clinical quality analytics and informatics to enable high quality and affordable member-centered care. Our data, intelligence, and actionable insights help drive quality strategy, performance improvement, and regulatory reporting. The Clinical Quality Analyst - Senior will...