Clinical Coding Analyst RN, Consultant

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...

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, Senior, Insurance, Healthcare

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, Senior, Insurance, Healthcare Learn More

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

Clinical Quality Analytics, Consultant at Blue Shield of California summary: The Clinical Quality Analytics Consultant utilizes data analytics and informatics to enhance member-centered care by conducting high complexity analyses and providing actionable insights. This role involves the development of analytical methods, mentorship of junior analysts,...

Clinical Quality Analytics, Consultant at Blue Shield of California summary: The Clinical Quality Analytics Consultant analyzes complex healthcare data to improve clinical quality and support member-centered care. This role involves developing analytical methods, conducting independent analyses, and creating actionable insights for high-level reporting...

Clinical Quality Analytics, Consultant at Blue Shield of California summary: The Clinical Quality Analytics Consultant analyzes complex healthcare data to improve clinical quality and support member-centered care. This role involves developing analytical methods, conducting independent analyses, and creating actionable insights for high-level reporting...

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 - Consultant...

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 - Consultant...

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 - Consultant...

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 - Consultant...

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 - Consultant...

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...

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...

Job DescriptionThe Clinical Quality Analytics and Informatics team at Blue Shield of California delivers high-quality clinical analytics and informatics to support member-centered care. Our data, intelligence, and actionable insights drive quality strategy, performance improvement, and regulatory reporting. We are seeking a highly skilled Clinical Quality...

Your Role The Commercial Markets Analytics team provides financial reporting and utilization/clinical analytics to Commercial employers and their Brokers/Consultants. The Medical Informatics Analyst, Consultant will report to the Senior Manager of Commercial Markets Analytics in Data & Analytics under Information Technology. In this role you will fulfill...

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 - Consultant...

Your RoleThe Commercial Markets Analytics team provides financial reporting and utilization/clinical analytics to Commercial employers and their Brokers/Consultants. The Medical Informatics Analyst, Consultant will report to the Senior Manager of Commercial Markets Analytics in Data & Analytics under Information Technology. In this role you will fulfill...