Current jobs related to Lead Medical Coding Specialist, Risk Management - Oakland, California - Altais
-
Oakland, California, United States Altais Full timeJob SummaryWe are seeking a highly skilled Senior Coding Analyst, Risk Adjustment to join our team at Altais. This role will be responsible for coding medical records for HCC reimbursement, training, education, and compliance. The ideal candidate will have a strong background in medical coding, risk adjustment, and analytics, with excellent communication and...
-
Oakland, California, United States Altais Full timeJob Title: Senior Coding Analyst, Risk AdjustmentAbout the Role:We are seeking a highly skilled Senior Coding Analyst, Risk Adjustment to join our team at Altais. As a key member of our Clinical Performance team, you will be responsible for coding medical records for HCC reimbursement, training, education, and compliance. Your expertise will play a critical...
-
Oakland, California, United States Altais Full timeJob Title: Senior Coding Analyst, Risk AdjustmentAbout the Role:We are seeking a highly skilled Senior Coding Analyst, Risk Adjustment to join our team at Altais. As a key member of our Clinical Performance team, you will play a critical role in ensuring the accuracy and compliance of our risk adjustment coding efforts.Key Responsibilities:Review and audit...
-
Coding Manager
2 weeks ago
Oakland, California, United States UC San Diego Full timeJob Title: PB Coding ManagerUC San Diego Health's Revenue Cycle department is seeking a highly skilled Coding Manager to join our team. As a Coding Manager, you will be responsible for ensuring the timely, accurate, and compliant coding and charge capture for your assigned group of specialties.The ideal candidate will have a strong background in coding and...
-
Nurse Practitioner
2 weeks ago
Oakland, California, United States Matrix Medical Network Full timeAbout Matrix Medical NetworkMatrix Medical Network is a leading provider of clinical services and proven expertise that give primary care providers and at-risk health plan members the tools and knowledge to better manage their health at home.We offer a broad range of clinical services, including home risk assessments, medical history reviews, and health...
-
Associate Medical Coding Director
1 month ago
Oakland, California, United States Exelixis Full timeJob SummaryThe Associate Medical Coding Director is a key member of the Exelixis team, responsible for delivering timely and high-quality coding deliverables for clinical trials and programs. This role requires a strong understanding of medical terminology, coding processes, and regulatory requirements.Key ResponsibilitiesDevelop and implement a long-term...
-
Associate Medical Coding Director
4 weeks ago
Oakland, California, United States Exelixis Full timeJob SummaryThe Associate Medical Coding Director is a key member of the Exelixis team, responsible for delivering timely and high-quality coding deliverables for clinical trials and programs. This role requires a strong understanding of medical terminology, coding processes, and regulatory requirements.Key ResponsibilitiesDevelop and implement a long-term...
-
Senior Manager, Risk Management
4 weeks ago
Oakland, California, United States Pacific Gas And Electric Company Full timeJob Title: Senior Manager, Risk ManagementJoin Pacific Gas and Electric Company as a Senior Manager, Risk Management, and play a critical role in ensuring the safety and reliability of our electric distribution and transmission operations.Job SummaryThe Senior Manager, Risk Management, will oversee risk and compliance issues for Electric Operations, leading...
-
Lead Reimbursement Specialist
6 days ago
Oakland, California, United States Telecare Corporation Full timeJob SummaryThe Lead Reimbursement Specialist is responsible for managing all revenue cycle functions for assigned fee-for-service/third-party facilities, including insurance verification, census, authorization management, billing, collections, cash posting, collections, denials, appeals, and write-offs/refunds.This role serves as the main point of contact...
-
Nurse Practitioner
7 days ago
Oakland, California, United States Matrix Medical Network Full timeAbout the RoleMatrix Medical Network is seeking a skilled Nurse Practitioner to join our team as a Home Risk Assessment Specialist. In this role, you will conduct comprehensive health assessments in the comfort of patients' homes, providing unmatched insight into their overall health and well-being.As a Home Risk Assessment Specialist, you will work...
-
Risk Management Specialist
2 weeks ago
Oakland, California, United States Talantage Full timeJob Title: Risk Management AnalystJob Summary:We are seeking a highly skilled Risk Management Analyst to join our team at Talantage, LLC. As a Risk Management Analyst, you will provide administrative support and assistance to the Risk Manager in the areas of claims management, safety, and general insurance programs.Key Responsibilities:Process and evaluate...
-
Senior Manager, Risk Management and Compliance
3 weeks ago
Oakland, California, United States Pacific Gas And Electric Company Full timeJob Title: Senior Manager, Risk Management and ComplianceAt Pacific Gas and Electric Company, we are seeking a highly skilled Senior Manager, Risk Management and Compliance to join our team. This role will be responsible for leading risk management activities across Electric Operations, providing authoritative risk support, advice, and recommendations to...
-
Nurse Practitioner
2 weeks ago
Oakland, California, United States Matrix Medical Network Full timeAbout Matrix Medical NetworkMatrix Medical Network is a leading provider of clinical services and proven expertise that give primary care providers and at-risk health plan members the tools and knowledge to better manage their health at home.We offer a broad range of clinical services that help older adults and other at-risk individuals enjoy a better...
-
Sourcing Manager
2 weeks ago
Oakland, California, United States Tailored Management Full timeJob Title:Sourcing ManagerJob Summary:We are seeking an experienced Sourcing Manager to lead our IT procurement efforts, focusing on enterprise software, SaaS, and Cloud services. The ideal candidate will develop sourcing strategies, negotiate contracts with top-tier vendors, and drive cost savings while ensuring alignment with organizational objectives.Key...
-
Senior Risk Management Leader
4 weeks ago
Oakland, California, United States Pacific Gas And Electric Company Full timeJob Title: Senior Manager, Electric Risk Management & SafetyAt Pacific Gas and Electric Company, we are seeking a highly skilled Senior Manager to lead our Electric Risk Management & Safety team. As a key member of our organization, you will be responsible for overseeing risk and compliance issues for Electric Operations, including leading processes to...
-
Compliance and Risk Management Specialist
4 weeks ago
Oakland, California, United States PG&E Corporation Full timeJob SummaryWe are seeking a highly skilled Compliance and Risk Consultant to join our team at PG&E Corporation. As a key member of our Electric Operations Safety and Compliance Strategy department, you will play a critical role in ensuring the company's compliance with applicable standards, laws, and regulations.The ideal candidate will have a strong...
-
Oakland, California, United States Kaiser Permanente Full timeJob Summary:The Senior Vice President, National Risk Adjustment Strategy will be responsible for developing and executing a comprehensive risk adjustment strategy for Kaiser Permanente's National Health Plan. This role will require a deep understanding of the regulatory environment, risk adjustment models, and data analytics. The successful candidate will...
-
Enterprise Risk Management Director
1 week ago
Oakland, California, United States The Clorox Company Full timeRole SummaryThe Associate Director, ERM will report to the VP, Enterprise Transformation Projects. As the Associate Director, you will be responsible for leading the organization's risk management initiatives. You will conduct project-based risk assessments and manage the enterprise risk assessment process to identify, evaluate, and mitigate risks across the...
-
Third Party Risk Management Specialist
2 weeks ago
Oakland, California, United States LHH Recruitment Solutions Full timeJob OverviewLHH Recruitment Solutions is seeking a detail-oriented Third Party Risk Analyst to join our client's team on a contract basis. Our client is a cutting-edge organization based in the Oakland, CA area, offering a great opportunity for a candidate with a background in Fintech, Banking, Audit, or Financial Services.Key Responsibilities:Collect...
-
Director, Risk Adjustment Specialist
4 weeks ago
Oakland, California, United States Altais Health Solutions Full timeAbout the RoleWe are seeking a highly skilled and experienced Director, Risk Adjustment to join our team at Altais Health Solutions. As a key member of our organization, you will be responsible for ensuring the accuracy and completeness of our members' medical records, while also ensuring compliance with all applicable federal and state guidelines.Key...
Lead Medical Coding Specialist, Risk Management
2 months ago
Acerca de Nuestra Empresa
Altais está en la búsqueda de individuos innovadores que estén apasionados por transformar el sistema de salud para médicos, pacientes y la comunidad clínica. Únete a nuestro equipo mientras cambiamos las reglas del juego para el futuro de la atención médica.
Acerca de Tu Equipo
Colabora con un equipo de Salud e Innovaciones de alto rendimiento, atendiendo a más de 500,000 pacientes en California. Si tienes pasión por remodelar la atención médica, queremos conocerte.
Acerca de Tu Trabajo
El Especialista en Codificación Médica Senior se centrará en la codificación de registros médicos con fines de codificación HCC, colaborando con médicos en la mejora de la documentación clínica. Las responsabilidades incluyen proporcionar experiencia en codificación, apoyar los esfuerzos de ajuste de riesgo y participar en proyectos que impacten los ingresos y preparen para auditorías.
Te enfocarás en:
- Revisar, auditar y codificar registros médicos para el reembolso y cumplimiento HCC.
- Alcanzar objetivos de productividad en la codificación HCC con precisión.
- Revisar códigos HCC e ICD-10 para asegurar su exactitud e implementar cambios.
- Asistir a los médicos con la codificación y documentación HCC.
- Servir como recurso para los miembros del equipo y oficinas de médicos.
- Realizar auditorías de codificación HCC.
- Demostrar una fuerte capacidad para trabajar de manera independiente.
Las Habilidades, Experiencia y Educación que Aportas
- Se prefiere título universitario de una institución acreditada.
- Se requieren certificaciones de codificación.
- Experiencia en codificación médica profesional y codificación HCC.
- Experiencia en Ajuste de Riesgo de Medicare y software EPIC EMR.
- Se prefiere experiencia en gestión de proyectos.
Compartes Nuestra Misión y Valores
- Apasionado por mejorar la atención médica.
- Audaz, curioso y creativo.
- Responsable y compasivo.
- Colaborativo y digno de confianza.