Clinical Documentation Specialist Jobs in Folsom, CA

Shape the future of healthcare by conducting thorough audits of medical records to ensure coding accuracy and compliance, while providing actionable insights to enhance processes for Fraud, Waste & Ab...

Champion innovative clinical solutions by translating complex scenarios into actionable, clinically grounded input for engineering and product teams. Collaborate cross-functionally and engage with cli...

Lead the execution of client implementation projects, ensuring alignment across cross-functional teams to enhance operational efficiency and exceed client expectations while driving process improvemen...

Design audit concepts and processes, mentor teams, and ensure quality control while developing innovative solutions in the healthcare auditing domain to generate recoverable claims for clients...

Transform healthcare delivery by leading clinical quality initiatives, supervising field staff, and driving value-based contracts to enhance member care and manage risks while ensuring program effecti...

Join a team that's pivotal in managing extensive care programs, ensuring cross-functional coordination, delivering effective outcomes, and leading improvements in project management processes across t...

Join a team that's dedicated to leading clinical review audits, managing operations, and ensuring quality outcomes. Utilize your nursing expertise to support remote staff and drive strategic initiativ...

Lead the charge in optimizing outpatient facility coding audits, enhancing compliance, and educating coders. This remote role combines customer service with expert coding analysis to uplift healthcare...

Champion the development and delivery of specialized training programs for clinical audit staff focused on IPF and IRF claims, ensuring compliance and improved accuracy through expert guidance and inn...

Unlock potential by guiding healthcare providers through complex claims disputes. Represent clients in WC, MVA, TPL, and VA claims while ensuring compliance with state laws. Collaborate with teams to...

Drive optimized clinical documentation improvement strategies and oversee a multidisciplinary team to enhance pre-bill validation processes, ensuring compliance and accuracy while supporting client ou...

Elevate your career by leading coding compliance audits and enhancing healthcare standards. You'll conduct thorough reviews, coach auditors, and drive continuous improvement initiatives while ensuring...

Unlock potential by leading clinical reimbursement strategies across skilled nursing facilities, ensuring compliance and optimal performance through collaboration with multidisciplinary teams to enhan...

Architect innovative data warehouse solutions and deliver insightful business intelligence in healthcare analytics, collaborating with cross-functional teams to optimize performance and ensure complia...

Lead transformative Document Services operations and strategy, driving efficiency across Inbound Correspondence and Print Production. Collaborate with cross-functional teams to enhance member support...

Champion complex provider dispute resolutions by analyzing claims, interpreting contracts, and guiding teams. Collaborate across departments to enhance operational accuracy and efficiency through expe...

Develop analytics to enhance revenue integrity while overseeing month-end controls. Collaborate with cross-functional teams to resolve discrepancies and mentor junior analysts, ensuring accurate finan...

Transform revenue analysis processes by leading month-end controls, investigating discrepancies, and developing insights to enhance financial reporting. Collaborate across teams to resolve complex cli...

Elevate the clinical adjudication process by leading cross-functional teams to ensure timely, high-quality project delivery while optimizing workflows and achieving strategic milestones in the pharmac...

Join a team that's driving project success in healthcare by leading clinical adjudication initiatives, enhancing workflows, and collaborating across departments to ensure quality and efficiency in pro...

Empower operational excellence by liaising between teams to analyze and resolve complex technical issues, enhancing data platform performance and driving process improvements for business stakeholders...

Shape the future of healthcare compliance by conducting thorough audits, mentoring auditors, and driving initiatives that foster a culture of excellence. Leverage your expertise to enhance coding accu...

Unlock potential by delivering specialized nursing care in dialysis units, ensuring quality patient outcomes and collaborating within a dedicated care team while providing education and support for pa...

Join a dynamic team to review DME claims and ensure compliance with medical policies and coverage requirements. Leverage your expertise while collaborating with healthcare professionals to support qua...

Evaluate and support durable medical equipment claims and authorizations, ensuring compliance with medical necessity and coverage guidelines while collaborating across healthcare teams to achieve qual...