• Diagnosis Related Group Clinical Validation…

    Elevance Health (Mason, OH)
    …Documentation Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential ... experience preferred. + Broad knowledge of clinical documentation improvement guidelines, medical claims billing and payment systems, provider billing more
    Elevance Health (08/09/25)
    - Related Jobs
  • DRG Coding Auditor

    Elevance Health (Mason, OH)
    …Technician and/or CCS as a Certified Coding Specialist and/or CIC as a Certified Inpatient Coder . + Requires 5 years of experience working with ICD-9/10CM, ... or hospital coding or quality assurance environment preferred. + Broad knowledge of medical claims billing /payment systems provider billing guidelines, payer… more
    Elevance Health (07/22/25)
    - Related Jobs
  • Special Investigation Unit (SIU) Coding Review…

    CVS Health (Columbus, OH)
    …and more compassionate. And we do it all with heart, each and every day. The Certified Professional Coder (CPC) Manager will oversee a team of medical coders ... ensure compliance with coding practices through comprehensive record reviews for medical , behavioral, transportation, and other healthcare providers. The CPC Manager… more
    CVS Health (08/08/25)
    - Related Jobs
  • Senior Coding Educator

    Humana (Columbus, OH)
    …Qualifications** + High school diploma or equivalent + Must hold AAPC CPC ( Certified Professional Coder ) certification + 2 years or more experience with ... Prior experience in provider education + Strong knowledge of medical record review + Understanding of billing ,...in Medicare Advantage or Value-Based Care + AAPC CRC ( Certified Risk Adjustment) Certification + AAPC CDEO ( Certified more
    Humana (08/08/25)
    - Related Jobs
  • Clinical Fraud Investigator Senior

    Elevance Health (Mason, OH)
    …**Minimum Requirements:** + Requires an AS in Nursing and/or current certification as a Certified Professional Coder (AAPC or AHIMA) and minimum of 5 years ... as warranted. + Examines claims for compliance with relevant billing and processing guidelines and to identify opportunities for...control. + Review and conducts analysis of claims and medical records prior to payment. + Researches new healthcare… more
    Elevance Health (08/08/25)
    - Related Jobs