• Clinical Fraud Investigator II - Registered Nurse…

    Elevance Health (Metairie, LA)
    **Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 - 2 days ... Experiences:** + Fraud and Abuse experienced Nurse with a CPC are highly desired. For candidates working in person...a number of legitimate, non-discriminatory factors set by the Company . The Company is fully committed to… more
    Elevance Health (08/16/25)
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  • Certified Professional Coder, Special…

    CVS Health (Baton Rouge, LA)
    …passionate about transforming health care. As the nation's leading health solutions company , we reach millions of Americans through our local presence, digital ... and every day. **Position Summary** The Certified Professional Coder ( CPC ) will perform medical claim reviews to ensure compliance... must also ensure that the state, federal and company requirements are met and recognize any concerning billing… more
    CVS Health (08/24/25)
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  • Special Investigation Unit (SIU) Coding Review…

    CVS Health (Baton Rouge, LA)
    …passionate about transforming health care. As the nation's leading health solutions company , we reach millions of Americans through our local presence, digital ... heart, each and every day. The Certified Professional Coder ( CPC ) Manager will oversee a team of medical coders...requires a strong focus on meeting state, federal, and company requirements while identifying concerning billing patterns or trends.… more
    CVS Health (08/08/25)
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  • Senior Coding Data Quality Auditor, Coding Quality…

    CVS Health (Baton Rouge, LA)
    …passionate about transforming health care. As the nation's leading health solutions company , we reach millions of Americans through our local presence, digital ... medical record documentation review, diagnosis coding, and/or auditing. + CPC (Certified Professional Coder) or CCS-P (Certified Coding Specialist-Physician)… more
    CVS Health (08/24/25)
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  • HCC Risk Adjustment Coder - Full Time - Remote

    Datavant (Baton Rouge, LA)
    Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the ... bring to the table:** + AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified credentials ( CPC , CPC -H, COC, CIC, or CRC). + A minimum of 2 years HCC… more
    Datavant (08/26/25)
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  • Supervisor, HCC Risk Adjustment Coding - Remote

    Datavant (Baton Rouge, LA)
    Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the ... to the table:** + AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified credentials ( CPC , CPC -H, COC, CIC, CRC) + Extensive knowledge of ICD -9/10 + 2… more
    Datavant (08/13/25)
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  • HCC Risk Adjustment Auditor - Full Time - Remote

    Datavant (Baton Rouge, LA)
    Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the ... GED equivalent required + AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified credentials ( CPC , CPC -H, COC, CIC or CRC) + A strong knowledge base of… more
    Datavant (08/01/25)
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  • Outpatient Coder Same Day Surgery and OBS- PRN

    Datavant (Baton Rouge, LA)
    Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the ... + AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified credentials ( CPC , CPC -H, COC, CIC or CRC). + Strong written and verbal communication skills,… more
    Datavant (08/16/25)
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  • Auditor, HCC Risk Adjustment Coding - Full Time…

    Datavant (Baton Rouge, LA)
    Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the ... + AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified credentials ( CPC , CPC -H, COC, CIC or CRC). + Proficient in ICD-10 coding. + Experienced… more
    Datavant (08/08/25)
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  • Profee Medical Coder Complex Surgical Pediatric

    Banner Health (LA)
    …questionnaire.** **Please note, this is a COMPLEX role, requiring more than a CPC -A level certification** **.** _** Don't quite meet the above requirements? Check ... (OIG) and the Health Care Financing Administration (HCFA), as well as company and applicable professional standards. 4. As assigned, compiles daily and monthly… more
    Banner Health (07/30/25)
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