• Diagnosis Related Group Clinical Validation…

    Elevance Health (Seattle, WA)
    …you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance ... of medical audit activities. + Draws on advanced ICD-10 coding expertise, mastery of clinical guidelines, and industry knowledge to substantiate conclusions. +… more
    Elevance Health (04/29/25)
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  • Sr Analyst, Medical Economics (Clinical…

    Molina Healthcare (Everett, WA)
    …different standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding /billing (UB04/1500 form) + Demonstrated understanding of key managed ... **JOB DESCRIPTION** **Job Summary** The Senior Analyst, Medical Economics provides support and consultation to the...processes and outcomes, as well as its impact on medical cost, utilization and revenue for multiple Molina Healthcare… more
    Molina Healthcare (05/08/25)
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  • Sr Analyst, Medical Economics (Medicaid)…

    Molina Healthcare (Tacoma, WA)
    …different standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding /billing (UB04/1500 form) + Demonstrated understanding of key managed ... **JOB DESCRIPTION** **Job Summary** The Senior Analyst, Medical Economics provides support and consultation to the...health plan performance and identify the root causes of medical cost trends. With those root causes identified, drives… more
    Molina Healthcare (04/16/25)
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  • Medical Policy Research Analyst *Remote

    Providence (WA)
    …and other relevant sources **Preferred qualifications:** + Health plan experience + Medical coding experience **Salary Range by Location:** + **California: ... **Description** ** Medical Policy Research Analyst \*Remote The medical policy research analyst is responsible for the identification, appraisal, and summary of… more
    Providence (05/09/25)
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  • Medical Biller

    Robert Half Accountemps (Kirkland, WA)
    …systems, such as Cerner or Epic. Familiarity with CPT, ICD-10, and HCPCS medical coding standards. Strong understanding of insurance rules, billing regulations, ... Description Robert Half is seeking a Medical Biller for our local client's ongoing needs...an excellent opportunity for skilled professionals with experience in medical billing to contribute to organizational success and growth.… more
    Robert Half Accountemps (05/03/25)
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  • Charge Capture Representative

    Virginia Mason Franciscan Health (Tacoma, WA)
    …regulatory/reporting requirements pertaining to the assigned function. Knowledge of medical terminology/abbreviations, anatomy/physiology and medical coding ... requires considerable understanding of CPT and diagnosis codes, ICD-9/10 coding , anatomy and physiology as it relates to the..., anatomy and physiology as it relates to the medical field. Effective troubleshooting skills are required to facilitate… more
    Virginia Mason Franciscan Health (05/05/25)
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  • Clinical Documentation Specialist

    Houston Methodist (WA)
    …extensive interaction with physicians, nursing staff, other patient care givers, and medical records coding staff to ensure that appropriate reimbursement is ... coding and utilization review experience preferred + For Medical School graduate - One year of clinical experience...Medical School graduate **OR** + CCS - Certified Coding Specialist (AHIMA) -- For Medical School… more
    Houston Methodist (05/01/25)
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  • Investigator, SIU RN-Remote

    Molina Healthcare (Everett, WA)
    …to health care fraud, waste, and abuse. Duties include performing accurate and reliable medical review audits that may also include coding and billing reviews. ... nursing experience with broad clinical knowledge. + Five years experience conducting medical review and coding /billing audits involving professional and facility… more
    Molina Healthcare (04/20/25)
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  • RN Clinical Documentation Specialist (100%, Days)

    University of Washington (Seattle, WA)
    …to clinical documentation through communication with physicians, practitioners, and medical records coding staff. **DEPARTMENT DESCRIPTION** The Clinical ... of supporting documentation. + Educates providers regarding compliance in medical /clinical documentation, coding and reimbursement issues, and performance… more
    University of Washington (04/15/25)
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  • Coder - Revenue Integrity

    Providence (Spokane Valley, WA)
    …(Facility Managed) + 1 year minimum experience in medical insurance reimbursement, medical billing and coding related to charge review and work RVU's. ... **Description** Coding Specialist is a nationally certified professional coder...and provide additional feedback. Coders will routinely visit Providence Medical Groups (PMG) clinics and attend clinical meetings. Coders… more
    Providence (05/10/25)
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