• Quality Assurance Manager

    Humana (Olympia, WA)
    …our vendor partners. Will support and promote consistent, compliance, and high-quality medical coding practices, with a strong focus collaboration and quality ... loops. **Use your skills to make an impact** **Required Qualifications** + Medical coding certification (AAPC or AHIMA) + Minimum 7 years of experience in… more
    Humana (09/27/25)
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  • Payment Integrity Auditor I

    Premera Blue Cross (Mountlake Terrace, WA)
    …the Special Investigation Unit and Payment Integrity Specialists. This role requires medical coding experience and solid written and oral communication. **This ... combination of education and experience. + (1) year of related medical coding or auditing experience. + Certified Professional Coder Designation (CPC-A, CPC,… more
    Premera Blue Cross (09/24/25)
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  • Payment Integrity Auditor II

    Premera Blue Cross (Mountlake Terrace, WA)
    …the Special Investigation Unit and Payment Integrity Specialists. This role requires medical coding experience, analytical skills, solid written and oral ... equivalent combination of education and experience. + (3) years of related medical coding /auditing experience. + Certified Professional Coder Designation (CPC,… more
    Premera Blue Cross (09/24/25)
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  • Coding Auditor Educator-Inpatient

    Highmark Health (Olympia, WA)
    …**GENERAL OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data ... arranges for education/training of facility healthcare professionals in use of coding guidelines and practices, proper documentation techniques, medical … more
    Highmark Health (09/20/25)
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  • 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 (09/30/25)
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  • Senior Analyst, Medical Economics (Vbc)…

    Molina Healthcare (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 (08/31/25)
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  • Manager, Medical Economics (Medicaid)…

    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 Manager, 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 (08/27/25)
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  • Coding Educator

    Humana (Olympia, WA)
    …interpretation and independent determination of the appropriate courses of action. The Coding Educator 2 reviews medical records and arranges educational ... make an impact** **Required Qualifications** + AAPC or AHIMA Coding Certification + 2 + yrs medical record review knowledge + Comprehensive knowledge of MS Word,… more
    Humana (09/24/25)
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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 (07/31/25)
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  • Coder - Inpatient

    Highmark Health (Olympia, WA)
    …School / GED + 1 year in Hospital coding + Successful completion of coding courses in anatomy, physiology and medical terminology + Certified Coding ... Health Network **Job Description :** **GENERAL OVERVIEW:** This job performs thorough medical record review to abstract medical and demographic data, interpret… more
    Highmark Health (08/02/25)
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