• Payment Integrity Auditor II

    Premera Blue Cross (Mountlake Terrace, WA)
    …regulatory standards. + Conduct detailed reviews of itemized bills, medical records , and other claims data to validate coding accuracy and appropriateness ... the Special Investigation Unit and Payment Integrity Specialists. This role requires medical coding experience, analytical skills, solid written and oral… more
    Premera Blue Cross (09/24/25)
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  • Outpatient Coder SDS OBS Sign on Bonus 1,500

    Datavant (Olympia, WA)
    …urology, pacemaker/AICD, Trauma, plastic surgery. **What You Will Do:** + Review medical records and assign accurate codes for diagnoses and procedures. ... attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a...SDS/OBV Coder. EPIC and 3M360 experience a plus. Observation coding requires I&I experience. SDS includes but not limited… more
    Datavant (09/26/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Seattle, WA)
    …Related Group Clinical Validation Auditor** is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions ... you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance… more
    Elevance Health (09/30/25)
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  • Outpatient Registered Nurse - RN

    Fresenius Medical Center (Tacoma, WA)
    …spills are immediately addressed according to FMCNA Bloodborne Pathogen Control Policies. ** MEDICAL RECORDS & DOCUMENTATION:** General + Ensures all relevant ... + Completes monthly nurses' progress note. + Ensures patient medical records are complete with appropriate information,...all area facilities as required by management. + Icd-9 coding Training. + Nurses Technical Training. + Must meet… more
    Fresenius Medical Center (09/13/25)
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  • Investigator, Special Investigative Unit - FLORIDA

    Molina Healthcare (Vancouver, WA)
    …investigations. + Conducts low to medium, and extensive investigations, including reviews of medical records and data analysis, and makes determinations as to ... waste, and abuse. Duties include performing accurate and reliable medical review audits that may also include coding... medical review audits that may also include coding and billing reviews. The SIU Investigator is responsible… more
    Molina Healthcare (09/22/25)
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  • Medical Director-Payment Integrity

    Humana (Olympia, WA)
    …a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make ... reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare, Medicaid, and Medicare Advantage requirements… more
    Humana (09/26/25)
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  • Medical Director - Claims Management

    Humana (Olympia, WA)
    …a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make ... reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare, Medicare Advantage, and Medicaid requirements… more
    Humana (09/17/25)
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  • Medical Director - National Medicare Team

    Humana (Olympia, WA)
    …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews preauthorization requests for ... services. The Medical Director work assignments involve moderately complex to complex...to complex clinical scenarios, review of all submitted clinical records , prioritization of daily work, communication of decisions to… more
    Humana (09/12/25)
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  • Lead Clinical Quality Analyst - Harborview…

    University of Washington (Seattle, WA)
    …medical record and demonstrated ability to work effectively and efficiently with medical records + Highly self-directed and creative **ABOUT HARBORVIEW ... **Job Description** **Harborview Medical Center Quality Improvement** has an outstanding opportunity for a **Lead** **Clinical Quality Analyst** **WORK SCHEDULE**… more
    University of Washington (08/27/25)
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  • Manager Medical Policy *Remote

    Providence (WA)
    **Description** **Manager Medical Policy** **_Remote_** **.** **Providence Health Plan** caregivers are not simply valued - they're invaluable. Join our team in and ... retain the best people, we must empower them. The Medical Policy Manager is responsible for the management and...the Plan's policy life cycle and will ensure all coding , regulatory, legal, operational, and evidence-based best practices are… more
    Providence (09/12/25)
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