• Clinical Appeals Nurse (RN)

    Molina Healthcare (Everett, WA)
    …or more of the following: + Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified ... MCG, InterQual or other medically appropriate clinical guidelines, Medicaid, Medicare , CHIP and Marketplace, applicable State regulatory requirements, including the… more
    Molina Healthcare (08/15/25)
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  • Coding Auditor Educator

    Highmark Health (Olympia, WA)
    …AHIMA Credentials (Inpatient or Outpatient): Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS) + AAPC Credentials (Outpatient): ... in response to external coding audits conducted by the Medicare Administrative Contractor, the RAC, MIC, ZPIC, etc. Determine...Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical… more
    Highmark Health (08/08/25)
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  • Facility Coding Inpatient Complex Coder

    Banner Health (WA)
    …diagnoses and operations, or an Associate's degree in a health care field. Requires Certified Coding Specialist (CCS) or Certified Outpatient Coder (COC) or ... and regulations according to regulatory agencies for state Medicaid plans, Center for Medicare Services (CMS), Office of the Inspector General (OIG) and the Health… more
    Banner Health (07/10/25)
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  • PFS Representative Billing and Collecting

    Whidbey General Hospital (Coupeville, WA)
    …medical office or hospital setting strongly preferred. Certificates, Licenses, Registrations Certified Revenue Cycle Specialist (CRCS) certification preferred; ... pertinent information in notes. + Obtains patient signatures on messages from Medicare and Tricare. + Maintains insurance notebook on different payer requirements. +… more
    Whidbey General Hospital (08/28/25)
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