• ProFee Audit Specialist FT- 2,500 Sign on Bonus

    Datavant (Denver, CO)
    …RHIA credentials. + Recent experience in academic/level 1 trauma centers + Experience coding and auditing inpatient and outpatient records for various facilities ... will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education,… more
    Datavant (11/05/25)
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  • Hospital Surgery/Observation Coder

    CommonSpirit Health (Centennial, CO)
    coding experience in an acute care setting + Must demonstrate competency of outpatient coding guidelines and APC assignment + Basic knowledge of Microsoft ... care about your success. This is an advanced level coding position that codes and abstracts Outpatient ...systems (ie 3M) + Experience successfully working in a remote environment, preferred + Current AHIMA credentials (ie RHIA,… more
    CommonSpirit Health (11/27/25)
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  • Coder II Professional Fee

    CommonSpirit Health (Centennial, CO)
    …with at least three (3) or more years' experience in multiple specialties; coding both inpatient and outpatient professional fee services. Coder II staff ... will work with clinic supervisors and/or providers to resolve coding issues and questions, following applicable payer rules and...CO, KS and NM, this position is open to remote /out of state candidates residing in only these states:… more
    CommonSpirit Health (12/11/25)
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  • Nurse Auditor 2

    Humana (Denver, CO)
    …audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support ... interprets medical documentation to ensure capture of all relevant coding . Applies clinical and coding experience to...**Use your skills to make an impact** **WORK STYLE:** Remote /Work at Home. While this is a remote more
    Humana (12/11/25)
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  • Medical Director - Medicaid N. Central

    Humana (Denver, CO)
    …possible participation in care management. The clinical scenarios arise from outpatient , inpatient or post-acute care environments. The Medical Director will have ... but may not be limited to, an overview of coding practices and clinical documentation, grievance and appeals processes...which preferably includes some experience in an inpatient and/or outpatient environment and/or related to care of a Medicaid… more
    Humana (10/25/25)
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  • Medical Director-Payment Integrity

    Humana (Denver, CO)
    …scenarios predominantly arise from inpatient or post-acute care environments. A remote possibility exists of doing peer-to-peer discussions with an external ... provider. Some roles include an overview of coding practices and clinical documentation, dispute/grievance and appeals processes, and outpatient services and… more
    Humana (12/11/25)
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  • Medical Director - IP Claims Management

    Humana (Denver, CO)
    …may require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, dispute, grievance, and appeals processes, and ... outpatient services and equipment, within their scope. The Medical...or organizational committees. \#physiciancareers Travel: While this is a remote position, occasional travel to Humana's offices for training… more
    Humana (12/11/25)
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  • Health Informatics Analyst III

    Peak Vista (Colorado Springs, CO)
    …care services including medical, dental, and behavioral health through our 20 outpatient health centers. We deliver care with our strong "Hospitality" culture. Our ... located in Colorado Springs, CO. It is not a remote opportunity. Compensation (Pay): $29.46 to $42.72 hourly/based on...and maintains reports needed for Population Health to include coding , quality, and care coordination. + Acts as Subject… more
    Peak Vista (12/08/25)
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  • PCO Medical Director - UM - Part Time (Hourly)

    CenterWell (Denver, CO)
    …resolution skills. An aspect of the role includes an overview of coding practices and clinical documentation, grievance and appeals processes, and outpatient ... on project teams or organizational committees. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may… more
    CenterWell (11/06/25)
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