• Single Path Coding Specialist II (Remote)

    Stanford Health Care (Palo Alto, CA)
    …is a Stanford Health Care job.** **A Brief Overview** The Single Path Coding (SPC) Specialist -Level 2 is an advanced coder position responsible for reviewing ... related to hospital and professional coding. The Single Path Coder processes codes for surgical encounters and follows the...American Medical Association (AMA) CPT Assistant. The SPC Coding Specialist II serves as a subject matter expert in… more
    Stanford Health Care (10/24/25)
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  • CDI Specialist

    Redeemer Health Home Care & Hospice (Meadowbrook, PA)
    …(NP)/ Advanced Practice nurse (APN), medical school graduate OR as an inpatient coder . + Current experience utilizing encoding/grouping software or CAC is ... to apply today. SUMMARY OF JOB The Clinical Documentation Specialist (CDS) performs concurrent review of the medical record...(3) years' experience in Critical Care, Medical or Surgical Inpatient Care Nursing, as an RN, Physician Assistant (PA),… more
    Redeemer Health Home Care & Hospice (10/31/25)
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  • CDI Specialist Lead

    Community Health Systems (Fort Wayne, IN)
    **Job Summary** The Clinical Documentation Improvement (CDI) Specialist Lead provides advanced support for CDI activities within the facility, ensuring the ... and clinical leaders to promote best practices in documentation. The CDI Specialist Lead is responsible for facilitating the achievement of organizational goals… more
    Community Health Systems (10/10/25)
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  • Medicare/Medicaid Claims Editing Specialist

    Commonwealth Care Alliance (Boston, MA)
    …OR willing to get certified within 1 year of employment - + Certified Professional Coder (CPC) + Certified Inpatient Coder (CIC) + Certified Professional ... and other CMS and American Medical Association (AMA) guidelines, etc.) + Advanced experience of medical terminology and medical coding (CPT, HCPCS, Modifiers) along… more
    Commonwealth Care Alliance (11/25/25)
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  • DRG Coding Auditor Principal

    Elevance Health (Roanoke, VA)
    …Technician, CCS as a Certified Coding Specialist , CIC as a Certified Inpatient Coder , or Certified Clinical Documentation Specialist (CCDS). + Requires ... The **DRG Coding Auditor Principal** is responsible for auditing inpatient medical records on claims paid based on Diagnostic...TRICARE methodology and findings may be so complex and advanced that disputes or appeals may only be reviewed… more
    Elevance Health (12/06/25)
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  • Professional Coding Auditor and Educator - Remote

    Tufts Medicine (Burlington, MA)
    …in physician coding 3. One of the following Certifications: Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Registered Health Information ... of appropriate E/M visit level and inclusion of ICD-10-CM diagnosis codes. The coder will focus on chart reviews, the detailed physician chart abstraction, related… more
    Tufts Medicine (12/08/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Seattle, WA)
    Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or ... Related Group Clinical Validation Auditor** is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions… more
    Elevance Health (12/11/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Grand Prairie, TX)
    …and/or CCS as a Certified Coding Specialist and/or CIC as a Certified Inpatient Coder . + Requires 5 years of experience working with ICD-9/10CM, MS-DRG, ... from an office.** The **DRG Coding Auditor** is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit… more
    Elevance Health (12/09/25)
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  • RN Medical Review Nurse Remote

    Molina Healthcare (NE)
    …applicable software program(s) proficiency. **PREFERRED QUALIFICATIONS:** + Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified ... processing. + Reevaluates medical claims and associated records by applying advanced clinical knowledge, knowledge of relevant and applicable state and federal… more
    Molina Healthcare (12/03/25)
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