• Medical Claim Review LVN/LPN (CA LVN Required)

    Molina Healthcare (Long Beach, CA)
    …an appeal has been submitted, to ensure medical necessity and appropriate/accurate billing and claims processing. * Evaluates medical records and/or medical notes ... Emergency Medicine, Medical Surgical, or Pediatrics. Advanced Practice Nursing. Billing and coding experience. **Preferred License, Certification, Association** Registered… more
    Molina Healthcare (09/17/25)
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  • Compliance Specialist 2 (07026,08041)

    State of Montana (Helena, MT)
    …programs. Key duties include analyzing medical claims data, evaluating provider billing practices, and ensuring compliance with applicable state and federal ... appropriate agencies. Additional responsibilities include educating providers on proper billing procedures, responding to inquiries, and maintaining comprehensive case… more
    State of Montana (09/17/25)
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  • Physician Coding Auditor

    MedKoder (Mandeville, LA)
    …by the AMA, ICD-10-CM coding and guidelines, and Medicare and Medicaid billing policies for professional services. + Experience working independently, excellent time ... Microsoft Word, Excel, PowerPoint, Windows, and healthcare information and billing systems. + Experience working with Google Suite is...Medical Coding Industry Leaders - CEO is a Certified Coder with 20+ years of experience * Up to… more
    MedKoder (09/11/25)
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  • Physician Coding Specialist - $5,000 Sign-on Bonus…

    Queen's Health System (Honolulu, HI)
    …A. Education/Certification and Licensure: 1. Certification as an Outpatient Physician Coder (CPC) or Certified Coding Specialist -Physician based (CCS-P). 2. ... (2) years experience in physician coding preferred. 3. Knowledge of computerized billing system preferred. 4. Knowledge of billing regulations, PATH guidelines,… more
    Queen's Health System (09/09/25)
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  • Medicare/Medicaid Claims Reimbursement Specialist

    Commonwealth Care Alliance (Boston, MA)
    …standards and MassHealth requirements. + Maintain awareness of MassHealth transmittals, billing guides, and program updates to ensure adherence in payment practices. ... degree in Health Administration, Finance, or related field preferred. + Certified Professional Coder (CPC) - AAPC + Certified Claims Professional (CCP) + Other AHIMA… more
    Commonwealth Care Alliance (08/31/25)
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  • Outpatient Coding Auditor

    Nuvance Health (Danbury, CT)
    …PA, SC, TN, TX, VA* Summary: *Purpose:*Provides clinician practice coding, billing , and documentation auditing for professional coding at Nuvance Health. Conducts ... NGS, AAPC etc. and third-party payers for coding and billing guidelines and regulations, professional peer organizations' practices/policies/guidelines to help… more
    Nuvance Health (08/28/25)
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  • Physician Audit and Education Manager

    MedKoder (Mandeville, LA)
    …by the AMA, ICD-10-CM coding and guidelines, and Medicare and Medicaid billing policies for professional services. + Experience working independently, excellent time ... Microsoft Word, Excel, PowerPoint, Windows, and healthcare information and billing systems. + Experience working with Google Workspace is...Medical Coding Industry Leaders - CEO is a Certified Coder with 20+ years of experience * Up to… more
    MedKoder (08/10/25)
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  • Substance Abuse Coordinator-Occupational Health

    Bon Secours Mercy Health (Greenville, SC)
    …screenings, spirometry, EKG, drug & alcohol screens, and more + Collaborates with billing to ensure accuracy with financial aspects of service line + Supports ... required BAT, DOT Urine Drug Screen, PFT, Hearing Conservation, Medical Coder preferred **Education** High School Diploma required Associates Degree preferred **Work… more
    Bon Secours Mercy Health (10/16/25)
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  • Prospective Payment System Coordinator

    WellSpan Health (York, PA)
    …to support the treatment of the patient. + Works closely with the Coder III (Rehabilitation Specialty) to ensure accurate codes are entered onto the IRF-PAI ... patient to result in the correct Case Mix Group (CMG) assignments and proper billing . + Enters IRF-PAI data into the eRehab (or similar) computer software as… more
    WellSpan Health (10/16/25)
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  • Quality Clinical Documentation Improvement RN

    Dignity Health (Rancho Cordova, CA)
    …Follows department policies and guidelines on appropriate documentation to billing codes, abstracting information from chart notes based on performance ... setting preferred. - Bachelors of Nursing (BSN) preferred. - Certified Professional Coder (CPC) preferred. Special Skills: - High proficiency with an electronic… more
    Dignity Health (10/14/25)
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