• DRG Denials Auditor

    Community Health Systems (Franklin, TN)
    …skills. **Licenses and Certifications** + CRNP, LPN, RN, MD, PA, or DO preferred + CCS - Certified Coding Specialist required or + RHIT - Registered Health ... non-RAC accounts, reviewing patient records for accuracy in ICD-10-CM/PCS coding , DRG assignments, and supporting clinical documentation. This includes evaluating… more
    Community Health Systems (12/09/25)
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  • Regulatory Compliance Senior Consultant

    HCA Healthcare (Nashville, TN)
    …Billing Training + Registered Health Information Technician/Administrator certification Preferred + Certified Coding Specialist ( CCS ) certification Preferred ... opportunity. We want your knowledge and expertise! **Job Summary** As a Billing/ Coding Senior Consultant on the Regulatory Compliance team, you will collaborate with… more
    HCA Healthcare (12/04/25)
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  • Risk Adjustment QA Consultant

    Blue Cross and Blue Shield of Minnesota (Eagan, MN)
    …make a difference, join us. The Impact You Will Have As a Risk Adjustment Quality Assurance (QA) Consultant at BCBSMN, you'll play a critical role in ensuring the ... accuracy, completeness, and compliance of risk adjustment coding across both internal teams and external partners. Your work will help uphold the highest standards… more
    Blue Cross and Blue Shield of Minnesota (12/10/25)
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  • Coder Sr.

    Corewell Health (Caledonia, MI)
    …2 years of relevant experience Coding 1 of 5 certifications + CRT- Coding Specialist ( CCS ) - AHIMA American Health Information Management Association Upon ... assign correct ICD-10-CM diagnosis codes and ICD-10-PCS procedure codes per industry coding guidelines, utilizing the 3M computer assisted coding software… more
    Corewell Health (11/21/25)
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  • Risk Adjustment Medical Record Coder

    BlueCross BlueShield of Tennessee (Chattanooga, TN)
    …_Skills\\Certifications_ + Professional coding certification from AHIMA or AAPC \(CPC, CCS , RHIT, RHIA\)\. + Must acquire the Certified Risk Adjustment Coder ... comprehensive 1st pass reviews of medical records and physician assessment forms \(HCC coding \)\. + Assist with the intake and quality assurance of medical… more
    BlueCross BlueShield of Tennessee (12/10/25)
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  • Clinical Revenue Auditor-CDM Patient Financial…

    Mount Sinai Health System (New York, NY)
    Certified Professional Medical Auditor (CPMA), Certified Inpatient Coder (CIC), Certified Coding Specialist ( CCS ), or Certified Healthcare ... of medical terminology and patient care, expertise in medical coding systems and healthcare regulations, analytical and problem-solving abilities, excellent… more
    Mount Sinai Health System (09/24/25)
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  • Senior Billing Compliance Reviewer

    Dana-Farber Cancer Institute (Brookline, MA)
    … resources, including CPT4, ICD-10-CM/PCS, HCPCS required. License/Certification/Registration: + Required: Certified Coder (eg, CCS , CPC, RHIT, or RHIA). + ... and targeted monitoring. This role conducts complex, risk-based audits across coding , charge capture, and documentation to assess adherence to government, payer,… more
    Dana-Farber Cancer Institute (12/04/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Seattle, WA)
    … Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or CIC. + Experience with third ... an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance of medical audit… more
    Elevance Health (12/11/25)
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  • Coder II

    Trinity Health (Athens, GA)
    …clarification is needed to support or missing coded services. 6. Adheres to coding quality and productivity standards as established by Revenue Excellence; ... facilitates additional review of services as needed by Regional Certified Coding leadership. 9. Adheres to and...Maintains relevant education to perform essential functions and keeps coding credentials (ie, CPC, CCS -P, RHIT, or… more
    Trinity Health (12/11/25)
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  • Senior Inpatient Coder

    WMCHealth (Valhalla, NY)
    …years of specialized experience. Licenses / Certifications: Current certification as a Certified Coding Specialist ( CCS ) required. Certification as ... Coder is responsible for addressing appeals to insurance companies and coding highly complex medical records using the current International Classification of… more
    WMCHealth (11/25/25)
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