• 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 (09/10/25)
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  • Coder IV, Inpatient (Remote)

    Trinity Health (Livonia, MI)
    …Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified Coding Specialist ( CCS ) is required. Page 3 ... the 72-hour rule and other account combine scenarios. 6. Adheres to Inpatient coding quality and productivity standards established by Revenue Excellence/HM. 7.… more
    Trinity Health (09/17/25)
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  • Supervisor Billing Orthopaedics

    Penn Medicine (Philadelphia, PA)
    …**Credentials:** + CCS or CPC + One of the following is strongly preferred Certified Coding Specialist- CCS or CCS -H (AHIMA) or CPC (AAPC) or ... Manager and is generally responsible for maintaining a high quality of service while ensuring timely payment for services... Certified Outpatient Coding -COC (AAPC) **Education or Equivalent Experience:** + Bachelor of… more
    Penn Medicine (10/09/25)
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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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  • 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 (09/09/25)
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  • Medical Records Coder IV, Lead

    University of Rochester (Rochester, NY)
    …Registered Health Information Administrator (RHIA); (Registered Health Information Technician); RHIT or Certified Coding Specialist ( CCS ); CPC. Knowledge of ... improve operations. Facilitates staff training on new processes or identified quality issues. 25% The Coding Lead will retain coding assignments in their… more
    University of Rochester (08/07/25)
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  • Compliance Auditor, Intermediate (Cemc, CPC,…

    UPMC (Pittsburgh, PA)
    …is essential. **Licensure, Certifications, and Clearances:** One of the following is required: + Certified Coding Specialist ( CCS ) + Certified Inpatient ... ensure consistency and efficiency in claims processing, data collection, and quality reporting. . **Regulatory Compliance:** Conduct audits on various compliance… more
    UPMC (10/10/25)
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  • Revenue Integrity Specialist

    Cleveland Clinic (Cleveland, OH)
    …Health Information Technologist (RHIT) or Registered Health Information Administrator (RHIA) or Certified Coding Specialist ( CCS ) by American Health ... Comply with established corporate and departmental policies, procedures, objectives, quality assurance methods, and safety codes. Demonstrates compliance with… more
    Cleveland Clinic (10/17/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Denver, CO)
    … 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 (09/23/25)
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  • RN Clinical Documentation Education & Compliance…

    Banner Health (AZ)
    …preferred. Knowledge/use of Cerner. Certified Documentation Integrity Practitioner (CDIP), Certified Coding ( CCS ) Specialist, or Certified ... lead educational initiatives, foster professional growth, and contribute to the overall quality of clinical documentation across the organization. This is a fully… more
    Banner Health (10/19/25)
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