• Code Edit Disputes Team Medical Coding Coordinator

    Humana (San Juan, PR)
    … (no Apprentice) or AHIMA CCS + Minimum of 3 years' experience as a Certified Medical Coder + Demonstrate ability to problem-solve complex coding issues + ... put health first** The Medical Coding Coordinator 3 reviews clinical information from medical records and assigns appropriate procedural...+ 5 or more years of experience as a Certified Medical Coder + MS-DRG auditing or… more
    Humana (10/07/25)
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  • Coding Specialist

    Kaleida Health (Buffalo, NY)
    …HIM/Medical Records, CCS certification is preferred as a Kaleida requirement. Certified Professional Coder ( CPC )-grandfathered employees without HIM/Medical ... clarification using a physician query process when there are identifiable clinical indicators, conflicting documentation, or uncertainty in the documentation in the… more
    Kaleida Health (09/25/25)
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  • Claims Examiner III

    Dignity Health (Bakersfield, CA)
    …+ Certified Medical Reimbursement Specialist (CMRS), or similar certification is preferred. + CPC - Certified Professional Coder ( CPC ) **Where You'll ... Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups, hospitals, health plans and employers with a… more
    Dignity Health (09/25/25)
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  • Outpatient Coding Auditor

    Nuvance Health (Danbury, CT)
    …management services. * *License, Registration, or Certification Requirements: ** CPC , CPC -H, or CCS-P AAPC or AHIMA required* * Certified Professional Medical ... findings for educational programs for both coding personnel and clinical staff.Requires advanced expertise in medical terminology, anatomy, physiology,… more
    Nuvance Health (08/28/25)
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  • Auditor, HCC Risk Adjustment Coding - Full Time…

    Datavant (Denver, CO)
    …diploma or GED equivalent + AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified credentials ( CPC , CPC -H, COC, CIC or CRC). + Proficient in ... vision for healthcare. As an Auditor, HCC Risk Adjustment Coder , you will review medical records to identify and...purposes. You will play a critical role in translating clinical documentation into precise codes that reflect the complexity… more
    Datavant (08/08/25)
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  • Coding Director, Physician Revenue Cycle…

    UPMC (Pittsburgh, PA)
    …Sigma is preferred + Act 34 + Certified Coding Specialist (CCS) OR Certified Professional Coder ( CPC ) OR Registered Health Information Administrator OR ... surrounding states. As the Director, you will oversee a team of clinical integrators responsible for aligning provider workflows with Revenue Cycle Management (RCM)… more
    UPMC (10/03/25)
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  • Inpatient Supervisor and Inpatient Coding…

    Guidehouse (San Antonio, TX)
    …(Inpatient and Outpatient tools) for patterns of coding errors and opportunities for coder and /or clinical education. + Serves as a technical expert/resource ... Military Spouse-Friendly Employers and we're Great Places to Work certified . At Guidehouse, coding is more than charts and...claims - it's about making an impact. As a coder here, you'll be part of a collaborative, mission-driven… more
    Guidehouse (08/18/25)
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  • Supervisor, Medical Referrals

    CenterWell (Greenville, SC)
    …4 - 6 years in a physician office, health care, or managed care environment + Certified Medical Coder with one of the following active certifications and with a ... high degree of competency ( CPC , CPC -H, or CPMA from AAPC; or...patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we… more
    CenterWell (09/27/25)
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  • Supervisor, Medical Referrals

    CenterWell (San Antonio, TX)
    …4 - 6 years in a physician office, health care, or managed care environment + Certified Medical Coder with one of the following active certifications and with a ... high degree of competency ( CPC , CPC -H, or CPMA from AAPC; or...patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we… more
    CenterWell (09/25/25)
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  • Payment Integrity Auditor I

    Premera Blue Cross (Mountlake Terrace, WA)
    …education and experience. + (1) year of related medical coding or auditing experience. + Certified Professional Coder Designation ( CPC -A, CPC , CSS, CPMA) ... and policy non-compliance. Audits include reviewing medical records, applying clinical and coding knowledge, analyzing provider billing patterns, and evaluating… more
    Premera Blue Cross (09/24/25)
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