• Payment Integrity Auditor I

    Premera Blue Cross (Mountlake Terrace, WA)
    …experience. + (1) year of related medical coding or auditing experience. + Certified Professional Coder Designation (CPC-A, CPC, CSS, CPMA) or equivalent. ... **Preferred Qualifications** + Knowledge of health plan operations and claim adjudication processes. + Experience with facility, professional, and ancillary coding. + Familiarity with auditing software tools. **Knowledge, Skills, and Abilities** + Basic… more
    Premera Blue Cross (09/24/25)
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  • Senior SIU Investigator

    Centene Corporation (Frankfort, KY)
    …medical coding, claims processing, and data mining preferred. **Licenses/Certifications:** Certified Professional Coder preferred Pay Range: $68,700.00 - ... $123,700.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or… more
    Centene Corporation (09/24/25)
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  • Payment Integrity Auditor II

    Premera Blue Cross (Mountlake Terrace, WA)
    …and experience. + (3) years of related medical coding/auditing experience. + Certified Professional Coder Designation (CPC, CSS, CPMA) or equivalent. **Preferred ... Qualifications** + Experience auditing multiple claim types, including DRG, itemized bill review, and level of care reviews. + Intermediate familiarity with federal and state regulatory requirements related to claims processing. + Proficiency with auditing… more
    Premera Blue Cross (09/24/25)
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  • Documentation & Coding Consultant

    Virginia Mason Franciscan Health (Seattle, WA)
    …**Job Requirements** + Bachelor's degree or equivalent plus credentialed as a Certified Professional Coder (CPC) orCertified Coding Specialist - Physician based ... (CCS-P). + This position also requires 1 year of CPT and diagnosis coding experience in a healthcare provider or a third party payer. + Demonstrated interpersonal, organizational, analytical, and problem-solving skills; ability to interact tactfully yet… more
    Virginia Mason Franciscan Health (09/23/25)
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  • Sr Enterprise Rules and Edits Consultant

    Waystar (Atlanta, GA)
    …+ Experience with Epic, Cerner, eCW, Nextgen, Meditech and other PM/HIS systems + Certified medical coder (CPC, RHIT, CPB, CCS, etc) + Experience with Waystar ... EDI solutions **ABOUT WAYSTAR** Through a smart platform and better experience, Waystar helps providers simplify healthcare payments and yield powerful results throughout the complete revenue cycle. Waystar's healthcare payments platform combines innovative,… more
    Waystar (09/23/25)
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  • Billing Clerk

    Robert Half Finance & Accounting (Colorado Springs, CO)
    …billing and coding, ideally at one location. Certifications + Certification as a Certified Professional Coder (CPC) or equivalent preferred. Technical Skills + ... Software Proficiency: Experience with electronic health records and practice management systems such as NextGen preferred. Familiarity with clearinghouses like Waystar is a plus. + Excel Mastery: Strong Excel skills, including proficiency in pivot tables;… more
    Robert Half Finance & Accounting (09/22/25)
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  • Billing Specialist-Msh-78319-030

    Mount Sinai Health System (Elmhurst, NY)
    …with CPC / CCS-P credentials. At least six months coding experience preferred. Certified Professional Coder /AAPC. Ability to use computer. Average dexterity and ... knowledge of software applications such as Microsoft, Excel, etc. Ability to work independently with minimal supervision at a high level of productivity. Ability to examine scanned documents, such as operative reports to determine accuracy of coding. Ability… more
    Mount Sinai Health System (09/18/25)
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  • Medical Billing Specialist

    The Speech Pathology Group & Rehab Services of CT (Shelton, CT)
    …& insurance guidelines. Preferred Qualifications: + Medical Coding Certification (Eg: Certified Professional Coder ) + Working knowledge of ST/OT/PT/ABA medical ... terminology Responsibilities: + Liaise between Insurers, Medical Offices, and Patients, managing patient insurance eligibility, authorization, claims, and generating invoices to patients & Insurance companies for claims or remittance. + Investigate & appeal… more
    The Speech Pathology Group & Rehab Services of CT (09/17/25)
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  • Medical Coding Appeals Analyst

    Elevance Health (Indianapolis, IN)
    …of education and experience, which would provide an equivalent background. Certified Professional Coder (CPC) or Registered Health Information Administrator ... (RHIA) certification required. **Preferred Skills, Capabilities and Experience:** + CEMC, RHIT, CCS, CCS-P certifications preferred. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with… more
    Elevance Health (09/12/25)
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  • Senior Financial Analyst/CDM Chargemaster…

    Mount Sinai Health System (New York, NY)
    …years of experience in hospital chargemaster maintenance and medical coding. + Certified Professional Coder (CPC) or equivalent credential required + Proficient ... in CPT, HCPCS, revenue codes, and Medicare billing regulations. + Advanced proficiency in Epic, especially in EAP configuration and charge workflows. + Strong analytical skills and proficiency in Excel and related tools. + Epic certification in Charging or… more
    Mount Sinai Health System (08/28/25)
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