• Diagnosis Related Group Clinical Validation…

    Elevance Health (Atlanta, GA)
    …Documentation Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential ... experience preferred. + Broad knowledge of clinical documentation improvement guidelines, medical claims billing and payment systems, provider billing more
    Elevance Health (10/22/25)
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  • Payment Policy Sr. Specialist

    Blue Cross Blue Shield of Massachusetts (Boston, MA)
    …healthcare industry experience + Strong understanding of healthcare reimbursement methodologies + Certified Professional Coder (CPC) and certified outpatient ... Knowledge of CPT/HCPCS & ICD10 coding, Correct Coding Initiatives and CMS 1500 billing + Strong critical thinking & problem-solving skills + Ability to manage… more
    Blue Cross Blue Shield of Massachusetts (10/22/25)
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  • Coding Specialist Rapid

    AdventHealth (Altamonte Springs, FL)
    …Administrator (RHIA) + Registered Health Information Technician (RHIT) - Cert Required + Certified Billing and Coding Specialist (CBCS) + Certified Pension ... of the Outpatient Coding Operations manager, the Rapid In & Out Coder is responsible for reviewing, analyzing, and interpreting clinical documentation contained in… more
    AdventHealth (10/03/25)
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  • Payment Integrity Auditor II

    Premera Blue Cross (Mountlake Terrace, WA)
    …experience. + (3) years of related medical coding/auditing experience. + Certified Professional Coder Designation (CPC, CSS, CPMA) or equivalent. **Preferred ... a critical role in identifying audit opportunities, complex analysis, and provider billing investigation. This role requires a deep understanding of medical more
    Premera Blue Cross (09/24/25)
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  • DRG Coding Auditor

    Elevance Health (Tampa, FL)
    …Technician and/or CCS as a Certified Coding Specialist and/or CIC as a Certified Inpatient Coder . + Requires 5 years of experience working with ICD-9/10CM, ... or hospital coding or quality assurance environment preferred. + Broad knowledge of medical claims billing /payment systems provider billing guidelines, payer… more
    Elevance Health (10/13/25)
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  • Inpatient Coding Denials Specialist

    Fairview Health Services (St. Paul, MN)
    …+ Registered Health Info Admin (RHIA) or Registered Health Info Tech (RHIT) or Certified Inpatient Coder (CIC) or Certified Coding Specialist (CCS) ... reimbursement for services provided by the hospital/physician. Reviews and analyzes medical records and coding guidelines to formulate coding arguments for appeals… more
    Fairview Health Services (10/15/25)
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  • Clinical Liaison

    AdventHealth (Maitland, FL)
    …of CPT/HCSPCS and modifier selection as well as CCI edits and Universal Billing Guidelines + Extensive knowledge of Registration, Medical Records Coding, ... Health Information Technician (RHIT), Certified Coding Specialist (CCS) or Certified Professional Coder (CPC). **Job Summary:** The Revenue Integrity (RI)… more
    AdventHealth (10/23/25)
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  • Trainer, Revenue Integrity

    Guthrie (Sayre, PA)
    …in Healthcare Administration, Health Information Management, or related field (required) + Certified Professional Coder (CPC), Certified Coding Specialist ... understand and adhere to revenue integrity standards, including coding, billing , documentation, and compliance requirements. The trainer collaborates with subject… more
    Guthrie (10/03/25)
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  • Physician Coding Auditor

    MedKoder (Mandeville, LA)
    …year-round * Internal network of Medical Coding Industry Leaders - CEO is a Certified Coder with 20+ years of experience * Up to 100% EMPLOYER PAID ... About Us MedKoder, LLC is a full-service medical coding management services provider based in Mandeville,...and financial peace for clients. With a team of certified coders throughout the United States, MedKoder emphasizes coding… more
    MedKoder (09/11/25)
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  • Physician Audit and Education Manager

    MedKoder (Mandeville, LA)
    …year-round * Internal network of Medical Coding Industry Leaders - CEO is a Certified Coder with 20+ years of experience * Up to 100% EMPLOYER PAID ... About Us MedKoder, LLC is a full-service medical coding management services provider based in Mandeville,...and financial peace for clients. With a team of certified coders throughout the United States, MedKoder emphasizes coding… more
    MedKoder (08/10/25)
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