• Compliance Analyst

    HCA Healthcare (Dallas, TX)
    …related experience required + Registered Health Information Technician (RHIT) or Certified Professional Coder (CPC) preferred **Parallon** provides full-service ... and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low… more
    HCA Healthcare (11/15/25)
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  • Sr Enterprise Rules and Edits Consultant

    Waystar (Atlanta, GA)
    …Knowledge** + Experience with Epic, Cerner, eCW, Nextgen, Meditech and other PM/HIS systems + Certified medical coder (CPC, RHIT, CPB, CCS, etc) + Experience ... scoping, project planning, implementation, and stabilization. The Consultant will leverage billing and coding subject matter expertise and industry experience to… more
    Waystar (09/23/25)
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  • Compliance & Audit Partner

    Emory Healthcare/Emory University (Atlanta, GA)
    …+ A minimum of five years of experience working as a medical coder , coding auditor, and/or coding educator. + Certified in Healthcare Compliance (CHC or ... laws, regulations, and industry standards, focusing on compliance risk areas and billing practices, while also providing ongoing educational support, and fostering a… more
    Emory Healthcare/Emory University (09/23/25)
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  • Business Office Assistant/Project Manager

    Health Advocates Network (Phoenix, AZ)
    …of the Business Office Assistant/Project Manager** - 2+ years of recent medical billing experience required - Recent OB/GYN coding experience required ... - Certified Professional Coder (CPC) or Registered Health...on escalated issues - Assist where needed within collections, billing , and coding **About the Company** As Arizona's largest… more
    Health Advocates Network (11/12/25)
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  • Physician Coding Specialist (Full Time, 40, Day)

    Queen's Health System (Honolulu, HI)
    …A. Education/Certification and Licensure: 1. Certification as an Outpatient Physician Coder (CPC) or Certified Coding Specialist -Physician based (CCS-P). ... October 2014, knowledge of ICD-10 shall be required. 3. Knowledge of medical terminology and abbreviates. B. Experience: 1. Broad based knowledge of services… more
    Queen's Health System (09/09/25)
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  • Coding Educator FT-Katy CC (Hybrid)

    Houston Methodist (Houston, TX)
    …CPC from AAPC is required **LICENSES AND CERTIFICATIONS - PREFERRED** + CPC-I - Certified Professional Coder Instructor (AAPC) -- (CBO Coders only) **OR** + CPMA ... pre-billed claim edits to ensure complaint coding, charting and billing . **GROWTH/INNOVATION ESSENTIAL FUNCTIONS** + Designs, implements, and monitors...- Certified Professional Medical Auditor (AAPC) -- (CBO… more
    Houston Methodist (10/22/25)
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  • Risk Adjustment Coding Specialist -St. Peter's…

    Trinity Health (Albany, NY)
    …Medicare and Medicaid Services (CMS). **SKILLS, KNOWLEDGE, EDUCATION AND EXPERIENCE:** **. Certified Risk Adjustment Coder (CRC) required** . Excellent verbal ... & Audit to develop and implement provider documentation improvement plans. Ensures medical documentation and coding compliance with Federal, State and Private payer… more
    Trinity Health (11/15/25)
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  • Director, Clinical Data Acquisition

    Molina Healthcare (MI)
    …Health Quality (CPHQ) * Nursing License (RN may be preferred for specific roles) * Certified Risk Adjustment Coder (CRC) To all current Molina employees: If you ... state specific audit projects and deliverables related to accurate billing and coding. This role also works with the...source (SDS) acquisition from providers as well as Electronic Medical Record (EMR) access. This position oversees management of… more
    Molina Healthcare (10/22/25)
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  • Risk Adjustment QA Consultant

    Blue Cross and Blue Shield of Minnesota (Eagan, MN)
    medical coding with a focus on Medicare Advantage and ACA risk adjustment. * Certified Risk Adjustment Coder (CRC) certification * In-depth knowledge of ACA & ... to any HHS and CMS RADV audits, including retrieval and coding of targeted medical records. * Design and implement QA programs to improve coding accuracy, reduce… more
    Blue Cross and Blue Shield of Minnesota (09/10/25)
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  • Payment Integrity Clinician

    Highmark Health (Little Rock, AR)
    …in Managed Care **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Medical Coder or related **SKILLS** + Demonstrated ... and retrospective claims review basis. Review process includes a review of medical documentation, itemized bills, and claims data to assure appropriate level of… more
    Highmark Health (11/14/25)
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