• 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 (12/23/25)
    - Related Jobs
  • 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 (12/23/25)
    - Related Jobs
  • Compliance Analyst

    HCA Healthcare (Hendersonville, TN)
    …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 (12/18/25)
    - Related Jobs
  • 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 (12/09/25)
    - Related Jobs
  • Senior Coding Specialist

    Houston Methodist (LA)
    …one of the following:*CCS - Certified Coding Specialist (AHIMA)*CPC - Certified Professional Coder (AAPC) **SKILLS AND ABILITIES** + Demonstrates the skills ... charge documents to charge review & claim edit sessions, billing sheets, operative reports, and medical records to ensure correct codes are applied and billable… more
    Houston Methodist (01/16/26)
    - Related Jobs
  • Coding Educator FT-Katy CC (Hybrid)

    Houston Methodist (Katy, TX)
    …coding: CCS-P from AHIMA or CPC from AAPC is required **Preferred** + CPC-I - Certified Professional Coder Instructor (AAPC) (CBO Coders only) **or** + CPMA - ... Certified Professional Medical Auditor (AAPC) (CBO Coders...pre-billed claim edits to ensure complaint coding, charting and billing . **GROWTH/INNOVATION ESSENTIAL FUNCTIONS** + Designs, implements, and monitors… more
    Houston Methodist (01/16/26)
    - Related Jobs
  • Professional Fee Coding Quality Lead

    Penn Medicine (Bala Cynwyd, PA)
    …of complex coding in a large AMC Licenses, Registrations, and Certifications + Certified Professional Coder - CPC (AAPC) or CCS-P (AHIMA) Required Skills ... leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across… more
    Penn Medicine (01/10/26)
    - Related Jobs
  • Clinical Business Consultant

    Blue Cross Blue Shield of Massachusetts (Hingham, MA)
    …systems, NASCO & Impact Pro. + Some accounting and financial knowledge. + Certified Coder - Preferred (ie, CPC, CIC). #LI-HYBRID Minimum Education Requirements: ... ensure the most efficient use of resources, improve clinical outcomes, reduce medical expense, and meet stakeholder demands while supporting high-risk and high-cost… more
    Blue Cross Blue Shield of Massachusetts (12/19/25)
    - Related Jobs
  • 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 (12/10/25)
    - Related Jobs
  • Payment Integrity Analyst (Remote)

    CareFirst (Baltimore, MD)
    …Integrity Analyst is responsible for conducting research and analysis and reviewing billing requirements, provider manuals, medical policies, and other sources ... or equivalent work experience required. **Licenses/Certifications Upon Hire Required:** + Certified Professional Coder . **Experience:** 3 years year's relevant… more
    CareFirst (12/30/25)
    - Related Jobs