• HCC Coding Specialist - Exempt - Full Time - Days…

    Emanate Health (Covina, CA)
    …(eg, Cozeva, Meditech, or similar platforms) preferred. Minimum License Requirement: Certified Professional Coder (CPC), CRC, CCS, or equivalent certification ... with the IPA Director, Health Plan partners, MSO personnel, physicians, and billing staff to ensure accurate documentation, coding compliance, and optimal risk… more
    Emanate Health (01/16/26)
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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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  • Senior Manager, Payment Integrity Operations

    LA Care Health Plan (Los Angeles, CA)
    …tools, or data mining platforms. Licenses/Certifications Required Licenses/Certifications Preferred Certified Professional Coder (CPC) designation by the ... external vendors. Directs analytic and data mining efforts to detect billing anomalies, emerging risk patterns, and high-impact cost avoidance opportunities.… more
    LA Care Health Plan (01/16/26)
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  • Svc Charge Analyst-EMS/Flight

    Parkview Health (Huntington, IN)
    …completion of a Medical Terminology course preferred. Licensure/Certification Must obtain Certified Ambulance Coder , within 1 year of hire and maintain ... Parkview Health Systems/PRMC including Flight and EMS services. Determines appropriate coding/ billing charges according to written procedures and criteria as it… more
    Parkview Health (12/20/25)
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