• Associate Investigator

    Highmark Health (Pittsburgh, PA)
    …+ None **Preferred** (any of the following) + Certified Fraud Examiner (CFE) + Certified Professional Coder (CPC) + Certified Outpatient Coder ... of provider facility payment methodology, claims processing systems and coding and billing proficiency + Must have understanding of technical and financial aspects… more
    Highmark Health (12/18/25)
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  • Ambulatory CDI Specialist - Coding

    Hawaii Pacific Health (Honolulu, HI)
    …Professionals (BLS/HCP) card. Three (3) years of clinical experience. **Preferred Qualifications:** Certified Professional Coder - Risk Adjustment (CRC) or ... (CDI) review and education to physicians and other staff in the professional billing settings. You will also be responsible to develop, implement, and evaluate… more
    Hawaii Pacific Health (11/26/25)
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  • Medical Review Nurse (RN)- Remote

    Molina Healthcare (Rio Rancho, NM)
    … Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM), ... or is likely to be made, to ensure medical necessity and appropriate/accurate billing and claims processing. + Reevaluates medical claims and associated records by… more
    Molina Healthcare (01/09/26)
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  • DRG Coding Auditor Principal

    Elevance Health (Chicago, IL)
    …Information Technician, CCS as a Certified Coding Specialist, CIC as a Certified Inpatient Coder , or Certified Clinical Documentation Specialist (CCDS). ... + Broad, deep and niche knowledge of medical claims billing /payment systems provider billing guidelines, payer reimbursement...our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors… more
    Elevance Health (12/24/25)
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  • Charge Integrity Specialist - PFS Revenue…

    Sharp HealthCare (San Diego, CA)
    …**Job Status** Regular **Shift** Day **FTE** 1 **Shift Start Time** **Shift End Time** Certified Professional Coder (CPC) - AAPC; Driver's License - CA ... Years Experience in a large hospital setting, medical group, or consulting company. + Certified Professional Coder (CPC) - AAPC - PREFERRED **Other… more
    Sharp HealthCare (11/15/25)
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  • Physician Coding Auditor

    MedKoder (Mandeville, LA)
    …scheduling year-round * Internal network of Medical Coding Industry Leaders - CEO is a Certified Coder with 20+ years of experience * Up to 100% EMPLOYER PAID ... or AAPC certified program with the achievement of the correlating professional credential (CCS, CPC, etc.); active and in good standing. Successful completion of… more
    MedKoder (12/11/25)
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  • Physician Audit and Education Manager

    MedKoder (Mandeville, LA)
    …scheduling year-round * Internal network of Medical Coding Industry Leaders - CEO is a Certified Coder with 20+ years of experience * Up to 100% EMPLOYER PAID ... or AAPC certified program with the achievement of the correlating professional credential (CCS, CPC, etc.); active and in good standing. Successful completion of… more
    MedKoder (11/09/25)
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  • Manager, Ambulatory Clinical Documentation…

    Trinity Health (Livonia, MI)
    …experiences in clinical documentation integrity, coding, healthcare quality or equivalent + Certified Risk Adjustment Coder (CRC), Certified Clinical ... in order to ensure adherence in a manner that reflects honest, ethical & professional behavior & safe work practices. **Functional Role (not inclusive of titles or… more
    Trinity Health (12/19/25)
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  • Payment Policy Sr. Specialist

    Blue Cross Blue Shield of Massachusetts (Hingham, MA)
    …healthcare industry experience + Strong understanding of healthcare reimbursement methodologies + Certified Professional Coder (CPC) and certified ... + Knowledge of CPT/HCPCS & ICD10 coding, Correct Coding Initiatives and UB04 billing + Strong critical thinking & problem-solving skills + Ability to manage… more
    Blue Cross Blue Shield of Massachusetts (01/07/26)
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  • Trainer, Revenue Integrity

    Guthrie (Sayre, PA)
    …degree in Healthcare Administration, Health Information Management, or related field (required) + Certified Professional Coder (CPC), Certified Coding ... understand and adhere to revenue integrity standards, including coding, billing , documentation, and compliance requirements. The trainer collaborates with subject… more
    Guthrie (01/02/26)
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