• Investigator

    Highmark Health (Montgomery, AL)
    …+ None **Preferred** (any of the following) + Certified Fraud Examiner (CFE) + Certified Professional Coder (CPC) + Certified Outpatient Coder ... for the field investigative work necessary to complete a review of a special project, potential fraud, waste and abuse case, conducting the initial investigations… more
    Highmark Health (09/10/25)
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  • Compliance Auditing Specialist- Remote/Hybrid…

    WMCHealth (Valhalla, NY)
    …or more of the following credentials: Certified Risk Coder (CRC), Certified Professional Coder certification (CPC), Certified Professional ... credential(s). Education: Bachelor's Degree in related field Other: Remote/Hybridavailable Special Requirements: About Us: NorthEast Provider Solutions Inc. Benefits:… more
    WMCHealth (09/12/25)
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  • Supervisor Provider Coding Specialist

    Tidelands Health (Myrtle Beach, SC)
    …Coding Specialist - Physician-based - American Health Information Management Association Required + Certified Professional Coder - American Academy of ... management of staffing schedule to achieve timely coding, provider and coder audits, identification of and implementation of proactive denial mitigants, and… more
    Tidelands Health (10/01/25)
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  • Compliance Specialist

    University of Utah (Salt Lake City, UT)
    …or American Academy of Professional Coders ( AAPC ) recognized certification such as: Certified Professional Coder ( CPC ), Certified Professional ... job as outlined in the position description. **Type** Benefited Staff ** Special Instructions Summary** **Additional Information** The University is a participating… more
    University of Utah (08/07/25)
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  • Senior Director, Finance

    Banner Health (Mesa, AZ)
    …(CHFM); Certified Facility Manager (CFM); Certified Coding Specialist (CCS); Certified Professional Coder (CPC); JD from an American Bar Association ... DO; Driver's License; Certified Healthcare Protection Administrator (CHPA); Certified Protection Professional (CPP); Chartered Property Casualty Underwriter… more
    Banner Health (10/10/25)
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  • Physician Billing & Coding Educator

    Rush University Medical Center (Chicago, IL)
    …policies and procedures. **Other information:** **Required Job Qualifications:** * Bachelor's Degree * Certified Professional Coder (CPC) or Certified ... * Strong communication and organizational skills. **Preferred Job Qualifications:** * Certified Professional Medical Auditor (CPMA) and/or Surgical Coding… more
    Rush University Medical Center (08/27/25)
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  • Medical Claim Review LVN/LPN (CA LVN Required)

    Molina Healthcare (Long Beach, CA)
    … Clinical Coder , Certified Medical Audit Specialists (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM), ... and reports quality of care issues. * Identifies and refers members with special needs to the appropriate Molina Healthcare program per policy/protocol. * Helps with… more
    Molina Healthcare (09/17/25)
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  • Medical Claim Review Nurse (RN)

    Molina Healthcare (Warren, MI)
    Certified Clinical Coder , Certified Medical Audit Specialists, Certified Case Manager , Certified Professional Healthcare Management, ... and support to clinical peers. + Identifies and refers members with special needs to the appropriate Molina Healthcare program per policy/protocol. **JOB… more
    Molina Healthcare (09/06/25)
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  • Clinical Reviewer

    Independent Health (Buffalo, NY)
    …NYS license required; BSN preferred. Certified Coding Specialist (CCS)/AHIMA or Certified Professional Coder (CPC)/AAPC credentials preferred. + Four (4) ... of care pertaining to medical issues in support of clinical care algorithms. Special projects as assigned. + Ensure verbal and written responses to quality… more
    Independent Health (10/07/25)
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  • Coding Auditor

    WellSpan Health (Lewisburg, PA)
    …Degree Required **Work Experience:** + 3 years Coding/Auditing experience. Required **Licenses:** + Certified Professional Coder Upon Hire Preferred or + ... to determinations and recommendations resulting from routine audits and/or assigned special projects. Presents report to appropriate managers and boards. + Provides… more
    WellSpan Health (10/17/25)
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