• Medicare/Medicaid Claims Editing Specialist

    Commonwealth Care Alliance (Boston, MA)
    …Analyst will be responsible for developing prospective claims auditing and clinical coding and reimbursement edits and necessary coding configuration requirements ... Responsibilities:** + Develop enhanced, customized prospective claims auditing and clinical coding and reimbursement policies and necessary coding configuration… more
    Commonwealth Care Alliance (05/28/25)
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  • Practice Transformation Associate

    CVS Health (Tallahassee, FL)
    …peers across the organization **Preferred Qualifications** + RHI, RHIT, CRC, or CPC certified Coder or auditor (CMAS) or + RN or LPN or LISW or + Three years' ... goal through analyzing and sharing provider performance metrics related to quality, clinical outcomes, coding, and utilization used to support ABH programs. They… more
    CVS Health (07/12/25)
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  • Pre-Service Rep - Radiology - PRN - Saturdays…

    Ochsner Health (New Orleans, LA)
    …with the clinical providers , on- site case management team, as well as LPN/ RN or Nurse Auditor in the Pre-Service department. + Performs Pre-Service ... collection estimation functions and communicates patient liability. + Provides point -of - service information and logistics to ensure an exceptional patient experience. + Other related duties as required. The above statements describe the general nature and… more
    Ochsner Health (07/05/25)
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