• DRG Specialist

    UPMC (Pittsburgh, PA)
    …standard business hours Monday through Friday. In this role, you will review clinical documentation within the medical record to ensure that all patient resource ... and compliance guidelines. + Formulate physician queries that present indications, utilizing clinical judgment, of a diagnosis that is not clearly documented in the… more
    UPMC (10/03/25)
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  • Supervisor, Payment Integrity

    Centene Corporation (Jefferson City, MO)
    …fresh perspective on workplace flexibility. **Position Purpose:** Responsible for leading clinical coding compliance nurses and non- clinical team members through ... + Identifies and implements best practices and operational efficiencies + Researches clinical and coding questions and issues + Triages and resolves escalated health… more
    Centene Corporation (09/27/25)
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  • Appeals Audit Specialist - McLaren Careers

    McLaren Health Care (Mount Clemens, MI)
    …+ Certified Medical Coder , Certified in Healthcare Compliance, Certified Coding Specialist, or Certified Clinical Documentation Specialist certifications ... and fulfills the obligation and responsibilities of the role to support the clinical team. 3. Collaborates with the Denials Appeals RN to ensure payer appeal/filing… more
    McLaren Health Care (09/26/25)
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  • Epic Cogito Business Intelligence Developer III

    Emory Healthcare/Emory University (Atlanta, GA)
    …focus) will be a part of the enterprise analytics team focused on clinical reporting. This role will collaborate with both clinicians and operational leaders to ... solutions. This position will largely focus on Epic Cogito clinical data model. This role will entail heavy customer...on video calls/meetings/etc. as opposed to being a 'backend coder '. The candidate will be building Radar dashboards, and… more
    Emory Healthcare/Emory University (09/26/25)
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  • Reimbursement Specialty Liaison - On-Site Training

    Option Care Health (Columbia, SC)
    …patients with acute and chronic conditions in all 50 states. Through our clinical leadership, expertise and national scale, Option Care Health is re-imagining the ... of new referrals. + Work with physician offices to obtain needed clinical information to assess reimbursement criteria for specialty infusions. + Investigates type… more
    Option Care Health (09/24/25)
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  • Inpatient DRG Coding Auditor

    Emory Healthcare/Emory University (Atlanta, GA)
    …assignment, and abstracted data POA, Discharge Disposition. + Reviews discrepancies between the Clinical Documentation Specialist (CDS) DRG and the Coder DRG. + ... of educational and training programs regarding technical coding and clinical topics for the coding staff. + Coordinates remediation...the CDS team to educate physicians, nursing, and other clinical staff to improve documentation. + Review ?s DRG… more
    Emory Healthcare/Emory University (09/05/25)
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  • RN Coding Liaison

    AdventHealth (Orlando, FL)
    …and quality of the data reported is supported by provider clinical documentation to accurately reflect reimbursement and quality reporting. Maintains knowledge ... with CDI specialists and Coding, providing coding conventions and guidelines when clinical and coding determinations are in conflict. Works directly with the… more
    AdventHealth (08/07/25)
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  • Primary Care Physician

    CenterWell (Houston, TX)
    …record documentation in a timely manner, working with a quality-based coder to optimize coding specificity. + Coordinate patient services, including specialty ... a professional and approachable demeanor. + Follow policies and protocols defined by Clinical Leadership. + Meet with medical directors to discuss quality of care,… more
    CenterWell (07/28/25)
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  • Primary Care Physician

    CenterWell (Pembroke Pines, FL)
    …all medical record documentation in a timely manner working with a quality- based coder to optimize coding specificity. . Follows policy and protocol defined by ... Clinical Leadership. . Meets with RMD about quality of...patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we… more
    CenterWell (10/18/25)
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  • Primary Care Physician

    CenterWell (Daytona Beach, FL)
    …all medical record documentation in a timely manner working with a quality- based coder to optimize coding specificity. . Follows policy and protocol defined by ... Clinical Leadership. . Meets with RMD about quality of...patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we… more
    CenterWell (10/18/25)
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