• Experienced Outpatient Medical Record Coder

    Stony Brook University (Commack, NY)
    Experienced Outpatient Medical Record Coder **Position Summary** At Stony Brook Medicine, the ** Coder ** will be responsible for selecting and assigning accurate ... ICD-10 CM/PCS, CPT and HCPCS codes. **Duties of a Coder may include the following but are not limited...as assigned **Qualifications** **Required Qualifications:** Associate's degree in a non- clinical Health Care related field such as HIM, Health… more
    Stony Brook University (09/27/25)
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  • Certified Network Facility Lead Coder

    St. Luke's University Health Network (Allentown, PA)
    …with research of diseases and new technologies for appropriate ICD-10-CM/PCS/ CPT-4/HCPCS II diagnosis and procedure code assignment. Assists the Coding Manager in ... Codes and abstracts information from medical records according to ICD-10-CM/PCS, UHDDS, HCPCS II , CPT and CMS guidelines. Utilizes the 3M Encoder to verify and… more
    St. Luke's University Health Network (08/30/25)
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  • Clinical Government Audit Analyst & Appeal…

    Stanford Health Care (Palo Alto, CA)
    …States of America) **This is a Stanford Health Care job.** **A Brief Overview** Clinical Government Audit Analyst and Appeal Specialist II plays a critical role ... as well as excellent analytical and communication skills. The Clinical Government Audit Analyst and Appeals Specialist II...Specialist required within 180 Days or + Certified Outpatient Coder - COC required within 180 Days or +… more
    Stanford Health Care (10/10/25)
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  • Clinical and Digital Imaging Service Desk…

    Banner Health (AZ)
    …direction for Banner Health's EHR applications, design, management, and related workflow. The Clinical Service Desk Analyst II serves as a liaison between the ... **Department Name:** IT Clinical Care-Corp **Work Shift:** Varied **Job Category:** Information Technology **Estimated Pay Range:** $37.14 - $61.90 / hour, based on… more
    Banner Health (10/12/25)
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  • Clinical Fraud Investigator II

    Elevance Health (Chicago, IL)
    ** Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 - 2 ... determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** Clinical Fraud Investigator II ** is responsible for identifying issues… more
    Elevance Health (10/03/25)
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  • Compliance Analyst II , Urmc and Affiliates

    University of Rochester (Rochester, NY)
    …equity considerations._ **Responsibilities:** GENERAL PURPOSE The Compliance Analyst II conducts investigations, risk assessments, and regulatory monitoring to ... or reputational risk. **There are two pathways for the Compliance Analyst II (1: Compliance Billing, Coding, and Education Analyst,** **or** **2: Compliance… more
    University of Rochester (10/03/25)
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  • Risk Adjustment Coding Coordinator I/ II

    Excellus BlueCross BlueShield (Rochester, NY)
    …Advantage and Commercial Hierarchical Condition Category (HCC) coding, and Medicaid Clinical Risk Groups (CRGs) to ensure compliance. * Assist in developing, ... to peer guidance through informal discussion and over read assignments. Supports coder training and orientation as requested by leadership. * Maintains accuracy in… more
    Excellus BlueCross BlueShield (08/27/25)
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  • DRG Specialist II

    UPMC (Pittsburgh, PA)
    …hours. The position will be fully remote! In this role, the DRG Specialist II will review clinical documentation within the medical record to ensure that ... UPMC Corporate Revenue Cycle is hiring a DRG Specialist II to join our coding team! This opportunity works...reimbursement. + Formulate physician queries that present indications, utilizing clinical judgment, of a diagnosis that is not clearly… more
    UPMC (09/25/25)
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  • Coding Specialist II , Professional Billing…

    Minnesota Visiting Nurse Agency (Minneapolis, MN)
    *_SUMMARY:_* We are currently seeking a*Coding Specialist II *to join our**Professional Billing Coding**team. This full-time role will primarily work remote (Day, M- ... conjunction with meeting productivity standards * Abstracts demographic and clinical data for performance improvement, research, reporting, and reimbursement… more
    Minnesota Visiting Nurse Agency (10/13/25)
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  • Coding Specialist II , Hospital Billing OP…

    Minnesota Visiting Nurse Agency (Minneapolis, MN)
    *_SUMMARY:_* We are currently seeking a*Coding Specialist II *to join our**Hospital Billing OP Coding**team. This full-time role willprimarily work remotely (Day, M - ... conjunction with meeting productivity standards * Abstracts demographic and clinical data for performance improvement, research, reporting, and reimbursement… more
    Minnesota Visiting Nurse Agency (09/06/25)
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