• 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 (08/26/25)
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  • Senior Director, Department Administrator

    Banner Health (Tucson, AZ)
    …responsibility for the Department's financial and operational performance in its clinical practice, research, and educational and training activities. This position ... success of the academic department in the College of Medicine (UACOM), and its clinical business enterprise which operates, in a variety of locations, as part of… more
    Banner Health (08/13/25)
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  • DRG Denials Auditor

    Community Health Systems (Franklin, TN)
    …records for accuracy in ICD-10-CM/PCS coding, DRG assignments, and supporting clinical documentation. This includes evaluating present on admission (POA) indicators, ... Appeals. + Partners with peers and Director to develop coder education based on findings. + Performs other duties...care hospital coding audit experience preferred + 1-2 years Clinical Documentation Improvement or other clinical experience… more
    Community Health Systems (09/09/25)
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  • Inpatient Coding Quality Officer III - (Medicare)…

    RWJBarnabas Health (Oceanport, NJ)
    …ICD-10-CM/PCS and CPT coding, medical terminology, human anatomy and physiology, clinical indicators associated with disease processes and pharmacology is required. ... + ICD-I0-CM/PCS proficiency required. Preferred: + CPC-H, RHIT, RHIA and/or RN also encouraged. Scheduling Requirements: + Position is primarily remote Essential… more
    RWJBarnabas Health (10/14/25)
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  • Sr Coding Compliance Auditor

    Catholic Health Initiatives (Chattanooga, TN)
    …role will assist with educating providers on quality opportunities as well. Clinical background preferred but not required. **Essential Key Job Responsibilities** + ... on analysis. + Works collaboratively with Revenue Cycle Staff, Coding team, Clinical Informatics, and other MMS staff associated with HCC Initiative. + Identifies… more
    Catholic Health Initiatives (10/04/25)
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  • Senior Director, Finance

    Banner Health (Mesa, AZ)
    …200 bed, state-of-the-art facility, specially trained nurses, physicians and other clinical professionals utilize the most advanced technology - including iCare ICU ... dedicated pediatric rehab, radiology, oncology and hematology capabilities. With clinical diversity, exceptional training programs and a supportive culture, this… more
    Banner Health (10/10/25)
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  • Appeals Audit Specialist - McLaren Careers

    McLaren Health Care (Mount Clemens, MI)
    …to support the clinical team. 3. Collaborates with the Denials Appeals RN to ensure payer appeal/filing deadlines are met and achieve optimal payment for ... other related duties as required and directed. **Qualifications:** **_Required:_** + Registered Health Information Technician (RHIT), Licensed Practical Nurse … more
    McLaren Health Care (09/26/25)
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  • REMOTE - Trauma Registrar - Level 1 Trauma Center…

    Queen's Health System (Honolulu, HI)
    …Course + Minimum one (1) year experience as a trauma registrar or in a clinical healthcare role (eg, EMT, LPN, RN ) with trauma registry experience. + Preferred ... certifications: + Registered Health Information Technician (RHIT) + Certified Professional Coder (CPC) + Certified Specialist in Trauma Registry (CSTR) +… more
    Queen's Health System (10/09/25)
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