• Payer Relations Specialist

    Waystar (Atlanta, GA)
    **ABOUT THIS POSITION** The Payer Relations Specialist is responsible for initiatives to identify and build contractual relationships with payers for direct data ... As a key member of the Waystar payer relations team, the Payer Relations Specialist will drive new value for Waystar's clients by unlocking new partnerships and… more
    Waystar (09/29/25)
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  • Denial Specialist - Full Time - Days - 8hr

    Emanate Health (Covina, CA)
    …in the United States, and the #19 ranked company in the country. The Denial Specialist is responsible for denial and AR management as defined by Denial Manager. The ... Denial Specialist will possess and apply thorough knowledge of collections...Experience includes: hospital billing and collection experience such as clinical denials or reference to a denials management department.… more
    Emanate Health (09/06/25)
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  • In-Clinic Medication Access Specialist

    Beth Israel Lahey Health (Burlington, MA)
    …people's lives.** We are seeking a proactive and patient-centered In-Clinic Medication Access Specialist to join our Neurology care team at the Lahey Neuro Clinic, ... Responsibilities:** 1. Serves as a subject matter expert for physicians, administrators, clinical staff, pharmacy staff, and third party payers for issues regarding… more
    Beth Israel Lahey Health (08/09/25)
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  • Revenue Specialist

    Sonora Quest (Phoenix, AZ)
    …experience of Microsoft Excel. **PREFERRED QUALIFICATIONS** + Extensive knowledge of clinical laboratory operations. + Five (5) years' of medical billing/insurance ... related experience. + Comprehensive knowledge of ICD-10 coding , CPT coding , HCPCS coding , modifiers, and government and commercial payer guidelines. +… more
    Sonora Quest (09/13/25)
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  • RN Clinical Documentation Education…

    Banner Health (AZ)
    …coaching and mentoring builds CDI's comfort in the role from both a clinical perspective and coding knowledge perspective. Provides for ongoing support of ... of Ethics. Requires functional knowledge on the use of computer assisted coding software. Requires strong working knowledge of clinical documentation… more
    Banner Health (10/19/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Atlanta, GA)
    …make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance of medical ... audit activities. + Draws on advanced ICD-10 coding expertise, mastery of clinical guidelines, and industry knowledge to substantiate conclusions. + Utilizes… more
    Elevance Health (10/22/25)
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  • Clinical Revenue Auditor-CDM Patient…

    Mount Sinai Health System (New York, NY)
    …as Certified Professional Medical Auditor (CPMA), Certified Inpatient Coder (CIC), Certified Coding Specialist (CCS), or Certified Healthcare Auditor (CHA) can ... ? Expected to stay updated on current medical billing and coding processes, clinical procedures, and relevant disease states. ? Demonstrated ability to engage… more
    Mount Sinai Health System (09/24/25)
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  • Risk Adjustmt Coder Educator / Clinical

    Hartford HealthCare (Hartford, CT)
    …Registration Medical Coding Certification, Certified Professional Coder (CPC), Certified Coding Specialist - Physician (CCS-P) or Certified Coding ... Coder Educator develops and implements an enterprise-wide risk adjustment coding and documentation education program to support documentation practices among… more
    Hartford HealthCare (09/11/25)
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  • Intake Reimbursement Specialist

    Fairview Health Services (Minneapolis, MN)
    …flexibility to help clients across different timezones. The Intake Reimbursement Specialist uses strong customer service skills and knowledge of authorization and ... insurance or benefits experience using an enterprise software system in the assigned clinical area or service line of a complex healthcare organization. Knowledge of… more
    Fairview Health Services (10/22/25)
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  • Oncology Data Specialist Certified…

    Emory Healthcare/Emory University (Decatur, GA)
    …and follow-up of patients with a diagnosis of cancer. + Performs clinical data abstraction by capturing the complete patient history, diagnosis, staging and ... assign codes to the extracted data based on established coding systems (STORE, SEER, ICD-O3, AJCC Staging 8th Ed)...related field. + Must be an (ODS-C) Oncology Data Specialist Certified by the National Cancer Registrar Association. **Additional… more
    Emory Healthcare/Emory University (10/17/25)
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