• DRG Specialist II

    UPMC (Pittsburgh, PA)
    …Certifications, and Clearances:** + Certified Coding Specialist (CCS) OR Certified Professional Coder (CPC) OR Certified Registered Nurse Practitioner OR Doctor ... timely, accurate reimbursement. + Investigate and address research accounts requiring V70.7 code assignment. Review focused charts at a rate in accordance with… more
    UPMC (09/25/25)
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  • Medical Claim Review LVN/LPN (CA LVN Required)

    Molina Healthcare (Long Beach, CA)
    …correctly to process claim.. **Job Qualifications** **Required Education** Licensed Vocational Nurse / Licensed Practical Nurse . **Required Experience** Minimum ... **Required License, Certification, Association** Active, unrestricted State Licensed Vocational Nurse (LVN) license in good standing. **Preferred Education** Registered… more
    Molina Healthcare (09/17/25)
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  • Radiologic Technologist - Methodist Cath Lab

    Carle Health (Peoria, IL)
    …regards to catheter used, patient care, and response, medication given by the nurse , and complications during the procedure. Ability to assist in selecting catheters ... the procedures performed/completed Validates correct charges/codes with clinical cardiac coder to ensure accuracy when questions/issues arise Attends yearly… more
    Carle Health (09/18/25)
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  • Clinical Quality Consultant NP 100% Virtual,…

    Elevance Health (Houston, TX)
    …life through home-care and community based services. **Clinical Quality Consultant Nurse Practitioner** Location: **Virtual** - This role enables associates to work ... - Friday, 8:00 am to 5:00 pm** The **Clinical Quality Consultant Nurse Practitioner** is responsible for quality documentation, coding and value capture. **How… more
    Elevance Health (09/24/25)
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  • Acute Access APP (temporary): Remote

    CenterWell (Carson City, NV)
    …medical record documentation in a timely manner working with a quality- based coder to optimize coding specificity. + Follows policy and protocol defined by Clinical ... years directly applicable experience preferred. + Successful completion of a Nurse Practitioner or physician assistant program with Board Certification + Active,… more
    CenterWell (09/13/25)
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  • Sr. Patient Accounts Representative (H)

    University of Miami (Miami, FL)
    …necessary for financial clearance of scheduled patient accounts. + Working with physician nurse to complete spinal forms for insurance plans as necessary + Obtaining ... CPT codes from Coder to submit authorization request + Contacts patients' families...self-pay teams in requesting quotes + Work with Physician, Nurse Liaison and Administrative Assistant to appeal any denial… more
    University of Miami (09/13/25)
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  • Supervising Health Facilities Evaluator, Nursing

    The County of Los Angeles (Los Angeles, CA)
    …will be accepted. Position Information: Provides first level of supervision to nurse evaluator staff responsible for surveying health care facilities and enforcing ... authority in both technical and administrative matters over a staff of nurse evaluators responsible for surveying health care facilities and enforcing licensing and… more
    The County of Los Angeles (09/03/25)
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  • Appeals Audit Specialist - McLaren Careers

    McLaren Health Care (Mount Clemens, MI)
    …**_Required:_** + Registered Health Information Technician (RHIT), Licensed Practical Nurse (LPN), hospital biller, or associate degree. + 5 years' ... related field + ACMA or ACDIS memberships + Certified Medical Coder , Certified in Healthcare Compliance, Certified Coding Specialist, or Certified Clinical… more
    McLaren Health Care (09/26/25)
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  • Manager Audit Denials Management - McLaren Careers

    McLaren Health Care (Grand Blanc, MI)
    …* High School Diploma * Registered Health Information Technician (RHIT), Licensed Practical Nurse (LPN), or hospital biller * 5 years' experience in health care or ... related field * ACMA or ACDIS memberships * Certified Medical Coder , Certified in Healthcare Compliance, Certified Coding Specialist, or Certified Clinical… more
    McLaren Health Care (09/26/25)
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  • Clinical Revenue Auditor-CDM Patient Financial…

    Mount Sinai Health System (New York, NY)
    …throughout the organization. **License** ? Current NYS licensure (Registered Nurse (RN), Occupational Therapist (OT), Physical Therapist (PT), Speech-Language ... such as Certified Professional Medical Auditor (CPMA), Certified Inpatient Coder (CIC), Certified Coding Specialist (CCS), or Certified Healthcare Auditor… more
    Mount Sinai Health System (09/24/25)
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