• Sr. Fraud Data Analyst

    Blue Cross Blue Shield of Massachusetts (Boston, MA)
    …activities as well as provide program-wide trend analysis. The Senior Data Analyst will use advanced analytics, predictive modeling, and proactive data analysis to ... structured and unstructured data sets. + Understanding of key topics and literature in health care and applied analytics + Strong teamwork and ability to solve data… more
    Blue Cross Blue Shield of Massachusetts (10/14/25)
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  • Svc Charge Analyst -EMS/Flight

    Parkview Health (Huntington, IN)
    Summary Analyzes departmental accounts for Parkview Health Systems/PRMC including Flight and EMS services. Determines appropriate coding/billing charges according to ... a Medical Terminology course preferred. Licensure/Certification Must obtain Certified Ambulance Coder , within 1 year of hire and maintain throughout employment.… more
    Parkview Health (10/12/25)
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  • Senior Analyst , Encounters

    Molina Healthcare (Louisville, KY)
    **Job Description** **Job Summary** The Sr Analyst , Encounters is responsible for monitoring inbound and outbound encounter processes and ensuring timely, accurate, ... pend and rejection inventory, and works with other areas including IT, health plan, claims, provider, enrollment, regulators, and external vendors, as needed, to… more
    Molina Healthcare (09/24/25)
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  • Medical Records Administration Specialist

    Veterans Affairs, Veterans Health Administration (Los Angeles, CA)
    …(RHIT) and Registered Health Information Administrator (RHIA). OR, (3) Health Data Analyst Certification through AHIMA. Current health data ... This position serves as the Medical Record Administrator Specialist (MRAS) in the Health Information Management Systems (HIMS) Department at the at the VAMC… more
    Veterans Affairs, Veterans Health Administration (10/10/25)
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  • School Based Health Social Worker - LMSW,…

    Bassett Healthcare (Gilbertsville, NY)
    …accordance with department standards for billing of services + Provides coder / analyst with timely, accurate, and adequate billing information following each ... you looking to make a difference by improving the health of our patients? Here you will find an...Provides qualified third-party payors with timely and accurate clinical information , in accordance with all New York State and… more
    Bassett Healthcare (10/03/25)
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  • Clinical Document Improvement Specialist

    Arkansas Children's (Little Rock, AR)
    …ACDIS** **Certified Inpatient Coder (CIC) AAPC - CIC-AAPC** **Registered Health Information Administrator (RHIA) - AHIMA - RHIA-AHIMA** **Certified ... **Work Shift:** Day Shift **Time Type:** Full time **Department:** CC017060 Health Information Management **Summary:** Monday to Friday, full-time - remote (must… more
    Arkansas Children's (10/14/25)
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  • Manager, Clinical Quality Coding

    Sutter Health (Sacramento, CA)
    …degree or diploma._ + Bachelor's: Finance, accounting, business administration, public health , healthcare administration, health information management or ... We are so glad you are interested in joining Sutter Health ! **Organization:** SHSO-Sutter Health System Office-Valley **Position Overview:** Responsible for… more
    Sutter Health (10/11/25)
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  • Medicare/Medicaid Claims Editing Specialist

    Commonwealth Care Alliance (Boston, MA)
    …TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible for developing prospective claims auditing and clinical ... within 1 year of employment - + Certified Professional Coder (CPC) + Certified Inpatient Coder (CIC)...(must have):** + Knowledge and experience of claim operations, health care reimbursement, public health care programs… more
    Commonwealth Care Alliance (08/26/25)
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  • Professional Fee Coding Revenue Cycle Manager

    Penn Medicine (Philadelphia, PA)
    …entities to ensure timely and optimal billing and reimbursement to support established Health Information Management and Revenue Cycle goals and objectives. The ... Continuing Education credits to maintain professional credentials. Adheres to the American Health Information Management Association code of ethics. Help lead… more
    Penn Medicine (10/04/25)
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  • Medicare/Medicaid Claims Reimbursement Specialist

    Commonwealth Care Alliance (Boston, MA)
    …to the Director, Claims Operations and Quality Assurance, the Claims Sr. Analyst plays a critical role in ensuring accurate, compliant, and timely reimbursements ... issues - including underpayments, overpayments, and disputes. The Claims Sr. Analyst serves as a subject matter expert on Medicaid (MassHealth), Medicare,… more
    Commonwealth Care Alliance (08/31/25)
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