• PB Coding Specialist I

    Southeast Health (Dothan, AL)
    Southeast. Always the right career direction. Job Description Summary Coding Specialist assigns codes to accounts using ICD-10-CM and ICD-10-PCS coding skills, and ... with software or provider documentation templates. + Communicates any coding or billing guideline changes to staff. + Participates in provider coding review, as… more
    Southeast Health (09/29/25)
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  • Compliance Specialist 2 (07026,08041)

    State of Montana (Helena, MT)
    …the Office of Inspector General, Program Compliance Bureau.* The Compliance Specialist 2 is responsible for identifying and investigating potential fraud, waste, ... programs. Key duties include analyzing medical claims data, evaluating provider billing practices, and ensuring compliance with applicable state and federal… more
    State of Montana (09/17/25)
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  • Medicare/Medicaid Claims Editing Specialist

    Commonwealth Care Alliance (Boston, MA)
    …claims data sets to provide analysis and reports on existing provider billing patterns as compared to industry standard coding regulations, and make recommendations ... and create new opportunities for savings based on provider billing trends + Liaison between business partners and vendors;...within 1 year of employment - + Certified Professional Coder (CPC) + Certified Inpatient Coder (CIC)… more
    Commonwealth Care Alliance (11/25/25)
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  • Risk Adjustment Coding Specialist -St.…

    Trinity Health (Albany, NY)
    …Type:** Full time **Shift:** Day Shift **Description:** Risk Adjustment Coding Specialist -St. Peter's Health Partners - Full-time - Remote **POSITION PURPOSE:** ... The Risk Adjustment Coding Specialist works in a team environment and is responsible...**SKILLS, KNOWLEDGE, EDUCATION AND EXPERIENCE:** **. Certified Risk Adjustment Coder (CRC) required** . Excellent verbal and written communication… more
    Trinity Health (12/12/25)
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  • Physician Coding Specialist (Full Time, 40,…

    Queen's Health System (Honolulu, HI)
    …A. Education/Certification and Licensure: 1. Certification as an Outpatient Physician Coder (CPC) or Certified Coding Specialist -Physician based (CCS-P). ... (2) years experience in physician coding preferred. 3. Knowledge of computerized billing system preferred. 4. Knowledge of billing regulations, PATH guidelines,… more
    Queen's Health System (12/09/25)
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  • Charge Integrity Specialist - PFS Revenue…

    Sharp HealthCare (San Diego, CA)
    …**Shift** Day **FTE** 1 **Shift Start Time** **Shift End Time** Certified Professional Coder (CPC) - AAPC; Driver's License - CA Department of Motor Vehicles ... hospital setting, medical group, or consulting company. + Certified Professional Coder (CPC) - AAPC - PREFERRED **Other Qualification Requirements** + Bachelor's… more
    Sharp HealthCare (11/15/25)
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  • Payment Policy Sr. Specialist

    Blue Cross Blue Shield of Massachusetts (Hingham, MA)
    …experience + Strong understanding of healthcare reimbursement methodologies + Certified Professional Coder (CPC) and certified outpatient coder (COC) preferred + ... + Knowledge of CPT/HCPCS & ICD10 coding, Correct Coding Initiatives and UB04 billing + Strong critical thinking & problem-solving skills + Ability to manage… more
    Blue Cross Blue Shield of Massachusetts (10/09/25)
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  • Medicare/Medicaid Claims Reimbursement…

    Commonwealth Care Alliance (Boston, MA)
    …standards and MassHealth requirements. + Maintain awareness of MassHealth transmittals, billing guides, and program updates to ensure adherence in payment practices. ... degree in Health Administration, Finance, or related field preferred. + Certified Professional Coder (CPC) - AAPC + Certified Claims Professional (CCP) + Other AHIMA… more
    Commonwealth Care Alliance (11/30/25)
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  • Appeals & Grievances Specialist (Complaints…

    Molina Healthcare (Tampa, FL)
    …Completion of a health care related vocational program in health care (ie, certified coder , billing , or medical assistant). To all current Molina employees: If ... you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $21.16 -… more
    Molina Healthcare (12/14/25)
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  • Coding Specialist (Revenue Integrity…

    Northwell Health (Melville, NY)
    …+ Adheres to regulations and maintains a reasonable understanding of the billing process to ensure that hospital procedures and services are properly ordered. ... combination of education and related experience. + Current Professional Coder Certification, or Current Coding Professional Certification required, plus specialized… more
    Northwell Health (12/11/25)
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