• Appeals Audit Specialist - McLaren Careers

    McLaren Health Care (Mount Pleasant, MI)
    …+ Bachelor's degree in healthcare related field + ACMA or ACDIS memberships + Certified Medical Coder , Certified in Healthcare Compliance, Certified ... Coding Specialist, or Certified Clinical Documentation Specialist certifications more
    McLaren Health Care (11/11/25)
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  • DRG Coding Auditor Principal

    Elevance Health (Chicago, IL)
    …Information Technician, CCS as a Certified Coding Specialist, CIC as a Certified Inpatient Coder , or Certified Clinical Documentation Specialist (CCDS). ... + Requires minimum of 10 years experience working with ICD-9/10CM, MS-DRG, AP-DRG and APR-DRG. **Preferred Skills, Capabilities and Experiences** : + BA/BS preferred. + Experience with vendor based DRG Coding / Clinical Validation Audit setting or hospital… more
    Elevance Health (12/24/25)
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  • Senior Revenue Integrity Specialist - Clinical Rev…

    University of Southern California (Alhambra, CA)
    …field. + Req Specialized/technical training Certification from an accredited program of Certified Coder (CPC/CCS/COC) or Certificate of Auditing (CPMA) within ... + Pref Pharmacy Technician (CA DCA) Required Licenses/Certifications: + Req Specialty Certification Certified Coder (CCS or CPC), Certified Outpatient … more
    University of Southern California (11/19/25)
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  • Compliance Auditor (Clinical)

    St Croix Hospice (Mendota Heights, MN)
    …Internal Auditor (CIA) + Certified Billing and Coding Specialist (CBCS) + Certified Professional Coder (CPC) + Certified Professional Medical Auditor ... compliance issues to senior executives and staff members at all levels. + Preferred Certifications: + Certified in Healthcare Compliance (CHC) + Certified more
    St Croix Hospice (12/30/25)
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  • Clinical Documentation Improvement Specialist

    HCA Healthcare (Campbell, CA)
    …**CERTIFICATION:** + Must hold at least one of the following credentials: Certified Risk Adjustment Coder (CRC(R)), Certified Documentation Improvement ... Practitioner (CDIP), Certified Clinical Documentation Specialist (CCDS), Certified Professional Coder (CPC(R)), Certified Coding Specialist (CCS), … more
    HCA Healthcare (01/09/26)
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  • Medical Review Nurse (RN)- Remote

    Molina Healthcare (Rio Rancho, NM)
    …Office suite and applicable software program(s) proficiency. **PREFERRED QUALIFICATIONS:** + Certified Clinical Coder (CCC), Certified Medical Audit ... Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM), Certified Professional in Healthcare Quality (CPHQ), or… more
    Molina Healthcare (01/09/26)
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  • Ambulatory Clinical Documentation Integrity…

    Trinity Health (Livonia, MI)
    …integrated health care delivery system, revenue cycle or consulting experience. + Certified Risk Adjustment Coder (CRC), Certified Clinical Documentation ... (CDI), Certified Clinical Documentation Specialist - Outpatient (CCDS-O), Certified Documentation Expert Outpatient (CDEO), or Certified Documentation… more
    Trinity Health (12/19/25)
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  • Manager, Ambulatory Clinical Documentation…

    Trinity Health (Livonia, MI)
    …experiences in clinical documentation integrity, coding, healthcare quality or equivalent + Certified Risk Adjustment Coder (CRC), Certified Clinical ... (CDI), Certified Clinical Documentation Specialist - Outpatient (CCDS-O), Certified Documentation Expert Outpatient (CDEO), or Certified Documentation… more
    Trinity Health (12/19/25)
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  • Investigator (Hybrid)

    CareFirst (Baltimore, MD)
    … Fraud Examiner (CFE) + Certified Insurance Fraud Investigator (CIFI) + Certified Coder (CCS or CPC)-AHIMA or AAPC **Experience:** 2 years insurance, ... Fraud Examiner (CFE), Accredited Health Fraud Investigator (AHFI), RN/LPN, or Certified Professional Coder (CPC). + Knowledge of ICD 10 and CPT Codes, medical… more
    CareFirst (01/05/26)
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  • Coding Auditor and Educator

    Rush University Medical Center (Chicago, IL)
    …information management, other related field, or 3 years of relevant experience * Certified Professional Coder (CPC) or Certified Coding Specialist- Physician ... Strong communication and organizational skills. **Preferred Job Qualifications:** * Certified Professional Medical Auditor (CPMA) and/or Surgical Coding certifications… more
    Rush University Medical Center (01/09/26)
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