• Manager, Risk Adjustment

    Humana (Salt Lake City, UT)
    …continuously improving consumer experiences **Preferred Qualifications** + Bachelor's Degree + CPC ( Certified Professional Coder ) Certification + 2 or more years ... of management/supervisory experience + Progressive business consulting and/or operational leadership experience + Proficiency in analyzing and interpreting data trends + Comprehensive knowledge of Medicare policies, processes and procedures **Additional… more
    Humana (01/08/26)
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  • Denial Appeal Coding Spec

    Rush University Medical Center (Chicago, IL)
    …procedures. **Other information:** **Required Job Qualifications:** * High Diploma or GED. * Certified Medical Coder . * 2 years of experience with hospital ... denial or case management or nurse audit. * Knowledge of hospital revenue cycle and compliant coding/billing practices. * Extensive knowledge of federal, state and payer specific regulations and policies pertaining to documentation, coding and billing, with… more
    Rush University Medical Center (01/01/26)
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  • Payment Integrity Analyst (Remote)

    CareFirst (Baltimore, MD)
    …or equivalent work experience required. **Licenses/Certifications Upon Hire Required:** + Certified Professional Coder . **Experience:** 3 years year's relevant ... experience (healthcare claims reimbursement methodologies, claims, and data analysis). **Preferred Qualifications:** + Master's Degree in Health Administration, Information Systems, or related field. **Knowledge, Skills and Abilities (KSAs)** + Strong… more
    CareFirst (12/30/25)
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  • Account Representative - Physician Practice

    Hackensack Meridian Health (Red Bank, NJ)
    …ensure accurate processing claims and denials. **Licenses and Certifications Preferred:** + Certified Professional Coder . If you feel that the above description ... speaks directly to your strengths and capabilities, then please apply today! 170797 Minimum rate of $20.32 Hourly HMH is committed to pay equity and transparency for our team members. The posted rate of pay in this job posting is a reasonable good faith… more
    Hackensack Meridian Health (12/26/25)
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  • Sr Enterprise Rules and Edits Consultant

    Waystar (Atlanta, GA)
    …+ Experience with Epic, Cerner, eCW, Nextgen, Meditech and other PM/HIS systems + Certified medical coder (CPC, RHIT, CPB, CCS, etc) + Experience with Waystar ... EDI solutions **ABOUT WAYSTAR** Through a smart platform and better experience, Waystar helps providers simplify healthcare payments and yield powerful results throughout the complete revenue cycle. Waystar's healthcare payments platform combines innovative,… more
    Waystar (12/23/25)
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  • Medical Referral Supervisor

    CenterWell (El Paso, TX)
    …4 - 6 years in a physician office, health care, or managed care environment + Certified Medical Coder with one of the following active certifications and with a ... high degree of competency (CPC, CPC-H, or CPMA from AAPC; or CCA, CCSP, CCS from AHIMA) + Strong experience in ICD-9, ICD-10 and CPT coding + Payor Portal Experience + Prior management or supervisory experience + Highly proficient with Microsoft Office… more
    CenterWell (12/23/25)
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  • Svc Charge Analyst-EMS/Flight

    Parkview Health (Huntington, IN)
    …Successful completion of a Medical Terminology course preferred. Licensure/Certification Must obtain Certified Ambulance Coder , within 1 year of hire and ... maintain throughout employment. Experience 1-2 years experience in medical field. EMT preferred. Other Qualifications Master of Excel. Able to keep vital statistical information through the use of spreadsheets and dashboard reports. more
    Parkview Health (12/20/25)
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  • Surgical Anesthesia Compliance Auditor

    Northwell Health (Lake Success, NY)
    …this pivotal role, you'll leverage your healthcare environment experience-whether as a Certified Professional Coder or similar professional-to audit and monitor ... clinical records, ensuring accuracy, completeness, and compliance. Your expertise with medical terminology, coding, and documentation will support our mission to uphold the highest standards of integrity and ethical practice. You'll conduct anesthesia chart… more
    Northwell Health (12/20/25)
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  • Compliance Analyst

    HCA Healthcare (Hendersonville, TN)
    …related experience required + Registered Health Information Technician (RHIT) or Certified Professional Coder (CPC) preferred **Parallon** provides full-service ... revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information… more
    HCA Healthcare (12/18/25)
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  • Physician Coding Compliance Auditor

    Cedars-Sinai (Los Angeles, CA)
    …**Requirements:** High school diploma or GED required. Bachelor's degree preferred. Certified Professional Coder certification required upon hire. A minimum ... of 2 years of professional fee coding/auding required, preferably in an academic medical setting. **Why work here?** We take pride in hiring the best, most passionate employees. Our accomplished staff reflects the culturally and ethnically diverse community we… more
    Cedars-Sinai (12/18/25)
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