• Claims Auditor (Remote - WI or MN)

    Marshfield Clinic (Marshfield, WI)
    …current international classification of diseases (ICD), health care procedure coding system (HCPCS) and medical terminology. **Preferred/Optional:** Associate degree ... current international classification of diseases (ICD), health care procedure coding system (HCPCS) and medical terminology. **EXPERIENCE** **Minimum Required:**… more
    Marshfield Clinic (09/23/25)
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  • Charge Audit Analyst

    Sutter Health (Sacramento, CA)
    …for activities which improve the accuracy of facility outpatient clinical documentation coding and charging, including education with the clinical departments and ... coding staff and root cause correction to support accurate...General Education Diploma (GED) **CERTIFICATION & LICENSURE:** CPC-Certified Professional Coder OR COC-Certified Outpatient Coder OR RHIA-… more
    Sutter Health (10/01/25)
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  • Quality & Risk Adjustment Provider Consultant

    Blue Cross and Blue Shield of Minnesota (Eagan, MN)
    …and identifies actionable opportunities for providers to improve their Quality and Coding Accuracy performance. The role leads face-to-face meetings with leaders in ... plans. The consultants are in-house subject matter experts on coding accuracy and Quality programs such as including HEDIS...of Health Care Quality measures * Certified Risk Adjustment Coder (CRC via AAPC) or Certified Professional Coder… more
    Blue Cross and Blue Shield of Minnesota (09/30/25)
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  • Vendor Resource Management Profee Team Lead

    HCA Healthcare (Nashville, TN)
    …reporting purposes. The Team Lead monitors and performs inventory reviews for vendor coding staff in order to validate inventory is completed within the Service ... vendor management including monitoring processes and services for improvement, coding quality, trending/analyzing data, creating and presenting education, answering … more
    HCA Healthcare (09/25/25)
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  • DRG Specialist II

    UPMC (Pittsburgh, PA)
    …and diplomatic manner required. **Licensure, Certifications, and Clearances:** + Certified Coding Specialist (CCS) OR Certified Professional Coder (CPC) OR ... UPMC Corporate Revenue Cycle is hiring a DRG Specialist II to join our coding team! This opportunity works Monday through Friday during daylight hours. The position… more
    UPMC (09/25/25)
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  • Payment Integrity Auditor I

    Premera Blue Cross (Mountlake Terrace, WA)
    …combination of education and experience. + (1) year of related medical coding or auditing experience. + Certified Professional Coder Designation (CPC-A, ... claim audits to identify improper payments due to billing errors, coding discrepancies, and policy non-compliance. Audits include reviewing medical records, applying… more
    Premera Blue Cross (09/24/25)
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  • Payment Integrity Auditor II

    Premera Blue Cross (Mountlake Terrace, WA)
    …combination of education and experience. + (3) years of related medical coding /auditing experience. + Certified Professional Coder Designation (CPC, CSS, CPMA) ... claim payment accuracy strategy through conducting claim audits, identifying trends in coding errors, and informing coding education material for internal and… more
    Premera Blue Cross (09/24/25)
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  • Supv CDI

    Covenant Health Inc. (Knoxville, TN)
    Overview Coder Supervisor, Clinical Document Integrity Full-time, 80 hours per pay period, Days Covenant Medical Group is Covenant Health's employed and managed ... that affect financial performance: all unbilled accounts receivable claims for all coding deficiencies including those claims that have failed edits and are in… more
    Covenant Health Inc. (09/18/25)
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  • Risk Adjustment QA Consultant

    Blue Cross and Blue Shield of Minnesota (Eagan, MN)
    …critical role in ensuring the accuracy, completeness, and compliance of risk adjustment coding across both internal teams and external partners. Your work will help ... uphold the highest standards in documentation and coding practices-protecting against fraud, waste, and abuse. In this...Advantage and ACA risk adjustment. * Certified Risk Adjustment Coder (CRC) certification * In-depth knowledge of ACA &… more
    Blue Cross and Blue Shield of Minnesota (09/10/25)
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  • DRG Denials Auditor

    Community Health Systems (Franklin, TN)
    …non-RAC accounts, reviewing patient records for accuracy in ICD-10-CM/PCS coding , DRG assignments, and supporting clinical documentation. This includes evaluating ... discharge disposition, and any other relevant data to ensure coding accuracy. The auditor is also responsible for writing...Appeals. + Partners with peers and Director to develop coder education based on findings. + Performs other duties… more
    Community Health Systems (09/09/25)
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