• Compliance Auditing Specialist- Remote/Hybrid…

    WMCHealth (Valhalla, NY)
    …internal expert on Risk Adjustment and Hierarchical Conditions Categories (HCC) coding . Specific duties include performing concurrent and retrospective reviews of ... documentation and coding and working with providers and staff to ensure...one or more of the following credentials: Certified Risk Coder (CRC), Certified Professional Coder certification (CPC),… more
    WMCHealth (07/09/25)
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  • Director, Government Programs Risk Adjustment…

    Blue KC (Kansas City, MO)
    …and clinical leadership to assist in identification of operational and coding best practices in chronic condition management, understanding clinical suspects and ... monitoring of appropriate clinical documentation and quality coding . + ​Interface withexternal provider partners'operational and clinical leadership to assist in… more
    Blue KC (06/18/25)
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  • Health Information Associate/Correctional Health

    The County of Los Angeles (Los Angeles, CA)
    …provides health information management through the collection, analysis, abstracting, and coding of inpatient or outpatient healthcare-related services. The HIA is ... by its focus on outpatient health information management and less complex coding , usually of clinic services and routine diagnoses and procedures, and abstracting… more
    The County of Los Angeles (06/13/25)
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  • Medicare/Medicaid Claims Editing Specialist

    Commonwealth Care Alliance (Boston, MA)
    …the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible for developing prospective claims auditing ... and clinical coding and reimbursement edits and necessary coding ...within 1 year of employment - + Certified Professional Coder (CPC) + Certified Inpatient Coder (CIC)… more
    Commonwealth Care Alliance (05/28/25)
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  • Compliance Billing Analyst - Credentialed

    University of Washington (Seattle, WA)
    …Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Professional Coder (CPC), ... JOB RESPONSIBILITIES** + Maintains Epic WQ turnaround times for coding error and edits resolution + Ensure input data...Certified Inpatient Coder (CIC), Certified Outpatient Coder (COC), OR eligible to sit for the exam… more
    University of Washington (07/18/25)
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  • Director, Risk Adjustment Prospective Operations…

    Corewell Health (Grand Rapids, MI)
    …set by the executive leaders of Risk Adjustment ensuring accurate diagnosis risk coding and achieving related revenue targets.The role is responsible for helping to ... position will be responsible for program integrity relating to coding & documentation and will oversee the team responsible...State of Michigan Upon Hire required And + CRT-Professional Coder - AAPC American Academy of Professional Coders 180… more
    Corewell Health (07/21/25)
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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 (06/01/25)
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  • Patient Financial Services Representative II…

    WellSpan Health (York, PA)
    …appropriate departments on accounts requiring precertification, preauthorization, referral forms, coding and other requirements related to ensuring claim payment. + ... Accounts Manager within 1 year Required or + Certified Coding Associate within 1 year Required or + Certified...Professional within 1 year Required or + Certified Outpatient Coder within 1 year Required or + Certified Professional… more
    WellSpan Health (07/18/25)
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  • Manager Payment Integrity

    Corewell Health (Grand Rapids, MI)
    …with Healthcare claim auditing or equivalent combination of; auditing, medical coding , healthcare revenue cycle, or regulatory (ie, CMS & Medicaid) experience ... State and Federal regulations related to healthcare billing and coding + Experience with health care claims Preferred: +...Information Management Association Upon or + CRT - Professional Coder - AAPC American Academy of Professional Coders Upon… more
    Corewell Health (07/18/25)
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  • Auditor /Educator

    Children's Mercy Kansas City (Kansas City, MO)
    …+ One of the following: Certified Coding Specialist, Certified Coding Specialist - Physician Based, Certified Professional Coder , Certified Outpatient ... the electronic charge capture process for all assigned clinical departments per coding compliance and CMH charge capture protocols by proactively identify charge… more
    Children's Mercy Kansas City (07/15/25)
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