• Medical Policy Analyst (Remote)

    CareFirst (Baltimore, MD)
    …policy in a healthcare setting. **Preferred Qualifications** : Certified Professional Coder (CPC). **Knowledge, Skills and Abilities (KSAs)** + Ability to analyze ... insurance and managed care principles and knowledgeable of CPT and ICD-10 coding systems. Knowledge of all types of medical necessity decisions including various… more
    CareFirst (10/24/25)
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  • Revenue Integrity Nurse Auditor

    Childrens Hospital of The King's Daughters (Chesapeake, VA)
    …special focus audits and reports findings. + Serves as a clinical resource for coding / denial management and customer service issues. + Participates as a member of ... holding a valid Compact State license. + Certified Professional Coder required. + Certified Outpatient Coder (COC;...Certified Professional Coder required. + Certified Outpatient Coder (COC; formerly CPC-H) required within 1 year of… more
    Childrens Hospital of The King's Daughters (10/23/25)
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  • Network Reimbursement Specialist-Associate

    Independent Health (Buffalo, NY)
    …Specialist-Associate will have an understanding of industry and/or regulatory coding standards related to reimbursement methodology, billing practices, and ... coding rules and continue to build that knowledge while... requirements required. + Current certification of Certified Professional Coder , American Academy of Professional Coders or will be… more
    Independent Health (11/15/25)
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  • Billing Specialist - Psychiatry Administration…

    Mount Sinai Health System (New York, NY)
    …Billing Specialist is responsible for multiple components of the billing & coding process, including Accounts Receivable, Charge Entry, Edits and Payment Posting. ... diploma/GED plus 3 years of relevant experience + Certified coder required + Experience in medical billing or health...the providers bill, to make sure the providers a coding optimally. 3. Collaborate with other coders and provide… more
    Mount Sinai Health System (11/14/25)
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  • Medical Billing Clerk

    Luke Staffing (Butner, NC)
    …Technician (RHIT) . Certified Coding Specialist (CCS) . Certified Coding Assistant (CCA) . Certified Professional Coder (CPC) **CORE RESPONSIBILITIES:** ... **MEDICAL BILLING CODING SPECIALIST** **We encourage Military Veterans and Military...services at the FCC. . Utilizing Medicare National Correct Coding Initiative (NCCI) coding principles, the selected… more
    Luke Staffing (11/13/25)
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  • Clinical Documentation Integrity Specialist (Per…

    Billings Clinic (Billings, MT)
    …for clarification of clinical documentation. He/she works collaboratively with the coding and compliance departments to ensure appropriate final DRG assignments and ... and reports appropriately. * In collaboration with physicians and coding specialists, identifies and records principal diagnosis, * Provides...(CDIP), Within 2 years of hire * Certified Professional Coder (CPC), Within 2 years of hire Or an… more
    Billings Clinic (11/11/25)
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  • Data Engineer

    MedKoder (Mandeville, LA)
    …+ Internal network of Medical Coding Industry Leaders + CEO is a Certified Coder with 20+ years of experience + Up to 100% EMPLOYER PAID Medical, Dental, and ... About Us MedKoder, LLC is a full-service medical coding management services provider based in Mandeville, Louisiana, specializing in expert medical coding for… more
    MedKoder (10/11/25)
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  • Revenue Integrity Coordinator

    WMCHealth (Valhalla, NY)
    …Coordinator reviews and revises accounts to achieve revenue enhancement and billing/ coding compliance. This position updates and reviews accounts to ensure accurate ... billing. The incumbent identifies patterns for educational opportunity, researches coding questions, and tracks audited cases. Responsibilities: + Monitors various… more
    WMCHealth (10/08/25)
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  • Payment Policy Sr. Specialist

    Blue Cross Blue Shield of Massachusetts (Boston, MA)
    …experience + Strong understanding of healthcare reimbursement methodologies + Certified Professional Coder (CPC) and certified outpatient coder (COC) preferred + ... written and verbal communication skills + Knowledge of CPT/HCPCS & ICD10 coding , Correct Coding Initiatives and CMS 1500 billing + Strong critical thinking &… more
    Blue Cross Blue Shield of Massachusetts (10/22/25)
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  • Health Services Manager (IC) - Payment Policy…

    CVS Health (Boise, ID)
    …member of the Medical Policy & Program Solutions Team. The Medicaid Medical Coding Policy Writer is an individual contributor and will research and develop moderate ... to complex coding and payment policies; ensure adherence to company, state,...5% for meetings as needed. **Preferred Qualifications** Certified Professional Coder through AAPC or AHIMA (Physician, Inpatient, Outpatient or… more
    CVS Health (11/19/25)
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