• Investigator

    Highmark Health (Pittsburgh, PA)
    …(any of the following) + Certified Fraud Examiner (CFE) + Certified Professional Coder (CPC) + Certified Outpatient Coder (COC) + Accredited Healthcare Fraud ... have knowledge of provider facility payment methodology, claims processing systems and coding and billing proficiency + Must have understanding of technical and… more
    Highmark Health (10/30/25)
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  • CPC Collector

    Health Advocates Network (Phoenix, AZ)
    …Excellent opportunity for a biller or collector interested in expanding their coding experience! **Required Qualifications of the CPC Collector** - 3+ years of ... medical collections experience required - 2+ years of medical coding experience required - Appeals, reimbursement, and reconsiderations experience required -… more
    Health Advocates Network (11/19/25)
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  • RN UM Clinical Appeals Nurse Remote

    Molina Healthcare (Salt Lake City, UT)
    …practice. * Experience demonstrating knowledge of ICD-9, Current Procedural Technology (CPT) coding and Healthcare Common Procedure Coding (HCPC). * Experience ... suite/applicable software program(s) proficiency. **Preferred Qualifications** * Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case… more
    Molina Healthcare (11/14/25)
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  • Compliance Auditor

    Sanford Health (MN)
    …Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), Certified Professional Coder (CPC) or ... of Diseases, Tenth Edition (ICD-10), and Healthcare Common Procedure Coding System (HCPCS) code assignment. Demonstrates both knowledge and application… more
    Sanford Health (11/06/25)
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  • Quality & Risk Adjustment Specialist

    Avera (Sioux Falls, SD)
    …Services, Manager of Risk Adjustment, Manager of Quality, Quality Coordinator - HEDIS, coder (s), claims staff, and primary care & specialty care providers to ensure ... rationale behind Risk Adjustment Work with physicians, clinic staff, coding , and other Health Plans staff to resolve ...coding , and other Health Plans staff to resolve coding or work process issues in regards to RA.… more
    Avera (10/28/25)
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  • Revenue Cycle Manager

    Oak Orchard Health (Brockport, NY)
    …within client assigned status buckets. Perform weekly audits to ensure proper billing/ coding on claims, provide reports to Chief Financial Officer and Leadership, ... and insurance payer representatives, as needed, + Stay apprised with billing/ coding updates and communicate updates to leadership and clinical staff, providing… more
    Oak Orchard Health (10/14/25)
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  • Svc Charge Analyst-EMS/Flight

    Parkview Health (Huntington, IN)
    …Parkview Health Systems/PRMC including Flight and EMS services. Determines appropriate coding /billing charges according to written procedures and criteria as it ... relates to ambulance coding . Assures timely turnaround of charts on a daily...Medical Terminology course preferred. Licensure/Certification Must obtain Certified Ambulance Coder , within 1 year of hire and maintain throughout… more
    Parkview Health (10/12/25)
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  • Revenue Integrity Analyst

    Hartford HealthCare (Farmington, CT)
    …Responsibilities:_* *Key Areas of Responsibility* 1) Evaluates current charging and coding structures and processes in revenue generating departments to ensure ... Provides guidance, communication and education on correct charge capture, documentation, coding and billing processes. 5) Lead annual, quarterly, CPT(R), HCPCS… more
    Hartford HealthCare (09/18/25)
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  • Compliance Specialist 2 (07026,08041)

    State of Montana (Helena, MT)
    …Knowledge of Medicaid rules, medical claims processing, medical terminology and coding principles and practices. * Knowledge of reviewing, investigation, and ... o Two years of experience with medical claims, medical coding , or medical review of services. o Other combinations...Information Management Association (AHIMA) or American Academy of Professional Coder (AAPC). ** *How to Apply To be considered… more
    State of Montana (09/17/25)
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  • Senior Reimbursement Analyst

    Medtronic (MN)
    …a minimum of 2 years relevant experience. **Nice to have:** + Certified Coding Specialist (CCS) + Certified Professional Coder (CPC) **Physical Job ... Develops and implements reimbursement strategies and programs to obtain coverage, coding and payment from payer/providers. + Provides reimbursement-related advice to… more
    Medtronic (11/19/25)
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