• Associate Investigator

    Highmark Health (Pittsburgh, PA)
    …industry **Preferred** + 1 year of financial analysis in acute care hospital or health insurance setting **LICENSES or CERTIFICATIONS** **Required** + None ... (any of the following) + Certified Fraud Examiner (CFE) + Certified Professional Coder (CPC) + Certified Outpatient Coder (COC) + Accredited Healthcare Fraud… more
    Highmark Health (12/18/25)
    - Related Jobs
  • Primary Care APP

    CenterWell (Coral Springs, FL)
    …all medical record documentation in a timely manner working with a quality- based coder to optimize coding specificity. Follows policy and protocol defined by ... professionals, Pharm D, Care Coach Nurse, MA, Behavioral health specialist, Quality based Coder , Referral Coordinator and more. Our approach allows us to provide an… more
    CenterWell (11/26/25)
    - Related Jobs
  • Nurse Practitioner

    CenterWell (Las Vegas, NV)
    …all medical record documentation in a timely manner working with a quality- based coder to optimize coding specificity. + Follows policy and protocol defined by ... professionals, Pharm D, Care Coach Nurse, MA, Behavioral health specialist, Quality based Coder , Referral Coordinator and more. Our approach allows us to provide an… more
    CenterWell (11/20/25)
    - Related Jobs
  • Charge Capture Manager

    TEKsystems (Raleigh, NC)
    …Revenue cycle, Charge Capture, ICD-10, management skills, CDM, Medical coding , Billing Top Skills Details Revenue cycle, Charge Capture,ICD-10,management skills ... Need to have solid understanding of Charge Capture & Hospital Billing - Need to have audit experience -Preferred...Need to have audit experience -Preferred to be certified coder / have strong experience with denials Experience Level… more
    TEKsystems (01/07/26)
    - Related Jobs
  • Nurse Specialist, Clinical Documentation…

    University of Utah Health (Salt Lake City, UT)
    …documentation of clinical information used for measuring and reporting physician and hospital outcomes. + Assists the assigned coder with concurrently reviewing ... documentation through extensive concurrent interactions with physicians, nursing staff and coding to support that appropriate reimbursement and clinical severity is… more
    University of Utah Health (12/12/25)
    - Related Jobs
  • AVP Clinical Documentation Integrity

    HCA Healthcare (Nashville, TN)
    …spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal ... opportunities. This role focuses on clinical documentation integrity (CDI), coding queries/nudges, and digital transformation and innovation initiatives, including… more
    HCA Healthcare (12/17/25)
    - Related Jobs
  • Appeals Audit Specialist - McLaren Careers

    McLaren Health Care (Mount Pleasant, MI)
    …in healthcare related field + ACMA or ACDIS memberships + Certified Medical Coder , Certified in Healthcare Compliance, Certified Coding Specialist, or Certified ... accuracy/proficiency in referencing support from the medical recorddocumentation and coding guidelineswith timely and successful submissions. 5. Assists in… more
    McLaren Health Care (11/11/25)
    - Related Jobs
  • Patient Services Coordinator IV

    Novant Health (Cornelius, NC)
    …research and analysis by reviewing chart and office notes, pre-authorizations, hospital documents, etc. Researches and analyzes denials, corrects errors to ensure ... questions. Ensures charges drop for claims processing. Works closely with practice coder in resolution process. + Enters necessary patient demographics if new… more
    Novant Health (01/09/26)
    - Related Jobs
  • Department Administrator- Radiation Oncology

    Banner Health (Tucson, AZ)
    …Certified Healthcare Facility Manager (CHFM); Certified Facility Manager (CFM); Certified Coding Specialist (CCS); Certified Professional Coder (CPC); JD from ... for the administrative clinic functions including front office operations and coding , billing etc. Works with the Chair to determine resource allocation… more
    Banner Health (01/01/26)
    - Related Jobs
  • Sr Enterprise Rules and Edits Consultant

    Waystar (Atlanta, GA)
    …planning, implementation, and stabilization. The Consultant will leverage billing and coding subject matter expertise and industry experience to advise clients in ... compliance issues, focusing on government/payer requirements for claims billing & coding /authorization * Leverage analytical tools (Excel, PowerBI, SQL Databases) to… more
    Waystar (12/23/25)
    - Related Jobs