• Medicare/Medicaid Claims Editing Specialist

    Commonwealth Care Alliance (Boston, MA)
    …at this time._** **Position Summary:** Working under the direction of the Sr . Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding ... Sr . Analyst will be responsible for developing prospective claims...within 1 year of employment - + Certified Professional Coder (CPC) + Certified Inpatient Coder (CIC)… more
    Commonwealth Care Alliance (05/28/25)
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  • Claims/Customer Care Specialist

    Medical Mutual of Ohio (OH)
    …(such as email, chat, and portal inquiries). + Under direction of more senior staff, conducts claims or inquiry related research. + Assists with projects as ... directed by management. + Performs other duties as assigned. ** Senior Claims/Customer Care Specialist** + Utilizing multiple systems, applications, and reference… more
    Medical Mutual of Ohio (08/08/25)
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  • Medicare/Medicaid Claims Reimbursement Specialist

    Commonwealth Care Alliance (Boston, MA)
    …Reporting to the Director, Claims Operations and Quality Assurance, the Claims Sr . Analyst plays a critical role in ensuring accurate, compliant, and timely ... reimbursement issues - including underpayments, overpayments, and disputes. The Claims Sr . Analyst serves as a subject matter expert on Medicaid (MassHealth),… more
    Commonwealth Care Alliance (05/31/25)
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  • Coding Auditor

    Kaleida Health (Buffalo, NY)
    …audit results to physician departments and departmental leadership, HIM leadership, senior hospital management, coders, billers and other appropriate staff. Provides ... coder education and makes recommendations for management corrective action....or Medical Record Technology. Preferred certifications/licensure: (CPC-CEMC) Certified Professional Coder - Certified Evaluation & Management Coder . (RHIT)… more
    Kaleida Health (07/10/25)
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  • Nurse Practitioner or Physician Assistant- N.…

    CenterWell (Fort Worth, TX)
    …Care Organization is one of the largest and fastest growing value-based care, senior -focused primary care providers in the country, operating over 210 centers across ... care team supporting patient's physical, emotional, and social wellness. At CenterWell Senior Primary Care, we want to help those in the communities we… more
    CenterWell (07/03/25)
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  • Revenue Integrity Charge Capture Analyst

    Alameda Health System (Oakland, CA)
    …accounts in WQ to within 3 days of service. 7. Partners with Sr . RI Analysts in clinical revenue manager engagements when charge capture opportunities are ... Guardian and, DNB work queues. 14. Works with the Senior Revenue Integrity Analysts to document and report findings...Diploma or GED Required Licenses/Certifications: Certification as a medical coder through AHIMA (CCS, CCS P) or through AAPC… more
    Alameda Health System (07/11/25)
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  • Nurse Practitioner / Physician Assistant

    CenterWell (Atlanta, GA)
    …Care Organization is one of the largest and fastest growing value-based care, senior -focused primary care providers in the country, operating over 340 centers across ... care team supporting patient's physical, emotional, and social wellness. At CenterWell Senior Primary Care, we want to help those in the communities we… more
    CenterWell (08/08/25)
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  • NP/PA Bilingual Spanish

    CenterWell (North Las Vegas, NV)
    …Care Organization is one of the largest and fastest growing value-based care, senior -focused primary care providers in the country, operating over 310 centers across ... care team supporting patient's physical, emotional, and social wellness. At CenterWell Senior Primary Care, we want to help those in the communities we… more
    CenterWell (07/29/25)
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  • Nurse Practitioner

    CenterWell (Kansas City, KS)
    …Care Organization is one of the largest and fastest growing value-based care, senior -focused primary care providers in the country, operating over 300 centers across ... care team supporting patient's physical, emotional, and social wellness. At CenterWell Senior Primary Care, we want to help those in the communities we… more
    CenterWell (06/24/25)
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  • Primary Care Nurse Practitioner or Physician…

    CenterWell (Deerfield Beach, FL)
    …professionals, Pharm D, Care Coach Nurse, MA, Behavioral health specialist, Quality based Coder , Referral Coordinator and more. Our approach allows us to provide an ... in a timely manner working with a quality- based coder to optimize coding specificity. Follows policy and protocol...insurance and many other opportunities. **About Us** About Conviva Senior Primary Care: Conviva Senior Primary Care… more
    CenterWell (08/09/25)
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