• Senior Medical Coding Specialist (Remote)

    CareFirst (Baltimore, MD)
    …clarification for better operational efficiency. Provides problem solving expertise on systems issues if a code is not accepted. Troubleshoots, make recommendations ... **Licenses/Certifications Upon Hire Required:** + CCS-Certified Coding Specialist + Certified Coder (CCS or CPC)-AHIMA or AAPC Salary Range: $65,880 - $130,845… more
    CareFirst (09/27/25)
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  • Payment Integrity Auditor I

    Premera Blue Cross (Mountlake Terrace, WA)
    …processing, provider relations, special investigations unit). + Utilize auditing software and systems to document, track, and analyze claims data. + Stay updated on ... of related medical coding or auditing experience. + Certified Professional Coder Designation (CPC-A, CPC, CSS, CPMA) or equivalent. **Preferred Qualifications** +… more
    Premera Blue Cross (09/24/25)
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  • Senior SIU Investigator

    Centene Corporation (Frankfort, KY)
    …and measure potential healthcare fraud. + Assist in monitoring business processes and systems to assure integrity and compliance in billing and claims payment + ... claims processing, and data mining preferred. **Licenses/Certifications:** Certified Professional Coder preferred Pay Range: $68,700.00 - $123,700.00 per year… more
    Centene Corporation (09/24/25)
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  • Manager Medical Billing & Coding, Acelis Connected…

    Abbott (Livermore, CA)
    …used by Abbott + Continually strives to increase knowledge of electronic data systems and reporting tools to enhance value. + Designing and development of special ... healthcare administration, Business, or related field + Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent certification required.… more
    Abbott (09/16/25)
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  • Business Intelligence Engineer (Tableau) - Vice…

    Citigroup (New York, NY)
    …and engineering excellence skills with years of development experience. Applicable experience as a coder in large systems and experience working at scale with On ... Prem and SaaS products. + Strong experience in financial sector, preferably banking industry. Tableau certifications highly preferred. **Job Family Group:** Technology **Job Family:** Applications Development **Time Type:** Full time **Primary Location:** 388… more
    Citigroup (09/13/25)
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  • Sr. Solution Architect

    Dynatrace (Detroit, MI)
    …Enterprise Solution Architect is a combination of an infrastructure, automation expert, coder , trusted advisor and cloud services authority who will be responsible ... working with high availability, disaster recovery designs, high performance, multi-data center systems and hybrid cloud environments. + Considered an expert in a… more
    Dynatrace (09/10/25)
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  • Medicare/Medicaid Claims Reimbursement Specialist

    Commonwealth Care Alliance (Boston, MA)
    …configuration updates. + Document all research, findings, and outcomes in claims systems (eg, Salesforce, Facets) in compliance with audit standards and MassHealth ... degree in Health Administration, Finance, or related field preferred. + Certified Professional Coder (CPC) - AAPC + Certified Claims Professional (CCP) + Other AHIMA… more
    Commonwealth Care Alliance (08/31/25)
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  • Risk Adjustment Coding Specialist (Remote in New…

    CDPHP (Latham, NY)
    …within one year of employment is required. + CRC (Certified Risk Adjustment Coder ) credential preferred. + Minimum one (1) year of experience in an HMO, ... knowledge preferred. + Experience in claims adjudication, billing and enrollment systems , product or pricing is preferred. + Experience with Microsoft Office,… more
    CDPHP (08/27/25)
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  • Executive Director, Chief Actuary

    Banner Health (Phoenix, AZ)
    …Help lead health care into the future. As one of the largest nonprofit health systems in the country, Banner Health has both the stability that comes with success ... Certified Facility Manager (CFM); Certified Coding Specialist (CCS); Certified Professional Coder (CPC); JD from an American Bar Association accredited school;… more
    Banner Health (08/23/25)
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