• RN Clinical Review Appeals Specialist

    St. Luke's University Health Network (Allentown, PA)
    …+ Identify and provide feedback, including identification of trends, to the Network Coding and CDMP Managers for education of the medical staff, clinical ... Administrative Law Judge (ALJ) hearings and/or formal meetings with auditor or payor representatives in defense of coding... program in use for clinical documentation improvement program , AHA Official Coding Guidelines for … more
    St. Luke's University Health Network (10/28/25)
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  • Account Clerk I/Community Programs- Finance

    The County of Los Angeles (Los Angeles, CA)
    …SERVICES Opening Date 11/20/2025 + Description + Benefits + Questions Position/ Program Information EXAM NUMBER Y0577A-EA TYPE OF RECRUITMENT OPEN COMPETITIVE - ... DHS hospitals are training sites for physicians completing their Graduate Medical Education in nearly every medical specialty and subspecialty. In addition to its… more
    The County of Los Angeles (11/21/25)
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  • Medical Records Technician (Coder)

    Veterans Affairs, Veterans Health Administration (IN)
    …medical coding , and introduction to health records); OR, Completion of an AHIMA approved coding program , or other intense coding training program of ... in anatomy and physiology, medical terminology, basic ICD diagnostic/procedural, and basic CPT coding . The training program must have led to eligibility for … more
    Veterans Affairs, Veterans Health Administration (11/21/25)
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  • Compliance Analyst

    Corewell Health (Grand Rapids, MI)
    …regulatory field; health care focus desirable + Compliance auditor , nurse auditor , or other audit function + Project management/ program development and ... site visits, or compliance needs. Job Summary Assists with management of compliance program standards and work plans for designated financial compliance program .… more
    Corewell Health (11/14/25)
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  • Senior Revenue Integrity Specialist - Clinical Rev…

    University of Southern California (Alhambra, CA)
    …Specialist shall ensure that the Chargemaster (CDM) is consistent with all coding and billing regulations and accurately represents services provided. This includes ... meetings to evaluate department charge processes to improve charge capture and coding compliance. The Senior RI Specialist also coordinates with Keck Medical Center… more
    University of Southern California (11/19/25)
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  • Compliance Auditing Specialist- Remote/Hybrid…

    WMCHealth (Valhalla, NY)
    …staff to ensure the accuracy and completeness of medical record documentation and coding . Provides training, education and coaching to providers and staff ... current competencies in clinical documentation improvement and ICD, CPT and HCC coding through continuing education . Assists with compliance audits and other… more
    WMCHealth (09/12/25)
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  • Compliance Program Specialist

    HonorHealth (AZ)
    …to the development, management, and reporting of compliance and privacy education and training initiatives. It involves monitoring program performance ... a cancer care network, outpatient surgery centers, clinical research, medical education , a foundation, an accountable care organization, community services and more.… more
    HonorHealth (10/28/25)
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  • Quality Improvement CDI Specialist

    NCH (Naples, FL)
    …and/or provider education . The QI-CDIS will collaborate closely with Coders, Coding Educators, Coding Quality Auditors, Case managers, Quality Department and ... Registered Nurse in the state of Florida. * 5+ years CDI auditing/SLR or education experience; coding experience; or previous CDI experience in an academic… more
    NCH (11/14/25)
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  • Specialist Charge, RIO (Remote)

    Trinity Health (Livonia, MI)
    …suggesting improvements to processes. Provides knowledge & expertise in the program , services & applications. _Note: "patients" refers to patients, clients, ... Collaborates on performance improvement activities as indicated by outcomes in program efficiency & patient experience. Responsible for distribution of analytical… more
    Trinity Health (11/08/25)
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  • Medical Investigator I/II (RN Required)

    Excellus BlueCross BlueShield (Rochester, NY)
    …contracts, group benefit structures, Corporate Medical Policies, the AMA CPT Coding Guidelines, HCPCS coding , inter-plan regulations, government policies, as ... of Professional Medical Conduct Office of Professional Medical Conduct/NYS Education Department, Office of Professional Discipline and/or internal referral for… more
    Excellus BlueCross BlueShield (09/17/25)
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