• Code Edit Disputes Medical Coder

    Humana (San Juan, PR)
    …CPT) to patient records. This position ensures accurate application of coding guidelines, maintains compliance with regulatory requirements, and supports ... community and help us put health first** The Medical Coding Coordinator 3 reviews clinical information from medical records...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
    Humana (10/07/25)
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  • Director Risk Adjustment - Health Plan

    Providence (Portland, OR)
    …& Outreach:** Develop strategies for provider education and outreach, enhancing coding compliance standards. + **Regulatory Management:** Supervise all changes ... risk adjustment strategies, ensuring alignment with business objectives. + ** Compliance Leadership:** Manage all compliance activities and...related to industry coding standards and oversee regulatory audits. + **Vendor Solutions… more
    Providence (09/13/25)
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  • Registered Nurse (Clinical Documentation…

    Veterans Affairs, Veterans Health Administration (Durham, NC)
    …management processes, clinical documentation requirements, current standards of care, coding and compliance guidelines, knowledge of Diagnostic Related ... the medical/hospital staff on topics such as clinical documentation opportunities, coding /reimbursement, and updates on regulatory changes. These RNs would function… more
    Veterans Affairs, Veterans Health Administration (10/19/25)
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  • Certified Medical Coder (Risk Adjustment)

    Apex Health Solutions (Houston, TX)
    …inpatient and/or outpatient medical records to ensure proper ICD-10-CM, HCPCS, and CPT coding and compliance with Risk Adjustment requirements. EDUCATION: . High ... Professional Coder (CPC) . Certified Risk Adjustment Coder (CRC) . Certified Coding Specialist (CCS) . Registered Health Information Technician (RHIT) or Registered… more
    Apex Health Solutions (09/26/25)
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  • Senior Embedded Software Engineer

    Tula Technology, Inc. (San Jose, CA)
    …tools * Knowledge of coding best practices and tools for coding standards compliance and testing methodologies * Some experience developing effective ... and system testing * Collaborate with other engineers on requirements, coding , and verification * Develop communication interfaces for functional interactions with… more
    Tula Technology, Inc. (08/14/25)
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  • Managed Care Compliance Specialist…

    Cedars-Sinai (CA)
    …including leading all aspects of the review for performance management and accurate coding . + Develops and supervise compliance with corrective action plans as ... **Job Description** The Managed Care Compliance Specialist is responsible for assisting with the...monitoring program within the Managed Care department by ensuring compliance with applicable rules and regulations including but not… more
    Cedars-Sinai (09/11/25)
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  • Director, Patient Access Services East & South…

    Carle Health (Urbana, IL)
    …Develops new processes to enhance and streamline work related to registration, coding , billing, compliance , and regulatory standards. Provides subject matter ... and licensure and education requirements are current. + Ensures compliance with relevant regulations, standards and directives from regulatory agencies,… more
    Carle Health (09/18/25)
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  • Breast Surgeon

    SSM Health (Richmond Heights, MO)
    …management and related policies; (7) Risk management and quality assurance; and (8) Coding compliance . + Responsible for after-hours call coverage for patients ... programs as reasonably requested. + Responsible for all risk management, coding compliance and quality assurance activities and functions in and related to… more
    SSM Health (10/14/25)
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  • Professional Fee Coder (Remote PA/NJ) (Per diem)

    St. Luke's University Health Network (Allentown, PA)
    …specific databases. + Conducts educational sessions to the medical staff for coding and documentation compliance . PHYSICAL AND SENSORY REQUIREMENTS: Sitting for ... RVUs and CPT-4 procedure unbundling. + Maintains a 95% coding accuracy rate as measured through quality reviews. +...as outlined + Responsible for maintaining up-to-date knowledge of coding guidelines as they relate to physician services for… more
    St. Luke's University Health Network (10/22/25)
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  • Oncology Data Specialist Certified

    AdventHealth (Daytona Beach, FL)
    …order to stay abreast of all applicable changes in the cancer industry with regards to coding and compliance . **The value you'll bring to the team:** + Serves as ... expert responsible for identification of potential cancer registry candidates in strict compliance with standards and abstracting rules set by federal, state, and… more
    AdventHealth (10/15/25)
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