• RN Clinical Review Appeals Specialist

    St. Luke's University Health Network (Allentown, PA)
    …+ Participate in Administrative Law Judge (ALJ) hearings and/or formal meetings with auditor or payor representatives in defense of coding appeals, as needed. ... made by the government or commercial payors, or their auditor representative. + Facilitate clinical chart reviews to assist...HIM field helpful, with focus on MS-DRG reimbursement, AHA coding guidelines, and compliance or direct Clinical… more
    St. Luke's University Health Network (10/28/25)
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  • Inpatient Audit Specialist FT - 2,500 Sign…

    Datavant (Honolulu, HI)
    …you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding ... the future of healthcare from your own workspace! Inpatient auditor with 3-5 years of experience at a Trauma...strongly encouraged to apply **You Will:** + Conduct inpatient coding audits on medical records, utilizing ICD-10-CM, CPT, and… more
    Datavant (10/09/25)
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  • Market Director Population Health Quality and Risk

    Catholic Health Initiatives (Little Rock, AR)
    …travel may be involved. + Supports quality, clinical practice, safety, risk coding , compliance , patient experience and Health Information Management functions ... and risk for the value hub. + Through Risk Management/ Auditor Manager, implements a risk adjustment coding ...Risk Management/ Auditor Manager, implements a risk adjustment coding department in appropriate Arkansas and Kentucky CIN. +… more
    Catholic Health Initiatives (11/15/25)
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  • Director of IT Compliance and Digital…

    Empire State University (NY)
    …Description: Empire State University is currently seeking a Director of IT Compliance and Digital Accessibility in the Office of Integrated Technologies. The ... in designing, implementing, and continuously improving the university's IT compliance program, including oversight of regulatory adherence, risk management, and… more
    Empire State University (12/09/25)
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  • Director of Accounting and Compliance

    YMCA of Greater Seattle (Seattle, WA)
    …VP Finance, FP&A, Revenue, and program teams on accounting questions, fund coding needs, and compliance considerations. Qualifications Minimum Qualifications: . ... versatile and respectful manner. Job Summary The Director of Accounting and Compliance provides operational leadership for the YMCA of Greater Seattle's accounting… more
    YMCA of Greater Seattle (12/05/25)
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  • Senior Revenue Integrity Specialist - Clinical Rev…

    University of Southern California (Alhambra, CA)
    …conducts meetings to evaluate department charge processes to improve charge capture and coding compliance . The Senior RI Specialist also coordinates with Keck ... to clinical revenue generating departmental staff regarding the CDM Maintenance process, coding updates, compliance issues, and charge capture improvement. The… more
    University of Southern California (11/19/25)
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  • OB/GYN Coder / Provider Educator

    SUNY Upstate Medical University (Syracuse, NY)
    …professional OB/GYN encounters. This position serves as a key liaison between coding , clinical, and compliance departments ensuring that all documentation and ... ongoing education to OB/GYN providers and clinical staff on documentation quality, coding updates, and best practices to optimize compliance and reimbursement.… more
    SUNY Upstate Medical University (11/12/25)
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  • Medicare/Medicaid Claims Editing Specialist

    Commonwealth Care Alliance (Boston, MA)
    …Working under the direction of the Sr. Director, TPA Management and Claims Compliance , Healthcare Medical Claims Coding Sr. Analyst will be responsible for ... health care programs and reimbursement methodologies (Medicaid and Medicare) + Medical Coding , Compliance , Payment Integrity and Analytics + Direct and relevant… more
    Commonwealth Care Alliance (11/25/25)
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  • Medical Records Tech (Coder) A

    Veterans Affairs, Veterans Health Administration (Reno, NV)
    … guidance to various levels of staff to promote consistency in practice and compliance with coding rules and regulations; initiates various reports and analyze ... code selection. Reviews assigned codes from the current version of several coding systems to include current versions of the International Classification of Diseases… more
    Veterans Affairs, Veterans Health Administration (11/22/25)
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  • Senior Tech Audit Manager - Global Payment Network

    Capital One (Riverwoods, IL)
    …information, issues and audit progress to teammates, clients and auditor -in-charge. + Perform various aspects of engagement administration, including hours ... innovation, and technology will only make you a better auditor . This will require leveraging the power of data...including 1 year of experience in test scripting or coding (writing, reviewing, or assessing) + At least 2… more
    Capital One (12/12/25)
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