• Associate Investigator

    Highmark Health (Pittsburgh, PA)
    …**Preferred** (any of the following) + Certified Fraud Examiner (CFE) + Certified Professional Coder ( CPC ) + Certified Outpatient Coder (COC) + Accredited ... Healthcare Fraud Investigator (AHFI) **SKILLS** + Must have knowledge of provider facility payment methodology, claims processing systems and coding and billing proficiency + Must have understanding of technical and financial aspects of the health insurance… more
    Highmark Health (12/18/25)
    - Related Jobs
  • Investigator

    Highmark Health (Harrisburg, PA)
    …**Preferred** (any of the following) + Certified Fraud Examiner (CFE) + Certified Professional Coder ( CPC ) + Certified Outpatient Coder (COC) + Accredited ... Healthcare Fraud Investigator (AHFI) **SKILLS** + Must have knowledge of provider facility payment methodology, claims processing systems and coding and billing proficiency + Must have understanding of technical and financial aspects of the health insurance… more
    Highmark Health (12/12/25)
    - Related Jobs
  • Medical Coding Educator

    Humana (Fort Lauderdale, FL)
    …**Use your skills to make an impact** **Required Qualifications** + AHIMA or AAPC CPC (Certified Professional Coder ) Certification + 4 or more years of medical ... **Preferred Qualifications** + Bachelor's Degree + CRC -Certified Risk Adjustment Coder + Experience interacting with healthcare providers + Strong technical… more
    Humana (12/09/25)
    - Related Jobs
  • Medical Coding Adjunct Instructor - Pool

    State of Georgia (GA)
    …an approved accredited institution. + Current certification as a Certified Professional Coder ( CPC ), Certified Coding Specialist (CCS), Certified Medical ... Coder (CMC), Registered Health Information Administrator (RHIA), or Registered Health Information Technician (RHIT). + Minimum of two (2) of the last five (5) years of work experience in medical billing, coding and insurance. Preferred Qualifications: +… more
    State of Georgia (12/07/25)
    - Related Jobs
  • Medicare/Medicaid Claims Editing Specialist

    Commonwealth Care Alliance (Boston, MA)
    …OR willing to get certified within 1 year of employment - + Certified Professional Coder ( CPC ) + Certified Inpatient Coder (CIC) + Certified Professional ... Medical Auditor (CPMA) **Desired Education (nice to have):** + Masters Degree **Required Experience (must have):** + 7+ years of Healthcare experience, specific to Medicare and Medicaid + 7+ years progressive experience in medical claims adjudication, clinical… more
    Commonwealth Care Alliance (11/25/25)
    - Related Jobs
  • Inpatient Coding Denials Analyst - Full Time…

    Texas Health Resources (Arlington, TX)
    …REQUIRED or RHIT - Registered Health Information Technician 12 Months REQUIRED or CPC - Certified Professional Coder 12 Months REQUIRED Skills Demonstrates the ... and processes * Professional Accountability Additional perks of being a Texas Health Coder * Benefits include 401k, PTO, medical, dental, Paid Parental Leave, flex… more
    Texas Health Resources (11/18/25)
    - Related Jobs
  • CDI Reconciliation Specialist

    HCA Healthcare (Nashville, TN)
    …Documentation Improvement Practitioner, or (RN) Registered Nurse, or (COC) Certified Outpatient Coder , or (CCS) Certified Coding Specialist, or ( CPC ) Certified ... Professional Coder , or (RHIA) Registered Health Information Administrator, or (RHIT) Registered Health Information Technician, or (ACDIS-CCDS) Certified Clinical Documentation Specialist HCA Healthcare (Corporate)… more
    HCA Healthcare (11/04/25)
    - Related Jobs
  • Physician Billing (PB) Coding Auditor and Educator

    Hackensack Meridian Health (Hasbrouck Heights, NJ)
    …Administrator (RHIA); Certified Coding Specialist (CCS); or Certified Professional Coder ( CPC ) Certification. + Certified Professional Medical Auditor ... (1) year of hire. **Licenses and Certifications Preferred:** + Certified Risk Adjustment Coder (CRAC). If you feel that the above description speaks directly to your… more
    Hackensack Meridian Health (11/01/25)
    - Related Jobs
  • Coding Analyst

    Growth Ortho (Austin, TX)
    …ongoing training and credential maintenance. Required Qualifications . Certified Professional Coder ( CPC ) credential required. . Minimum 5 years professional ... data to inform provider education efforts. This role requires an experienced orthopedic coder who can maintain a 95% or higher coding accuracy rate, collaborate… more
    Growth Ortho (10/19/25)
    - Related Jobs
  • Payment Policy Sr. Specialist

    Blue Cross Blue Shield of Massachusetts (Hingham, MA)
    …experience + Strong understanding of healthcare reimbursement methodologies + Certified Professional Coder ( CPC ) and certified outpatient coder (COC) ... preferred + Proficiency in working with and analyzing claims data + Strong written and verbal communication skills + Knowledge of CPT/HCPCS & ICD10 coding, Correct Coding Initiatives and UB04 billing + Strong critical thinking & problem-solving skills +… more
    Blue Cross Blue Shield of Massachusetts (10/09/25)
    - Related Jobs