• 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 ... Ability to communicate and work effectively at multiple levels within the company + Customer service orientation; positive outlook, self-motivated and able to… more
    Commonwealth Care Alliance (11/25/25)
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  • Compliance Auditing Specialist- Remote/Hybrid…

    WMCHealth (Valhalla, NY)
    …the following credentials: Certified Risk Coder (CRC), Certified Professional Coder certification ( CPC ), Certified Professional Medical Auditor (CPMA) or ... Compliance Auditing Specialist- Remote/Hybrid available Company : NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Clerical/Administrative Support… more
    WMCHealth (12/12/25)
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  • Professional Billing Coding Supervisor (Remote)

    Truman Medical Centers (Kansas City, MO)
    …dynamic role involves ensuring quality checks, conducting training sessions at the coder and provider level, facilitates the onboarding process with new hires and ... efficiency and compliance, the Coding Supervisor collaborates closely with the Lead Coder and communicates regularly with the Director of Professional Revenue Cycle.… more
    Truman Medical Centers (11/20/25)
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  • 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 ... Denials Analyst _Are you looking for a rewarding career with an award-winning company ? We're looking for a qualified_ Inpatient Coding Analyst _like you to join… more
    Texas Health Resources (11/18/25)
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  • Medical Services Coordination Specialist I/II/III

    Excellus BlueCross BlueShield (Rochester, NY)
    …insurance company or medical care setting and active Certified Professional Coder ( CPC ) credential. + Demonstrates a thorough knowledge and understanding of ... minimum of one year experience working in an insurance company or medical care setting required. + Working knowledge...minimum of three years' experience working in an insurance company or medical care setting required. + A broader… more
    Excellus BlueCross BlueShield (10/21/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Seattle, WA)
    …Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder ( CPC ) or Inpatient Coding Credential such as ... based on a number of legitimate, non-discriminatory factors set by the Company . The Company is fully committed to ensuring equal pay opportunities for equal work… more
    Elevance Health (12/11/25)
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  • Program Management Lead, Offshore Coding…

    CenterWell (Washington, DC)
    …business rules to respond to inquiries and issues. + May participate in coder education programs on coding compliance. + Follows state and federal regulations as ... Administration) + Active professional certification required: RHIA, RHIT, CCS, CRC, or CPC + Minimum 5 years' progressive experience in medical coding operations +… more
    CenterWell (10/23/25)
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  • Medical Coding Appeals Analyst

    Elevance Health (Tampa, FL)
    …and experience, which would provide an equivalent background. Certified Professional Coder ( CPC ) or Registered Health Information Administrator (RHIA) ... and Management, CPT, HCPCS and ICD-10 code. + Reviews company specific, CMS specific, and competitor specific medical policies,...Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and… more
    Elevance Health (12/12/25)
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  • Operations Supervisor, Risk Adjustment

    BlueCross BlueShield of Tennessee (Chattanooga, TN)
    …required\. _Skills\\Certifications_ + Professional coding certification from AHIMA or AAPC \( CPC , CCS, CRC, RHIT, RHIA\)\. + Must acquire the Certified Risk ... Adjustment Coder \(CRC\) certificate from AAPC within the first year...required\. **Number of Openings Available** 1 **Worker Type:** Employee ** Company :** BCBST BlueCross BlueShield of Tennessee, Inc\. **Applying for… more
    BlueCross BlueShield of Tennessee (12/09/25)
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  • Investigator 1 - FWA Prepayment Review

    Point32Health (Canton, MA)
    …you need to perform the job Certification and Licensure + Certified Professional Coder (" CPC "); Certified Fraud Examiner ("CFE") designation a plus. Education + ... + May be required to attend meetings at other company locations or other external meetings. + May be...other form of compensation and benefits remains in the Company 's sole discretion and may be modified at the… more
    Point32Health (10/31/25)
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