• Medical Claims Specialist - Remote

    Rising Medical Solutions (Tampa, FL)
    …Requirements Education/Training + High school diploma required; Associate's or Bachelor's degree preferred + CPC (Certified Professional Coder ), CCS ... (Certified Coding Specialist) or equivalent medical coding certification preferred Experience + 2-4 years of insurance or healthcare experience, preferably in claims… more
    Rising Medical Solutions (09/27/25)
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  • Payment Integrity Auditor II

    Premera Blue Cross (Mountlake Terrace, WA)
    …medical coding/auditing experience. + Certified Professional Coder Designation ( CPC , CSS, CPMA) or equivalent. ** Preferred Qualifications** + Experience ... auditing multiple claim types, including DRG, itemized bill review, and level of care reviews. + Intermediate familiarity with federal and state regulatory requirements related to claims processing. + Proficiency with auditing software and/or processes with… more
    Premera Blue Cross (09/24/25)
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  • Coding Specialist (40 hours/week on 1st Shift)

    Penn Medicine (East Petersburg, PA)
    …Certification as Certified Coding Specialist for Physicians CCS-P or a Certified Professional Coder CPC . If not certified, coding certification is required ... Specialist , COC-A Certified Outpatient Coder -Apprentice , COC Certified Outpatient Coder , Formerly CPC -H Certified Professional Coder -Hospital , or… more
    Penn Medicine (09/23/25)
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  • Clinical Data Abstraction Specialist

    Apex Health Solutions (Houston, TX)
    …Supervisor: Director, VBC Operations Required License(s)/ Certification(s): Certified Risk Adjustment Coder (CRC), Certified Professional Coder ( CPC ), or ... Risk Adjustment Coder (CRC) * Certified Professional Coder ( CPC ) * Certified Coding Specialist (CCS)...AAPC or AHIMA credential required. * Managed Care Experience preferred . * Knowledge of Medicare Risk Adjustment required. About… more
    Apex Health Solutions (09/26/25)
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  • Revenue Integrity Specialist

    Cleveland Clinic (Cleveland, OH)
    …experience. + One of the following certifications is required: + Certified Professional Coder ( CPC ) or Certified Outpatient Coder (COC) by American ... Specialist (CCS) by American Health Information Management (AHIMA). + Certified Professional Coder ( CPC -A) may be considered with additional revenue cycle… more
    Cleveland Clinic (10/11/25)
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  • Analyst, Coding Data Quality Auditor

    CVS Health (Topeka, KS)
    …Risk Adjustment process and Hierarchical Condition Categories (HCC) required. + CPC (Certified Professional Coder ) or CCS-P (Certified Coding ... Specialist-Physician) and CRC (Certified Risk Adjustment Coder ) required ** Preferred Qualifications** + CPMA (Certified Professional Medical Auditor), CDEO… more
    CVS Health (10/02/25)
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  • Quality & Risk Adjustment Provider Consultant

    Blue Cross and Blue Shield of Minnesota (Eagan, MN)
    …Care Quality measures * Certified Risk Adjustment Coder (CRC via AAPC) or Certified Professional Coder ( CPC via AAPC). If you do not have both the CRC AND ... CPC , it will be required to obtain both AAPC...equivalency) and legal authorization to work in the US Preferred Skills and Experience * Certification in healthcare quality… more
    Blue Cross and Blue Shield of Minnesota (09/30/25)
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  • Regional Coding Operations Manager WFH

    HCA Healthcare (Richmond, VA)
    …Management Association) or AAPC's (American Academy of Professional Coders) Certified Professional Coder ( CPC (R)) credential or Certified Professional Coder ... - Hospital ( CPC -H(R)) or Certified Risk Adjustment Coder (CRC) **EXPERIENCE:** + Experience with Cerner and eClinicalWorks (eCW) is strongly preferred . +… more
    HCA Healthcare (09/27/25)
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  • Compliance Auditor, Associate

    UPMC (Pittsburgh, PA)
    Coder (CEMC) + Certified Professional Medical Auditor (CPMA) + Certified Professional Coder ( CPC ) + Certified Medical Coder (CMC) + Registered Health ... or equivalent required. + Associate's degree or comparable technical school diploma is preferred . + 1 year of experience in medical coding, auditing, billing and… more
    UPMC (07/24/25)
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  • Medical Auditor

    Methodist Health System (Dallas, TX)
    …: High school education or equivalent; some college credit; Bachelor's degree preferred . Certified Professional Coder ( ** CPC ** ) certification ... terminology. Proficient with Microsoft Word and Excel. Experience with Epic preferred . Ability to communicate effectively via written and verbal communication.… more
    Methodist Health System (10/03/25)
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