• Business Analyst III - Carelon Payment Integrity

    Elevance Health (Roanoke, VA)
    …to work independently in a dynamic environment and collaboratively preferred. + Coding certification (eg, CPC ) preferred. + Experience with client/vendor ... formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Business Analyst III** is a member of our… more
    Elevance Health (10/16/25)
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  • Business Consultant - Carelon Payment Integrity

    Elevance Health (Indianapolis, IN)
    …preferred. + Experience leading projects and managing cross-functional stakeholders preferred. + Coding certification (eg, CPC ) is strongly preferred. + Strong ... Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Business Consultant** is a member of our **Carelon… more
    Elevance Health (10/16/25)
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  • Revenue Integrity Charge Analyst - Service Area#2…

    Trinity Health (Livonia, MI)
    …guidelines. **Additional Qualifications (nice to have)** Licensure/Certification: RHIA, RHIT, CCS, CPC /COC, AAPC or other coding credentials and/or Licensed ... Physician Practice environment and experience in revenue cycle, billing, coding and/or patient financial services. Charge control/capture work experience strongly… more
    Trinity Health (10/08/25)
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  • Sr Enterprise Rules and Edits Consultant

    Waystar (Atlanta, GA)
    …Experience with Epic, Cerner, eCW, Nextgen, Meditech and other PM/HIS systems + Certified medical coder ( CPC , RHIT, CPB, CCS, etc) + Experience with Waystar EDI ... planning, implementation, and stabilization. The Consultant will leverage billing and coding subject matter expertise and industry experience to advise clients in… more
    Waystar (09/23/25)
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  • Billing Clerk

    Robert Half Finance & Accounting (Colorado Springs, CO)
    …skills to maintain seamless workflows and patient satisfaction. Job Description As a Medical Biller, you will play a critical role in managing all aspects of ... is preferred. + Minimum of 2 years of experience in billing and coding , ideally at one location. Certifications + Certification as a Certified Professional Coder… more
    Robert Half Finance & Accounting (09/22/25)
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  • Payment Policy Sr. Specialist

    Blue Cross Blue Shield of Massachusetts (Boston, MA)
    …Strong understanding of healthcare reimbursement methodologies + Certified Professional Coder ( CPC ) and certified outpatient coder (COC) preferred + Proficiency in ... + Strong written and verbal communication skills + Knowledge of CPT/HCPCS & ICD10 coding , Correct Coding Initiatives and CMS 1500 billing + Strong critical… more
    Blue Cross Blue Shield of Massachusetts (10/22/25)
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  • OBGYN Coder

    Health Advocates Network (Phoenix, AZ)
    …Qualifications of the OB/GYN Coder** - 3+ years of recent OB/GYN coding experience required - Certified Professional Coder ( CPC ) certification required ... of the OB/GYN Coder** - Assign ICD-10 and CPT codes to medical records and accounts - Complete coding and auditing for all accounts on a timely basis - Follow… more
    Health Advocates Network (10/18/25)
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  • Sr. Fraud Data Analyst

    Blue Cross Blue Shield of Massachusetts (Boston, MA)
    …data and identify potential fraud risks. + Working knowledge of health insurance claims coding , including CPT, HCPCS, ICD-10, and DRG coding . This is an ... (CFE), Accredited Healthcare Fraud Investigator (AHFI), Certified Professional Coder ( CPC ), or similar fraud detection/healthcare certification preferred. + At least… more
    Blue Cross Blue Shield of Massachusetts (10/14/25)
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  • Quality Clinical Documentation Improvement RN

    Dignity Health (Rancho Cordova, CA)
    …(QCDI) RN is responsible for performing a comprehensive review of ambulatory medical records to confirm documentation compliance with the Centers for Medicare and ... Medicaid Services (CMS) programs and other quality initiative programs Dignity health Medical Foundation participates in. The primary focus of the QCDI RN position… more
    Dignity Health (10/14/25)
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  • Practice Manager - Behavioral Health

    Virtua Health (Mount Holly, NJ)
    …If you live or work in South Jersey, exceptional care is all around. Our medical and surgical experts are among the best in the country. We assembled more than ... of vaccines, controls, and refrigerator/ freezer temperature. Participation in designated CPC + program, Value based synopsis, VPP reporting, and other programs… more
    Virtua Health (10/08/25)
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