• Compliance Coding And Billing Analyst

    University of Texas Rio Grande Valley (Mcallen, TX)
    …billing, coding , and reimbursement processes. + Reviews, assesses and analyzes medical records, coding , billing, claims , reimbursements and workflow ... and regulations and UTRGV policies. To review and analyze medical records, claims , and workflow processes to...of Duties + Performs monitoring and compliance reviews of medical billing and coding compliance activities, associated… more
    University of Texas Rio Grande Valley (10/07/25)
    - Related Jobs

  • Medical Coding Appeals Analyst

    Elevance Health (Indianapolis, IN)
    …not eligible for employment based sponsorship. **Ensures accurate adjudication of claims , by translating medical policies, reimbursement policies, and clinical ... issues and to audit claims adjudication for accuracy. + Perform pre-adjudication claims reviews to ensure proper coding was used. + Prepares correspondence… more
    Elevance Health (09/12/25)
    - Related Jobs

  • Coding Spec-Clinic

    Covenant Health Inc. (Knoxville, TN)
    …coding staff. Working directly with the physicians, Manager of Corporate Coding Services, Director of Registration/Admitting, and medical staff education ... and Business Office personnel to resolve issues related to claims , coding , pre-cert, and denials appeals, and...Attends meetings and provides input as it relates to coding , medical documentation, and reimbursement issues specific… more
    Covenant Health Inc. (08/04/25)
    - Related Jobs

  • Medical Insurance Claims Specialist

    Robert Half Accountemps (St. Louis, MO)
    …Half Finance & Accounting Contract Talent is currently seeking a highly skilled Healthcare Claims Processor to join our client's team. Opportunity Overview: We ... are in search of a detail-oriented Healthcare Claims Processor with a strong background...40 hours per week. Additional Details: Familiarity with relevant healthcare coding systems is preferred. Ability to… more
    Robert Half Accountemps (08/21/25)
    - Related Jobs

  • Carelon Medical Coding /Auditing…

    Elevance Health (Hanover, MD)
    **Carelon Medical Coding /Auditing Manager - Behavioral Health** **Supports Payment Integrity & Behavioral Health** **Location: Must be located in Maryland.** ... /Auditing** **Manager** is responsible for ensuring the accuracy of claims payment through the management of a robust process...and Experiences** + MBA preferred. + 5 years of medical coding /auditing experience preferred. + Prior Behavioral… more
    Elevance Health (09/23/25)
    - Related Jobs

  • Program Management Advisor, Reimbursement Policy…

    The Cigna Group (Bloomfield, CT)
    …objectives. Provides expert content/professional leadership in relation to coding and reimbursement intent. Exercises considerable creativity, foresight, and ... as a subject matter expert Knowledge and experience with claims data and Cigna's claims systems are...validate reimbursement policy opportunities + Maintain and document clear coding logic and data requirements for matrix partners +… more
    The Cigna Group (10/02/25)
    - Related Jobs

  • Risk Adjustment Coding Specialist (Remote)

    CareFirst (Baltimore, MD)
    …filing, Risk Adjustment Data Validation (RADV) audit and any other chart coding functions, by performing moderately complex medical record review and ... Work with leadership and third-party vendors to negotiate agreement on complex medical record diagnoses and determine compliance with coding guidelines which… more
    CareFirst (09/26/25)
    - Related Jobs

  • Inpatient Coding Quality Officer III…

    RWJBarnabas Health (Oceanport, NJ)
    …Coding Quality Officer III - (Medicare) RemoteReq #:0000183242 Category: Healthcare Operations, Revenue Cycle, and Patient Access Status:Full-Time Shift:Day ... Bachelor's degree. + Extensive knowledge of ICD-10-CM/PCS and CPT coding , medical terminology, human anatomy and physiology,...EHR which may affect the patient's future care, insurance claims and coverage. When accounts are not reviewed and… more
    RWJBarnabas Health (09/18/25)
    - Related Jobs

  • Coding Auditor Educator-Inpatient

    Highmark Health (Nashville, TN)
    …for education/training of facility healthcare professionals in use of coding guidelines and practices, proper documentation techniques, medical terminology ... **GENERAL OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data… more
    Highmark Health (09/20/25)
    - Related Jobs

  • Inpatient Coding Quality Officer I - (All…

    RWJBarnabas Health (Oceanport, NJ)
    …without a Bachelor's degree. + Extensive knowledge of ICD-10-CM/PCS and CPT coding , medical terminology, human anatomy and physiology, clinical indicators ... and State Regulations and Compliance Guidelines. + Critically analyzes each inpatient medical record to apply appropriate coding , DRG judgements, SOI, ROM… more
    RWJBarnabas Health (09/18/25)
    - Related Jobs