• Senior Contract Manager Analyst - Mount Sinai…

    Mount Sinai Health System (New York, NY)
    …or a related field. + Additional certifications (eg, CPC, CCS, or related healthcare coding certifications) are a plus. **Experience Requirements** + Minimum 3-5 ... management systems, modeling software, and financial reporting tools. + Familiarity with healthcare coding standards (eg, CPT, ICD-10, HCPCS) and reimbursement… more
    Mount Sinai Health System (07/30/25)
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  • ED Medical Billing Specialist

    LogixHealth (Dania Beach, FL)
    …Required: + Minimum 2-3 years of A/R follow-up experience in professional healthcare billing + Familiarity with payer regulations, claims appeals processes, ... LogixHealth, you will work with a team of fellow medical billers, administrators, and coders to provide cutting edge...management services, offering a complete range of solutions, including coding and claims management and the latest… more
    LogixHealth (08/08/25)
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  • Registrar

    HCA Healthcare (Frisco, TX)
    …to our team by providing accurate demographic and insurance information to ensure accurate coding , billing and claims submission. What you will do: + You will ... **Description** **Introduction** Experience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team. Grow your career… more
    HCA Healthcare (09/24/25)
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  • Senior Analyst, Network Strategy, Pricing…

    Molina Healthcare (New York, NY)
    …better health, more affordably. Performs research, financial modeling, and analysis of complex healthcare claims data ( medical , pharmacy and ancillary) to ... Education** Master's Degree **Preferred Experience** + Preferred experience in healthcare medical economics and/or strong financial analytics background… more
    Molina Healthcare (09/28/25)
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  • Inpatient DRG Reviewer

    Zelis (FL)
    …policy exclusions. Conduct reviews on inpatient DRG claims as they compare with medical records ICD-10 Official Coding Guidelines, AHA Coding Clinic and ... working knowledge of Health Insurance, Medicare guidelines and various healthcare programs + Understanding of hospital coding ...and billing rules + Clinical skills to evaluate appropriate Medical Record Coding + Experience conducting root… more
    Zelis (09/27/25)
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  • Accounts Receivable & Denial Specialist II

    Hartford HealthCare (Farmington, CT)
    …cycle activities associated with outstanding insurance balances across all Hartford HealthCare hospitals, medical group and homecare. Accounts Receivable & ... medical billing or accounts receivables in a medical facility or professional healthcare revenue cycle...Every moment matters. And this is *your moment.* **Job:** ** Coding and Billing* **Organization:** **Hartford HealthCare Corp.*… more
    Hartford HealthCare (08/16/25)
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  • Medical Policy & Compliance Specialist

    Integra Partners (Troy, MI)
    …into operational requirements + Strong understanding of DME billing guidelines, medical necessity criteria, coding protocols (ICD-10, HCPCS, modifiers, ... The Medical Policy & Compliance Specialist is responsible for...role serves as an internal subject matter expert on healthcare payer policies to develop and update billing procedures,… more
    Integra Partners (09/09/25)
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  • Payment Integrity Auditor I

    Premera Blue Cross (Mountlake Terrace, WA)
    …the Special Investigation Unit and Payment Integrity Specialists. This role requires medical coding experience and solid written and oral communication. **This ... do:** + Conduct entry-level audits of professional and facility claims to ensure coding accuracy and compliance...of education and experience. + (1) year of related medical coding or auditing experience. + Certified… more
    Premera Blue Cross (09/24/25)
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  • Registrar

    HCA Healthcare (Los Gatos, CA)
    …to our team by providing accurate demographic and insurance information to ensure accurate coding , billing and claims submission. **What you will do:** + You ... which is part of the nation's leading provider of healthcare services, HCA Healthcare . **Benefits** Los Gatos...colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no… more
    HCA Healthcare (10/06/25)
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  • Clinical Government Audit Analyst & Appeal…

    Stanford Health Care (Palo Alto, CA)
    …assignments, while identifying instances of overpayments and underpayments. Proficiency in healthcare claims analysis, including the ability to review, ... Denial Analysis: Conduct thorough analyses of denials, evaluating the appropriateness of medical services and procedures. Ensure accurate coding with ICD, HCPCS,… more
    Stanford Health Care (10/10/25)
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