• Business Consultant - Clinical Products…

    CareFirst (Baltimore, MD)
    …requirements (eg, CMS, state mandates, accreditation standards). + In-depth understanding of medical coding systems (CPT, ICD-10, HCPCS) and the annual code ... launch, and execute programs that support initiatives in the changing healthcare environment. This role will focus specifically on optimizing end-to-end business… more
    CareFirst (10/11/25)
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  • Care Review Clinician (RN)

    Molina Healthcare (Orem, UT)
    …schedule) Looking for a RN with experience with appeals, claims review, and medical coding . JOB DESCRIPTION Job SummaryProvides support for clinical member ... who must hold a compact license. This is a Remote position, home office with internet connectivity of high...requests within required timelines. * Refers appropriate cases to medical directors (MDs) and presents them in a consistent… more
    Molina Healthcare (12/01/25)
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  • Inpatient Medical Coder - FT - Up to $5,000…

    Datavant (Lincoln, NE)
    …for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing ... in health data exchange. Our vision is that every healthcare decision is powered by the right data, at...medical facility. + Experience with significant level of coding quality review feedback + Experience in computerized encoding… more
    Datavant (12/03/25)
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  • Senior Analyst, Business

    Molina Healthcare (UT)
    …for Medicare & Medicaid Services (CMS) and the Affordable Care Act (ACA). + Medical Coding certification. To all current Molina employees: If you are interested ... managed care or payer environment. + In-depth knowledge of medical and hospital claims processing, including CPT/HCPCS, ICD, and...potential problems. + Ability to work independently in a remote environment. + Ability to work with those in… more
    Molina Healthcare (11/14/25)
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  • Epic Application Analyst 3 (Security & Provider…

    Beth Israel Lahey Health (Charlestown, MA)
    …to comprehend and communicate complex verbal information in English to medical center staff, patients, families, and external customers. **Knowledge:** Ability to ... In the absence of a Bachelor's degree, 8 years of clinical, healthcare operations, information technology, or health information technology experience, in addition… more
    Beth Israel Lahey Health (12/12/25)
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  • Provider Service Specialist Remote Seasonal…

    Trinity Health (Columbus, OH)
    …of and/or the ability to do data entry, various claim form formats, medical terminology, CPT and ICD9 coding **Ministry/Facility Information:** Mount Carmel, a ... We're dedicated to providing excellent customer service, cost-effective care, and exceptional healthcare coverage. We rely on talented colleagues in a wide variety… more
    Trinity Health (12/10/25)
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  • Denial Analyst - Hospital Billing ( Remote

    Beth Israel Lahey Health (Charlestown, MA)
    …denial data down to the line item detail, identifying payer and coding trends, risks, and opportunities, to implement operational or systematic improvements. ... analysis and maintain databases. **Preferred Qualifications:** 3 -5 years Healthcare related experience. **Competencies:** **Decision Making:** Ability to make… more
    Beth Israel Lahey Health (11/01/25)
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  • Network Reliability Engineer - Remote

    CoreSite (Atlanta, GA)
    …in at least one programming language, and be willing to perform live coding exercises during the interview process + Ability to work independently and manage ... work more than 20 hours a week! + First-day medical insurance through Cigna with generous premium cost coverage...through VSP + Telemedicine through MDLive for Cigna + Healthcare and dependent care flexible spending account (FSA) plans… more
    CoreSite (09/22/25)
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  • Lead Business Analyst - Managed Care Operations

    Molina Healthcare (Cleveland, OH)
    …for Medicare & Medicaid Services (CMS) and the Affordable Care Act (ACA). + Medical Coding certification. To all current Molina employees: If you are interested ... potential problems. + Ability to work independently in a remote environment. + Ability to work with those in...position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina… more
    Molina Healthcare (11/21/25)
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  • Sys Dir Provider Education

    Rush University Medical Center (Chicago, IL)
    **Job Description** Location: Chicago, Illinois Business Unit: Rush Medical Center Hospital: Rush University Medical Center Department: Revenue Cycle Revenue ... **Summary:** The system director of provider education, working in a remote environment, will the provider (physician and mid-level providers) education program… more
    Rush University Medical Center (11/25/25)
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