• 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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  • 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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  • 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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  • Supervisor Medical Records

    Blue Cross and Blue Shield of Minnesota (Eagan, MN)
    …escalations and driving efforts to ensure department goals for successful and accurate medical record retrieval and coding are met. * Coordinate, track, and ... and methodology. Strong experience with ICD-9 and/or ICD-10 coding , medical record review and audit, quality...audit, quality assurance of clinical practices and experience with Medical Records. * Knowledge of healthcare quality… more
    Blue Cross and Blue Shield of Minnesota (12/10/25)
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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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  • 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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  • Coder, Provider Practice

    Sanford Health (SD)
    …Review and audit medical record documentation accurately to reflect healthcare coding and to substantiate appropriate service reimbursement. Conveying ... of health and healing across our broad footprint.** **Facility:** Remote SD (Central Time) **Location:** Remote , SD...coding guidelines to physicians and other healthcare providers to improve the accuracy of … more
    Sanford Health (12/13/25)
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  • Inpatient DRG Sr. Reviewer

    Zelis (NJ)
    …for Zelis clients. Conduct reviews on inpatient DRG claims as they compare with medical records utilizing ICD-10 Official Coding Guidelines, AHA Coding ... evidence supplied by the provider in the form of medical records such as physician notes, lab tests, images...working knowledge of Health Insurance, Medicare guidelines and various healthcare programs + Strong understanding of hospital coding more
    Zelis (10/03/25)
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  • Medical Records Coder II

    University of Rochester (Albany, NY)
    …to all and is a place where all can thrive. **Job Location (Full Address):** Remote Work - New York, Albany, New York, United States of America, 12224 **Opening:** ... Scheduled Weekly Hours: 40 Department: 910503 United Business Office Coding Work Shift: UR - Day (United States of... classification system to ensure the production of quality healthcare data and accurate professional payment. Prepares reports for… more
    University of Rochester (11/27/25)
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