• Diagnosis Related Group Clinical Validation…

    Elevance Health (Los Angeles, CA)
    … Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as ... The **Diagnosis Related Group Clinical Validation Auditor** is responsible for auditing inpatient medical records to ensure clinical documentation supports the… more
    Elevance Health (09/30/25)
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  • Compliance Audit Manager

    Cardinal Health (San Juan, PR)
    …department audits to determine accuracy and adequacy of documentation and coding related to physician or hospital ( inpatient and outpatient) billing and/or ... documentation and coding rules and guidelines; ICD/CPT/HCPCS/DRG/APC documentation coding rules; charge capture and reimbursement methodologies; medical… more
    Cardinal Health (08/27/25)
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  • Billing Specialist-Msh-78319-030

    Mount Sinai Health System (Elmhurst, NY)
    …a certificate course with CPC / CCS-P credentials. At least six months coding experience preferred. Certified Professional Coder /AAPC. Ability to use computer. ... principles, governmental regulations, protocols and third party requirements regarding coding and billing documentation . Review and code patient encounters… more
    Mount Sinai Health System (09/18/25)
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  • Clinical Revenue Auditor-CDM Patient Financial…

    Mount Sinai Health System (New York, NY)
    …professions). ? Certifications such as Certified Professional Medical Auditor (CPMA), Certified Inpatient Coder (CIC), Certified Coding Specialist (CCS), or ... of the billing process. + Identify and rectify missing or incorrect charges, coding errors, and inconsistencies between documentation and billing. + Perform root… more
    Mount Sinai Health System (09/24/25)
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  • CDI Reconciliation Manager

    HCA Healthcare (Nashville, TN)
    …of education and/or experience Licenses, Certifications, & Training: + AHIMA Certified Coder , or Certified Coding Specialist (CCS), or Certified Professional ... be a part of our team. **Job Summary and Qualifications** The Clinical Documentation Improvement Manager is responsible for the day-to-day management of the CDI… more
    HCA Healthcare (09/28/25)
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  • Medical Claim Review Nurse (RN)

    Molina Healthcare (Warren, MI)
    coding experience. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Certified Clinical Coder , Certified Medical Audit Specialists, Certified Case Manager , ... for a RN with experience with appeals, claims review, and medical coding . **Job Summary** Utilizing clinical knowledge and experience, responsible for review of… more
    Molina Healthcare (09/06/25)
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  • Senior Financial Analyst/CDM Chargemaster…

    Mount Sinai Health System (New York, NY)
    …+ 5+ years of experience in hospital chargemaster maintenance and medical coding . + Certified Professional Coder (CPC) or equivalent credential required ... an experienced Senior Financial Analyst / CDM Chargemaster with strong medical coding expertise to support the maintenance, compliance, and optimization of the… more
    Mount Sinai Health System (08/28/25)
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  • Sr. Epic Analyst/Builder - HIM, Full Time

    St. Luke's University Health Network (Allentown, PA)
    …Administration, or Healthcare Administration or equivalent work experience is required. Certified Coding Specialist or Certified Inpatient Coder required. ... or Revenue Cycle experience is preferred. Two to four years of experience in Inpatient coding is required. MS Office experience is required. Overall 3rd party… more
    St. Luke's University Health Network (08/29/25)
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