• Revenue Specialist

    Stony Brook University (East Setauket, NY)
    Revenue Specialist **Position Summary** At Stony Brook Medicine, a **Revenue Specialist ** will provide operational support within the hospital's Patient ... financial assistance and customer service. **Duties of a Revenue Specialist may include the following, but are not limited...+ Prepare and submit hospital claims. Review denials. Investigate coding issue. Audits. + Follow-up on rejected or denied… more
    Stony Brook University (11/21/25)
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  • Medicare/Medicaid Claims Editing Specialist

    Commonwealth Care Alliance (Boston, MA)
    …the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible for developing prospective claims auditing ... and clinical coding and reimbursement edits and necessary coding ...employment - + Certified Professional Coder (CPC) + Certified Inpatient Coder (CIC) + Certified Professional Medical Auditor (CPMA)… more
    Commonwealth Care Alliance (11/25/25)
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  • RN Clinical Documentation Specialist

    TEKsystems (Chicago, IL)
    …2-3 years working as a Clinical Documentation Integrity RN in the acute care inpatient setting with experience in the adult patient population. + You need to have ... experience collaborating with other clinicians, coding staff, and CDI leaders on medical records/charting to...Epic experience is also required. + The Clinical Documentation Specialist (CDS) is responsible for performing concurrent review of… more
    TEKsystems (12/12/25)
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  • Billing Specialist -Msh-78319-029

    Mount Sinai Health System (Elmhurst, NY)
    …High School Diploma. Knowledge of Medical Terminology, ICD-9CM, ICD-10CM and CPT 4 coding certification obtained by completion of a certificate course with CPC / ... CCS-P credentials. At least six months coding experience preferred. Certified Professional Coder/AAPC. Ability to use computer. Average dexterity and knowledge of… more
    Mount Sinai Health System (09/18/25)
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  • Clinical Documentation Specialist RN

    Hackensack Meridian Health (Red Bank, NJ)
    …and serve as a leader of positive change. The **Clinical Documentation Specialist RN** facilitates improvement in the overall quality, completeness and accuracy of ... physicians, nursing staff, other patient caregivers, Health Information Management Department coding staff, and Emergency Trauma Department (ETD), to ensure clinical… more
    Hackensack Meridian Health (12/05/25)
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  • Senior Claim Denial Prevention & Appeals…

    Oracle (Little Rock, AR)
    …burden of clinical and reimbursement tasks such as charting, documentation, and coding by applying power of generative AI. Our diverse team of creators ... arena. We are looking for a Senior Claims Denial Prevention and Appeals Specialist for providing clinical inputs to engineering for developing the Claim Denial… more
    Oracle (12/11/25)
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  • Transplant Charge Specialist - Kidney…

    University of Southern California (Los Angeles, CA)
    The Transplant Charge Specialist (TCS) is responsible for the comprehensive review of charges under the transplant program and revenue capture surrounding transplant ... liver, kidney, pancreas, etc.) for commercial, Medicare, hospital-based, provider-based inpatient and outpatient transplant accounts to support appropriate allocation… more
    University of Southern California (11/19/25)
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  • Authorization Specialist , Digestive Health…

    UPMC (Pittsburgh, PA)
    UPMC Digestive Health Care is hiring a full-time Authorization Specialist to join their team at Shadyside Medical Building, Pittsburgh! In this position, you will ... desk, and scheduling duties. **Purpose:** To perform authorization activities of inpatient , outpatient and emergency department patients, denial management and all… more
    UPMC (12/12/25)
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  • Senior Revenue Cycle Specialist

    Stony Brook University (East Setauket, NY)
    Senior Revenue Cycle Specialist **Position Summary:** At Stony Brook Medicine, the **Senior Revenue Cycle Specialist ** will act as an operational leader in the ... variances and denials. + Expert knowledge of Medicare and NY Medicaid Inpatient and Outpatient reimbursement methodologies. + Expert knowledge of third party… more
    Stony Brook University (11/22/25)
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  • Clinical Documentation Specialist

    Saint Luke's (Kansas City, MO)
    …medical record documentation. A bachelor's Degree is required or 4 years minimum of Inpatient Coding or CDI work experience, in lieu of Bachelor's Degree. This ... **The Opportunity:** Saint Luke's is looking for a Clinical Documentation Specialist to review medical record documentation to ensure appropriate representation of… more
    Saint Luke's (12/03/25)
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