• Clinical Provider Auditor II (US)

    Elevance Health (Seattle, WA)
    …as necessary to aid in investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations. + Collaborates with the ... **Minimum Requirements:** Requires a AA/AS and minimum of 3 years medical coding /auditing experience, including minimum of 1 year in fraud, waste abuse experience;… more
    Elevance Health (01/16/26)
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  • Revenue Integrity Specialist

    Houston Methodist (Houston, TX)
    …a current and accurate Charge Description Master (CDM) in accordance with coding regulations and guidelines and updates procedure codes as required. Additional ... Non-exempt **QUALIFICATIONS** **EDUCATION** + Associate's degree or higher in billing, coding , accounting, or related field; or high school diploma with additional… more
    Houston Methodist (01/16/26)
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  • Revenue Integrity Manager / State Program Admin…

    State of Minnesota (Vadnais Heights, MN)
    …the Centers for Medicare and Medicaid Services (CMS), State Medicaid (MA), Private Insurance , and other Third-Party Payer rules and regulations related to billing, ... coding , and documentation standards as well as managing the...are consistent with all rules and regulations. + Reviewing coding and billing strategies while implementing quality assurance processes.… more
    State of Minnesota (01/14/26)
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  • Clinical Documentation Specialist

    Community Health Systems (Hattiesburg, MS)
    …compliance. **What We Offer:** + Competitive Pay + Medical, Dental, Vision, and Life Insurance + Generous Paid Time Off (PTO) + Extended Illness Bank (EIB) + ... insights through individual or group sessions. + Collaborates closely with coding professionals to ensure accurate diagnostic and procedural data through complete… more
    Community Health Systems (01/14/26)
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  • Compliance Analyst

    Seattle Children's (Seattle, WA)
    …revenue capture, this position works closely with revenue integrity, professional coding , and other key departments on processes while supporting providers in ... experience of five (5) years or more in health care management, coding , billing, and relevant nursing experience may be substituted for educational requirements.… more
    Seattle Children's (01/11/26)
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  • Medical Review Nurse (RN)- Itemized Bill Review

    Molina Healthcare (Buffalo, NY)
    …readmissions. + Validates member medical records and claims submitted/correct coding , to ensure appropriate reimbursement to providers. + Resolves escalated ... chief medical officer (CMO), for administrative law judge pre-hearings, state insurance commissions, and judicial fair hearings. + Reviews medically appropriate… more
    Molina Healthcare (01/09/26)
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  • Senior Securities Settlements Engineering…

    Citigroup (Jersey City, NJ)
    …of working. This role requires deep expertise in system design, hands-on coding , and strong problem-solving skills to create resilient, high-performing, and secure ... (TDD), and behavior-driven development (BDD). . Actively contribute to hands-on coding , code reviews, and refactoring to maintain high engineering standards.… more
    Citigroup (01/09/26)
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  • Clinical Assurance Specialist

    Northern Light Health (South Portland, ME)
    …to clinical leaders. + Problem solves and troubleshoots documentation for coding discrepancies, logical inconsistencies, errors, and completeness. + Performs chart ... + Valid driver's license with reliable transportation and agency required auto liability insurance . Must be able to drive within assigned region as directed. + 5… more
    Northern Light Health (01/08/26)
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  • Allied Health Non-Tenure Track Faculty - Gallatin…

    Montana State University (Bozeman, MT)
    …in Bozeman in one or more of the following specialty areas: + Beginning Procedural Coding + Beginning Diagnostic Coding + Advanced Medical Coding + Medical ... & Skills + Appropriate Allied Health credential in Medical Assisting, Medical Coding , Surgical Technology or related field + Demonstrated experience working with and… more
    Montana State University (01/08/26)
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  • Associate Quality Practice Advisor

    Centene Corporation (Lansing, MI)
    …education for HEDIS measures, appropriate medical record documentation and appropriate coding . Assists in resolving deficiencies impacting plan compliance to meet ... HEDIS measures, medical record documentation guidelines and HEDIS ICD-9/10 CPT coding in accordance with NCQA requirements. + Collects, summarizes and trends… more
    Centene Corporation (01/06/26)
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