• RN Medical Claim Review Nurse Remote

    Molina Healthcare (Albuquerque, NM)
    …Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM), Certified ... of member services in alignment with state, federal, accrediting, and billing/ coding guidelines and regulations. Contributes to overarching strategy to provide… more
    Molina Healthcare (10/19/25)
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  • Medical Claim Review Nurse (RN)

    Molina Healthcare (Buffalo, NY)
    …ASSOCIATION:** Certified Clinical Coder, Certified Medical Audit Specialists, Certified Case Manager , Certified Professional Healthcare Management, Certified ... 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 (10/18/25)
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  • Account Representative - (Museum District)

    Houston Methodist (Houston, TX)
    …all outstanding third party primary and secondary insurance claims for professional services. This position performs collections activities on simple and complex ... denials and on outstanding insurance balances in the professional fee environment. This role is also responsible for...communication. + Identifies denial trends and notifies supervisor and/or manager to prevent future denials and further delay in… more
    Houston Methodist (08/14/25)
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  • Clinical Provider Auditor II (CPC)

    Elevance Health (Tampa, FL)
    …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 ... Requires a AA/AS and minimum of 3 years medical coding /auditing experience, including minimum of 1 year in fraud,...our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors… more
    Elevance Health (10/22/25)
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  • Software Engineer

    Microsoft Corporation (Redmond, WA)
    …good maintainability. **Responsibilities** + Works with appropriate stakeholders (eg, project manager , technical lead) to determine user requirements for a set of ... code is ready to be shared and delivered. Applies coding patterns and best practices to write code. +...C#, Java, JavaScript, or Python + 1+ years of professional experience building production services or APIs in one… more
    Microsoft Corporation (10/22/25)
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  • Executive Director of Operational Efficiency

    AdventHealth (Altamonte Springs, FL)
    …claims for reimbursement are properly supported by clinical diagnoses and the related coding is done correctly. Oversee and provide direction to the Director of ... AHS who will carry out the following major functions: Coding education and compliance training. Coding audits...group of people will approximate 100 fte's and the manager of the group will report directly to Executive… more
    AdventHealth (10/21/25)
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  • Medical Records Coder II - Radiology

    BayCare Health System (New Port Richey, FL)
    …Friday The Medical Records Coder II will work-from-home on a full-time basis coding for the **radiology team** . Team members must reside in Florida. ... Coder II assigns diagnosis and procedural codes using ICD-10-CM, ICD-10-PCS, and CPT-4 coding systems and monitors bill hold reports. + Assists Manager /Director… more
    BayCare Health System (10/16/25)
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  • Clinical Provider Auditor II - Maryland Behavioral…

    Elevance Health (MD)
    …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 ... Requires a AA/AS and minimum of 4 years medical coding /auditing experience, including minimum of 1 year in fraud,...our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors… more
    Elevance Health (10/04/25)
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  • Ambulatory Payment Classification Coordinator

    AdventHealth (Maitland, FL)
    …and concurrent coding accuracy reviews as assigned by the supervisor, manager , and/or director. + Reviews and resolves accounts in work queues, including claim ... Health Information Technician (RHIT) - Cert Required + Certified Professional Coder (CPC) + Certified Coding Specialist...+ Certified Professional Coder (CPC) + Certified Coding Specialist (CCS) This facility is an equal opportunity… more
    AdventHealth (10/02/25)
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  • Email Marketing Developer

    Carnival Cruise Line (Miami, FL)
    The Email Marketing Developer is responsible for including coding emails using HTML, CSS, AMPscript, conducting rendering testing across email clients and mobile ... content libraries and assign them to customer attributes through coding within the ESP and coordination with our data...+ Vacation Time - All full-time employees at the manager and below level start with 14 days/year; director… more
    Carnival Cruise Line (08/12/25)
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