• Risk Adjustment QA Consultant

    Blue Cross and Blue Shield of Minnesota (Eagan, MN)
    …to any HHS and CMS RADV audits, including retrieval and coding of targeted medical records. * Design and implement QA programs to improve coding accuracy, reduce ... staff, on proper coding practices and compliance requirements. * Manage medical coding metrics, performance improvement opportunities, and evaluation of in-home… more
    Blue Cross and Blue Shield of Minnesota (12/10/25)
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  • Payer Authorization Specialist

    Trinity Health (Boise, ID)
    …1. High School Diploma or equivalent required. 2. Education, training or experience as a medical coder , medical billing , Medical Assistant, Insurance ... **Employment Type:** Full time **Shift:** Day Shift **Description:** The Payer Authorization Specialist performs insurance verification and pre-authorization on all… more
    Trinity Health (01/13/26)
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  • Reimbursement Technical Analyst

    Cognizant (Austin, TX)
    **Reimbursement Technical Analyst** **Location: Remote** **Employment Type: Full -Time** **Job ID: 00066154621** **About the role** As a Reimbursement Technical ... programs. **What you need to have to be considered** + Familiarity with medical /clinical nomenclature. + Experience with CPT, CCI, CMS, or health plan-specific rules… more
    Cognizant (01/08/26)
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  • Ambulatory Clinical Documentation Integrity…

    Trinity Health (Livonia, MI)
    **Employment Type:** Full time **Shift:** **Description:** **Purpose** Uses specialized knowledge to support key areas of the organization related to an area of ... & other healthcare professionals to effectively resolve discrepancies. + Ensures medical record documentation is accurate, complete, & compliant, supporting acute or… more
    Trinity Health (12/19/25)
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  • Director Procedural Coding & Anesthesia

    Henry Ford Health System (Detroit, MI)
    …of accountability, continuous learning, and professional growth; ensure ongoing coder education tied to compliance and regulatory changes. Compliance, Quality ... complex, integrated healthcare organization, preferred. + Experience with insurance billing , patient accounting systems and other related applications, preferred. +… more
    Henry Ford Health System (11/04/25)
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