• Sr Coding Compliance Auditor

    Catholic Health Initiatives (Chattanooga, TN)
    …American Academy of Professional Coders (AAPC) as a Certified Professional Coder (CPC) required. Professional Medical Auditor Certification (CPMA) ... The position will support risk adjustment improvement efforts across the medical group. The Hierarchical Condition Category (HCC) Quality program was developed… more
    Catholic Health Initiatives (10/04/25)
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  • Billing Specialist - Psychiatry Administration…

    Mount Sinai Health System (New York, NY)
    …Degree or high school diploma/GED plus 3 years of relevant experience + Certified coder required + Experience in medical billing or health claims, with ... methodologies. 8. May perform specialty coding for services and medical office visits and review physician coding and provide...Sinai Health System is one of the largest academic medical systems in the New York metro area, with… more
    Mount Sinai Health System (08/15/25)
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  • Payment Integrity Auditor I

    Premera Blue Cross (Mountlake Terrace, WA)
    …related medical coding or auditing experience. + Certified Professional Coder Designation (CPC-A, CPC, CSS, CPMA) or equivalent. **Preferred Qualifications** + ... errors, coding discrepancies, and policy non-compliance. Audits include reviewing medical records, applying clinical and coding knowledge, analyzing provider billing… more
    Premera Blue Cross (09/24/25)
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  • Payment Integrity Auditor II

    Premera Blue Cross (Mountlake Terrace, WA)
    …equivalent combination of education and experience. + (3) years of related medical coding/auditing experience. + Certified Professional Coder Designation (CPC, ... and provider billing investigation. This role requires a deep understanding of medical claims adjudication, coding compliance, and regulatory guidelines. You will be… more
    Premera Blue Cross (09/24/25)
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  • Auditor, HCC Risk Adjustment Coding - Full Time…

    Datavant (Denver, CO)
    …to realize our bold vision for healthcare. As an Auditor, HCC Risk Adjustment Coder , you will review medical records to identify and code diagnoses using ... across Medicare, commercial, and Medicaid sectors. + In-depth knowledge of medical terminology, abbreviations, pharmacology, and disease processes. + Ability to… more
    Datavant (08/08/25)
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  • Coding Coordinator (On-Site)

    Prime Healthcare (Redding, CA)
    …and their family. For more information, visit www.shastaregional.com. Responsibilities Coder /Coding Coordinator would contribute towards medical record review ... Overview Shasta Regional Medical Center is a 226-bed acute care facility...medical care evaluation studies), and mandated reporting requirements. Coder /Coding Coordinator will ensure completion of coding for all… more
    Prime Healthcare (09/30/25)
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  • Remote Physician Pro Fee Coding…

    Community Health Systems (Franklin, TN)
    **Job Summary** The Physician Coder -Hospital Medicine is responsible for reviewing, analyzing, and assigning accurate CPT, HCPCS, and ICD-10 codes for professional ... fee services documented in the medical record. This role ensures proper sequencing, modifier use,...regulations, third-party payer policies, and corporate standards. The Physician Coder plays a key role in revenue cycle accuracy… more
    Community Health Systems (10/17/25)
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  • Revenue Integrity Specialist

    Cleveland Clinic (Cleveland, OH)
    …+ Minimum two years of CPT, HCPCS, and ICD-10 CM coding and/or medical billing and reimbursement experience. + One of the following certifications is required: ... + Certified Professional Coder (CPC) or Certified Outpatient Coder (COC) by American Academy of Professional Coder (AAPC) + Registered Health Information… more
    Cleveland Clinic (10/17/25)
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  • Coding and Reimbursement Auditor

    Avera (Sioux Falls, SD)
    …coding review, DRG and APC reimbursement, and coordination of information between medical record and billing departments. A successful Auditor assists in the ... Health Information Management Association (AHIMA) Upon Hire or + Certified Inpatient Coder (CIC) - American Academy of Professional Coders (AAPC) Upon Hire or… more
    Avera (09/30/25)
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  • Denials Prevention Analyst, CPC or COC Certified

    Children's Mercy Kansas City (Kansas City, MO)
    …Service Excellence visions of the organization. #LI-DNI Must have a Certified Professional Coder (CPC) or Certified Outpatient Coder (COC) at time of ... you and have any concerns about receiving these vaccines, medical and/or religious exemptions can be further discussed with...+ One of the following Required : Certified Professional Coder (CPC), Certified Outpatient Coder (COC), required… more
    Children's Mercy Kansas City (08/29/25)
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