• Compliance Auditor (Clinical)

    St Croix Hospice (Mendota Heights, MN)
    …+ Certified Billing and Coding Specialist (CBCS) + Certified Professional Coder (CPC) + Certified Professional Medical Auditor (CPMA) + Certified Compliance ... Medicaid, Medicare, Medicare Advantage plans, other government payors, private insurers, the Office of Inspector General (OIG) and the Department of Justice (DOJ). +… more
    St Croix Hospice (12/30/25)
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  • Coding Auditor - Ambulatory/Professional…

    Huron Consulting Group (Chicago, IL)
    medical records. + Demonstrates knowledge of current, compliant coder query practices when consulting with physicians, Clinical Documentation Specialists (CDS) ... internal processes and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and… more
    Huron Consulting Group (12/09/25)
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  • Clinical Appeals and Disputes Nurse

    University of Washington (Seattle, WA)
    …healthcare management), certified case manager, certified documentation specialist, certified coder , certified professional medical auditor + Previous experience ... steps. Additionally, they conduct appeals as appropriate by reviewing medical necessity, and/or reconciling coverage-related issues. **DEPARTMENT DESCRIPTION** UW… more
    University of Washington (12/19/25)
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  • DRG Coding Auditor (ICD-9/10cm, MS-DRG, AP-DRG,…

    Elevance Health (Ashburn, VA)
    …or hospital coding or quality assurance environment preferred. + Broad knowledge of medical claims billing /payment systems provider billing guidelines, payer ... Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. **Build the Possibilities. Make an Extraordinary Impact.** **Title**… more
    Elevance Health (12/09/25)
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  • Sr. Patient Accounts Representative (H)

    University of Miami (Miami, FL)
    …appropriately. The Senior Patient Accounts Representative uses advanced knowledge of billing procedures and coding expertise to assist management in the training ... any errors, and researches coverage policies. + Assists patients with insurance and billing questions. + Sets up budget plans on outstanding accounts, mails copies… more
    University of Miami (12/20/25)
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  • Network Payor Relations & Compliance Specialist…

    Henry Ford Health System (Jackson, MI)
    …to the Network, such as the Henry Ford Health Central Verification Office . * Ensures Network practice compliance and contractual obligations through comprehensive ... reviewing patient concerns with Network administrative leadership and Network medical directors. * Supports the Network communications and education through… more
    Henry Ford Health System (11/04/25)
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  • Inpatient Coding Review Specialist (H)

    University of Miami (Medley, FL)
    …ensure accurate and compliant coding on all Mortality cases prior to billing . The Inpatient Coding Review Specialist also performs quality reviews that specifically ... CORE JOB FUNCTIONS + Reviews, analyzes, and interprets the complete electronic medical record (EMR) after initial coding to identify missed coding opportunities… more
    University of Miami (12/20/25)
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  • Compliance Auditor - SRS

    Sharp HealthCare (San Diego, CA)
    …Day **FTE** 1 **Shift Start Time** **Shift End Time** Certified Professional Coder (CPC) - AAPC; Certified Coding Specialist--Physician-based (CCS-P) - The American ... requirements. **Required Qualifications** + 3 Years experience auditing coding and medical record documentation in an ambulatory care setting. + Experience… more
    Sharp HealthCare (11/18/25)
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  • Coding Auditor and Educator

    Adecco US, Inc. (Bradenton, FL)
    …new staff, including new clinical documentation specialists, providers, residents, and billing /coding staff. . Conducts prebill medical record reviews, assuring ... to improve clinical documentation practices to physicians, residents, and billing /coding staff regarding coding and documentation requirements. This position serves… more
    Adecco US, Inc. (12/30/25)
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  • DRG Clinical (RN) Validation Auditor

    Elevance Health (Seven Hills, OH)
    …strongly preferred. + Broad knowledge of clinical documentation improvement guidelines, medical claims billing and payment systems, provider billing ... may be considered if candidates reside within a commuting distance from an office .** _Please note that per our policy on hybrid/virtual work, candidates not within… more
    Elevance Health (01/15/26)
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