• Senior Coding Denials Management Specialist

    University of Southern California (Alhambra, CA)
    …* Works cooperatively with HIM Coding Support and/or Clinical Documentation Improvement Specialist in obtaining documentation to complete medical records and ... - 2 years Lead Experience. Required Licenses/Certifications: + Req AHIMA Certified Coding Specialist (CCS) only; or AAPC Certified Inpatient Coder (CIC) only; or… more
    University of Southern California (11/19/25)
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  • Ambulatory CDI Specialist - Coding

    Hawaii Pacific Health (Honolulu, HI)
    …to maintain the most accurate reimbursement, tracking and reporting for the organization's medical and billing records. Activities include the processing of ... billing codes for professional medical services and communication with physicians and Revenue Management...Coder - Risk Adjustment (CRC) or Certified Documentation Specialist (CCDS). Previous experience providing education to physicians and… more
    Hawaii Pacific Health (11/26/25)
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  • Professional Coding Education Specialist

    Seattle Children's (Seattle, WA)
    Support activities related to educating billing providers ie, physicians, PhDs & APPs on complete and accurate professional coding and coding-related processes, in ... collaboration with professional coding and charge capture, professional billing , professional compliance, and CUMG leadership teams. Develop educational materials… more
    Seattle Children's (11/20/25)
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  • Compliance Specialist 2 (07026,08041)

    State of Montana (Helena, MT)
    …Medicaid and Healthy Montana Kids (HMK) programs. Key duties include analyzing medical claims data, evaluating provider billing practices, and ensuring ... the Office of Inspector General, Program Compliance Bureau.* The Compliance Specialist 2 is responsible for identifying and investigating potential fraud, waste,… more
    State of Montana (09/17/25)
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  • Network Payor Relations & Compliance…

    Henry Ford Health System (Jackson, MI)
    …purposes of their quality rewards program. o Maintains accurate record of specialist referral information, provider panel status by product line, and Network's ... 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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  • Medicare/Medicaid Claims Editing Specialist

    Commonwealth Care Alliance (Boston, MA)
    …employment - + Certified Professional Coder (CPC) + Certified Inpatient Coder (CIC) + Certified Professional Medical Auditor (CPMA) **Desired Education (nice ... direction of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible for developing prospective… more
    Commonwealth Care Alliance (11/25/25)
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  • PB Coding Specialist I

    Southeast Health (Dothan, AL)
    Southeast. Always the right career direction. Job Description Summary Coding Specialist assigns codes to accounts using ICD-10-CM and ICD-10-PCS coding skills, and ... with software or provider documentation templates. + Communicates any coding or billing guideline changes to staff. + Participates in provider coding review, as… more
    Southeast Health (09/29/25)
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  • Risk Adjustment Coding Specialist -St.…

    Trinity Health (Albany, NY)
    …Type:** Full time **Shift:** Day Shift **Description:** Risk Adjustment Coding Specialist -St. Peter's Health Partners - Full-time - Remote **POSITION PURPOSE:** ... The Risk Adjustment Coding Specialist works in a team environment and is responsible...**SKILLS, KNOWLEDGE, EDUCATION AND EXPERIENCE:** **. Certified Risk Adjustment Coder (CRC) required** . Excellent verbal and written communication… more
    Trinity Health (12/12/25)
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  • Physician Coding Specialist (Full Time, 40,…

    Queen's Health System (Honolulu, HI)
    …A. Education/Certification and Licensure: 1. Certification as an Outpatient Physician Coder (CPC) or Certified Coding Specialist -Physician based (CCS-P). ... October 2014, knowledge of ICD-10 shall be required. 3. Knowledge of medical terminology and abbreviates. B. Experience: 1. Broad based knowledge of services… more
    Queen's Health System (12/09/25)
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  • Charge Integrity Specialist - PFS Revenue…

    Sharp HealthCare (San Diego, CA)
    …setting, medical group, or consulting company. + Certified Professional Coder (CPC) - AAPC - PREFERRED **Other Qualification Requirements** + Bachelor's degree ... **Shift** Day **FTE** 1 **Shift Start Time** **Shift End Time** Certified Professional Coder (CPC) - AAPC; Driver's License - CA Department of Motor Vehicles… more
    Sharp HealthCare (11/15/25)
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