• Quality & Risk Adjustment Specialist

    Avera (Sioux Falls, SD)
    …& specialty care providers to ensure that proper clinical documentation. The QRA Specialist will be responsible for ensuring that medical records for identified ... Data Information Sets (HEDIS). The Quality and Risk Adjustment Specialist will work closely with the Director of Quality...rationale behind Risk Adjustment Work with physicians, clinic staff, coding , and other Health Plans staff to resolve … more
    Avera (10/28/25)
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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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  • Collections Specialist

    HCA Healthcare (Jacksonville, FL)
    …individual is recognized. Submit your application for the opportunity below:Collections Specialist with HCA Surgery Ventures Group at the Jacksonville Central ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...may vary by location._** We are seeking a Collections Specialist for our team to ensure that we continue… more
    HCA Healthcare (10/29/25)
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  • Payment Policy Sr. Specialist

    Blue Cross Blue Shield of Massachusetts (Boston, MA)
    …experience + Strong understanding of healthcare reimbursement methodologies + Certified Professional Coder (CPC) and certified outpatient coder (COC) preferred + ... + Strong written and verbal communication skills + Knowledge of CPT/HCPCS & ICD10 coding , Correct Coding Initiatives and CMS 1500 billing + Strong critical… more
    Blue Cross Blue Shield of Massachusetts (10/22/25)
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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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  • Clinical Documentation Improvement…

    MetroHealth (Cleveland, OH)
    …and ICD-10 coding structures. Demonstrated knowledge of the EPIC electronic medical record and 3M 360 Encompass systems. Use of Microsoft Office software such ... **Location:** **METROHEALTH MEDICAL CENTER** **Biweekly Hours:** **80.00** **Shift:** **Monday-Friday; Days**...acute care environment as a clinician or hospital inpatient coder . Demonstrated knowledge and proficiency in using clinical information… more
    MetroHealth (10/31/25)
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  • Medical Records Technician CDIS…

    Veterans Affairs, Veterans Health Administration (Lebanon, PA)
    …that indicates knowledge of medical terminology, anatomy, physiology, pathophysiology, medical coding , and the structure and format of health records: ... semester hours in health information technology/heath information management (eg,, courses in medical terminology, anatomy, physiology, medical coding and… more
    Veterans Affairs, Veterans Health Administration (11/21/25)
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  • Specialist -Clin Documentation

    Ascension Health (Muskego, WI)
    …/ Registration: + One or more of the following required: + Certified Coding Specialist (CCS) credentialed from the American Health Information Management ... **Responsibilities** Facilitate improvement in overall quality, completeness and accuracy of medical record documentation. + Complete admission reviews and assigns a… more
    Ascension Health (09/30/25)
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  • Compliance Specialist - Clinical Research…

    Ochsner Health (New Orleans, LA)
    …Privacy Compliance (CHPC), Certified in Healthcare Research Compliance (CHRC), Certified Professional Coder (CPC), Certified Coding Specialist (CCS) or ... and unbiased judgment on behalf of the organization. + Knowledge of Medical terminology **Job Duties** + Reviews clinical trial protocols, informed consent forms,… more
    Ochsner Health (09/28/25)
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  • Revenue Integrity Analyst - Inpatient

    University of Washington (Olympia, WA)
    …Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Professional Coder ... Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Professional Coder more
    University of Washington (11/22/25)
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