• Primary Care APP

    CenterWell (Coral Springs, FL)
    …professionals, Pharm D, Care Coach Nurse, MA, Behavioral health specialist, Quality based Coder , Referral Coordinator and more. Our approach allows us to provide an ... in accordance with standards of care. Follows level of medical care and quality for patients and monitors care...in a timely manner working with a quality- based coder to optimize coding specificity. Follows policy and protocol… more
    CenterWell (11/26/25)
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  • Nurse Practitioner

    CenterWell (Las Vegas, NV)
    …professionals, Pharm D, Care Coach Nurse, MA, Behavioral health specialist, Quality based Coder , Referral Coordinator and more. Our approach allows us to provide an ... accordance with standards of care. + Follows level of medical care and quality for patients and monitors care...in a timely manner working with a quality- based coder to optimize coding specificity. + Follows policy and… more
    CenterWell (11/20/25)
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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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  • Hierarchical Condition Category (HCC) Coding…

    Highmark Health (Cheyenne, WY)
    ** Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** This job will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted ... including but not limited to Hierarchical Condition Category (HCC) Coding, medical coding, clinical terminology and anatomy/physiology, Centers for Medicare and… more
    Highmark Health (12/19/25)
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  • Coding Auditor Sr

    Elevance Health (Norfolk, VA)
    …provide an equivalent background. **Preferred Skills, Capabilities, and Experiences:** + Medical Coder certification from accredited source (eg American Health ... equivalent and minimum of 3 years of experience as coder of medical records in physician office,...Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and… more
    Elevance Health (12/22/25)
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  • Nurse Practitioner / Physician Assistant - VSP/PRN

    CenterWell (Phoenix, AZ)
    …professionals, Pharm D, Care Coach Nurse, MA, Behavioral health specialist, Quality based Coder , Referral Coordinator and more. Our approach allows us to provide an ... accordance with standards of care. + Follows level of medical care and quality for patients and monitors care...in a timely manner working with a quality- based coder to optimize coding specificity. + Follows policy and… more
    CenterWell (10/16/25)
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  • Associate Investigator

    Highmark Health (Pittsburgh, PA)
    ** Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** The job is responsible for developing and maintaining an anti-fraud program which includes ... to prevent further improper payments. Forwards case to the Credentialing and/or Medical Review Committee, law enforcement and regulatory agencies. + Develop and… more
    Highmark Health (12/18/25)
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  • Investigator

    Highmark Health (Harrisburg, PA)
    ** Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** This job is responsible for developing and maintaining an anti-fraud program which includes ... to prevent further improper payments.Forwards case to the Credentialing and/or Medical Review Committee, law enforcement and regulatory agencies. + Responsible for… more
    Highmark Health (12/12/25)
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  • Senior Member of Technical Staff

    Oracle (Hartford, CT)
    …a start-up, with the scale and customer-focus of the leading enterprise software company in the world._ _Values are OCI's foundation and how we deliver excellence. ... Cloud Infrastructure. You should be both a rock solid coder and a distributed systems generalist, able to dive...the scale and customer-focus of the leading enterprise software company in the world._ _Values are OCI's foundation and… more
    Oracle (11/25/25)
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  • Outpatient Coding Consultant PRN

    Datavant (Columbus, OH)
    Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the ... attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a...healthcare from your own workspace! Preferred: Looking for Outpatient coder with DX Radiology experience. Cerner 3M360 systems. OBS/SDS… more
    Datavant (12/20/25)
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