• Payment Policy Sr. Specialist

    Blue Cross Blue Shield of Massachusetts (Hingham, MA)
    …experience + Strong understanding of healthcare reimbursement methodologies + Certified Professional Coder (CPC) and certified outpatient coder (COC) ... inquiries within the facility reimbursement mailbox + Maintain and update the hospital outpatient and drug fee schedules, including assessing and pricing new codes +… more
    Blue Cross Blue Shield of Massachusetts (10/09/25)
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  • Revenue Integrity Charge Auditor (Remote)

    Stanford Health Care (Palo Alto, CA)
    …. or + CPC and/or CCSP - Certified Professional Coder required . or + Certified Outpatient Coder - COC required . and + CPC required . or + RHIT - Registered ... special audit projects, as requested, comparing itemized bills to corresponding medical records and identifying documented services unbilled and charges for services… more
    Stanford Health Care (12/10/25)
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  • Coding Educator FT-Katy CC (Hybrid)

    Houston Methodist (Houston, TX)
    …teaching/training experience **LICENSES AND CERTIFICATIONS - REQUIRED** + For inpatient/ outpatient coding: RHIT, RHIA, or CCS certification from AHIMA is ... AND CERTIFICATIONS - PREFERRED** + CPC-I - Certified Professional Coder Instructor (AAPC) -- (CBO Coders only) **OR** +...(CBO Coders only) **OR** + CPMA - Certified Professional Medical Auditor (AAPC) -- (CBO Coders only) **KNOWLEDGE, SKILLS,… more
    Houston Methodist (10/22/25)
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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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  • ProFee Audit Specialist FT- 2,500 Sign on Bonus

    Datavant (Boise, ID)
    …HCC is a plus. **You Will:** + Conduct inpatient coding audits on medical records, utilizing ICD-10-CM, CPT, and appropriate coding references for accurate DRG and ... Scrutinizes all HCPCS and CPT codes influencing APC assignment. + Provide coder education through the auditing process. + Prepare preliminary results for review… more
    Datavant (11/05/25)
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  • Compliance Coding Auditor

    Sharp HealthCare (San Diego, CA)
    …audits. **Required Qualifications** + 5 Years experience in acute care inpatient/ outpatient coding or professional E/M coding in the following coding systems: ... or AAPC Certified Inpatient Hospital/Facility (CIC), or Certified Professional Coder (CPC) certification.Certified Clinical Documentation Improvement Practitioner or Specialist… more
    Sharp HealthCare (10/08/25)
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  • Supervisor Provider Coding Specialist

    Tidelands Health (Myrtle Beach, SC)
    …oversight. **What you will do** + Leads and guides staff that performs medical coding functions and supervises the processes and systems required to accomplish ... record management and coding. + Supervise and coordinate all activities of the medical coders to include effective management of staffing schedule to achieve timely… more
    Tidelands Health (12/31/25)
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  • CDI Reconciliation Specialist

    HCA Healthcare (Nashville, TN)
    …Certified Documentation Improvement Practitioner, or (RN) Registered Nurse, or (COC) Certified Outpatient Coder , or (CCS) Certified Coding Specialist, or (CPC) ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...Certified Professional Coder , or (RHIA) Registered Health Information Administrator, or (RHIT)… more
    HCA Healthcare (11/04/25)
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  • Billing Specialist-Msh-78319-028

    Mount Sinai Health System (Elmhurst, NY)
    **Job Description** Review Medical charts and documentation within but not limited to the facility EMR, Epic, to ensure that all Physician charges are captured in a ... acquired through the completion of a High School Diploma. Knowledge of Medical Terminology, ICD-9CM, ICD-10CM and CPT 4 coding certification obtained by completion… more
    Mount Sinai Health System (12/17/25)
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  • Associate Investigator

    Highmark Health (Pittsburgh, PA)
    …**Preferred** (any of the following) + Certified Fraud Examiner (CFE) + Certified Professional Coder (CPC) + Certified Outpatient Coder (COC) + Accredited ... 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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