• Certified Coder

    Alameda Health System (Oakland, CA)
    …parties, the CPT (Current Procedural Terminology) rules established by the American Medical Association, and any other official coding rules and guidelines ... + FTE:1 + Posted:November 18, 2025 **Summary** **SUMMARY:** Reads and interprets medical record documentation to assign diagnosis codes, assigns CPT codes, and… more
    Alameda Health System (11/04/25)
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  • Clinical Documentation Improvement Specialist…

    Bluestone Physician Services (Stillwater, MN)
    …and risk adjustment. Knowledge/Skills/Abilities + Proficiency in reviewing and analyzing medical records for documentation deficiencies and coding opportunities. ... an evidence-based approach focused on quality care management and data-driven medical decisions, Bluestone care teams collaborate to manage patients' chronic… more
    Bluestone Physician Services (10/19/25)
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  • Med Records Coder III, Complex

    University of Rochester (Albany, NY)
    …variety of medical documentation and assigns appropriate procedural terminology and medical codes in accordance with applicable coding rules and policies. ... time Scheduled Weekly Hours: 40 Department: 900370 Health Info Mgmt- Coding Work Shift: UR - Day (United States of...medical record documentation in accordance with universally recognized coding guidelines. + Reviews and resolves coding more
    University of Rochester (10/21/25)
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  • Quality Practice Advisor

    Centene Corporation (Indianapolis, IN)
    …HEDIS measures and risk adjustment. Provides education for HEDIS measures, appropriate medical record documentation and appropriate coding . Assists in resolving ... as a resource for the health plan peers on HEDIS measures, appropriate medical record documentation and appropriate coding . Supports the development and… more
    Centene Corporation (12/24/25)
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  • HEDIS - Quality Practice Advisor

    Centene Corporation (Springfield, IL)
    …HEDIS measures and risk adjustment. Provides education for HEDIS measures, appropriate medical record documentation and appropriate coding . Assists in resolving ... as a resource for the health plan peers on HEDIS measures, appropriate medical record documentation and appropriate coding . Supports the development and… more
    Centene Corporation (12/12/25)
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  • Pediatric RN- Quality Practice Advisor

    Centene Corporation (Surfside Beach, SC)
    …HEDIS measures and risk adjustment. Provides education for HEDIS measures, appropriate medical record documentation and appropriate coding . Assists in resolving ... as a resource for the health plan peers on HEDIS measures, appropriate medical record documentation and appropriate coding . Supports the development and… more
    Centene Corporation (12/07/25)
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  • DRG Validator

    WMCHealth (Valhalla, NY)
    …purpose of coding and DRG optimization. Must have thorough knowledge of medical terminology, ICD codes and coding guidelines. Strong oral and written ... high-risk and other problems identified during reviews. + Provides education to medical staff as necessary. + Contacts physicians or departmental clinical staff to… more
    WMCHealth (11/22/25)
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  • Nurse Auditor Senior - Payment Integrity Complex…

    Elevance Health (Atlanta, GA)
    …accounting and control principles and a working knowledge of CPT/HCPCS and ICD 9 coding and medical policy guidelines strongly preferred + BA/BS preferred + ... Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Nurse Audit Senior** will be responsible for… more
    Elevance Health (12/24/25)
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  • Quality Improvement Professional

    CenterWell (Houston, TX)
    …various stakeholders/partners (internal and external) including market operations/provider relations, coding teams; medical directors, clinical and health plan ... + Utilize approved avenues to outreach to patients with medication reminders + Medical record review, retrieval, and submissions to health plans to support HEDIS gap… more
    CenterWell (12/19/25)
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  • Patient Authorization and Referral Representative…

    Swedish Health Services (Seattle, WA)
    …people, we must empower them. **Required Qualifications:** + Appropriate education in coding and medical terminology or equivalent education/experience + 1 year ... Join our team at Swedish Health Services DBA Swedish Medical Group and thrive in our culture of patient-focused,...- Clinic setting or medical billing office within the last three years. **Preferred… more
    Swedish Health Services (12/11/25)
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