• Manager, Claims Quality Assurance

    LA Care Health Plan (Los Angeles, CA)
    …equivalent knowledge. Licenses/Certifications Required Licenses/Certifications Preferred Certified Professional Coder (CPC) or other equivalent Coding ... strong control points, and consistent application of benefits, provider contracts, coding standards, and regulatory requirements. The Manager oversees operational QA… more
    LA Care Health Plan (01/16/26)
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  • Billing Specialist - Psychiatry Administration…

    Mount Sinai Health System (New York, NY)
    …Degree or high school diploma/GED plus 3 years of relevant experience + Certified coder required + Experience in medical billing or health claims, with ... payments in IDX using approved methodologies. 8. May perform specialty coding for services and medical office visits and review physician coding and provide… more
    Mount Sinai Health System (11/14/25)
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  • Senior Clinical Documentation Integrity Specialist

    AdventHealth (Altamonte Springs, FL)
    … record reviews to improve the quality, completeness, and accuracy of medical record documentation. + Ensures coding compliance, accurate reporting, and ... perks you need for you and your family:** + Benefits from Day One: Medical , Dental, Vision Insurance, Life Insurance, Disability Insurance + Paid Time Off from Day… more
    AdventHealth (01/16/26)
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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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  • Director of Medical Group Revenue Cycle

    Prime Healthcare (Chicago, IL)
    Responsibilities Reporting to the Vice President for Medical Groups, this position is responsible for the development, implementation, and administration of all ... policies, procedures and processes to optimize revenue cycle for Medical Groups affiliated with Prime hospitals. This position will work with all medical groups… more
    Prime Healthcare (01/08/26)
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  • Network Director, Compliance- Billing Integrity

    WMCHealth (Valhalla, NY)
    …and consulting relationships. The position is accountable for physician coding audits, hospital inpatient and outpatient auditing activities, proactive monitoring ... education programs. Working in close partnership with Revenue Cycle, Operations, Medical Staff Leadership, and Compliance leadership, this role advances a proactive,… more
    WMCHealth (01/16/26)
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  • Revenue Integrity Nurse Auditor

    Childrens Hospital of The King's Daughters (Chesapeake, VA)
    …with billing regulations and trends in denials of services due to medical necessity or appropriateness of services. + Conducts compliance, defense, LifeNet and ... reports findings. + Serves as a clinical resource for coding / denial management and customer service issues. +...holding a valid Compact State license. + Certified Professional Coder required. + Certified Outpatient Coder (COC;… more
    Childrens Hospital of The King's Daughters (10/23/25)
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  • Medical Referral Supervisor

    CenterWell (El Paso, TX)
    …6 years in a physician office, health care, or managed care environment + Certified Medical Coder with one of the following active certifications and with a high ... community and help us put health first** The Supervisor, Medical Referrals schedules and pre-registers patients for exams and...AHIMA) + Strong experience in ICD-9, ICD-10 and CPT coding + Payor Portal Experience + Prior management or… more
    CenterWell (12/23/25)
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  • Senior Revenue Integrity Charge Analyst

    HCA Healthcare (Bradenton, FL)
    …Radiology (CVIR) services are charged and coded correctly. This position is a specialized senior medical coder in the Cath Lab, IR, and EP service lines. The ... you will do in this role:** + Assigns/Codes Charges CPCS/CPT Coding based on medical record documentation for Cath Lab/IR/EP service lines + Coordinates with… more
    HCA Healthcare (01/17/26)
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  • Clinical Documentation Specialist

    Community Health Systems (Hattiesburg, MS)
    …with providers through education and the physician query process, ensuring medical records accurately reflect patient severity of illness and support continuity ... quality metrics, and regulatory compliance. **What We Offer:** + Competitive Pay + Medical , Dental, Vision, and Life Insurance + Generous Paid Time Off (PTO) +… more
    Community Health Systems (01/14/26)
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