• Ambulatory Payment Classification Coordinator

    AdventHealth (Maitland, FL)
    …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 ... **Schedule:** Full Time **Shift** : Days Conducts retrospective and concurrent coding accuracy reviews as assigned by the supervisor, manager, and/or director.… more
    AdventHealth (01/16/26)
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  • Compliance Auditor (Clinical)

    St Croix Hospice (Mendota Heights, MN)
    …+ Certified Billing and Coding Specialist (CBCS) + Certified Professional Coder (CPC) + Certified Professional Medical Auditor (CPMA) + Certified Compliance ... with departments such as Legal, Human Resources, Finance, IT, Quality, Billing and Coding to enhance internal controls and address and remediate compliance risks. +… more
    St Croix Hospice (12/30/25)
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  • Clinical Appeals and Disputes Nurse

    University of Washington (Seattle, WA)
    …healthcare management), certified case manager, certified documentation specialist, certified coder , certified professional medical auditor + Previous experience ... steps. Additionally, they conduct appeals as appropriate by reviewing medical necessity, and/or reconciling coverage-related issues. **DEPARTMENT DESCRIPTION** UW… more
    University of Washington (12/19/25)
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  • Charge Capture Specialist

    Community Health Systems (Las Cruces, NM)
    As a **Charge Capture Specialist at MountainView Medical Group** you'll join a team and be a part of a culture that's dedicated to providing top quality care to our ... entry process. The Charge Capture Specialist collaborates with clinical departments, coding , and revenue cycle teams to ensure compliance with billing regulations… more
    Community Health Systems (01/13/26)
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  • Trainer, Revenue Integrity - Corp Rev Cycle Serv…

    Guthrie (Sayre, PA)
    …Health Information Management, or related field (required) + Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent certification ... departments understand and adhere to revenue integrity standards, including coding , billing, documentation, and compliance requirements. The trainer collaborates… more
    Guthrie (01/02/26)
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  • Primary Care APP

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

    CenterWell (Las Vegas, NV)
    … medical record documentation in a timely manner working with a quality- based coder to optimize coding specificity. + Follows policy and protocol defined by ... Care Coach Nurse, MA, Behavioral health specialist, Quality based Coder , Referral Coordinator and more. Our approach allows us...accordance with standards of care. + Follows level of medical care and quality for patients and monitors care… more
    CenterWell (11/20/25)
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  • Compliance Specialist 2 (07026,08041)

    State of Montana (Helena, MT)
    …information, accounting, business, or social sciences related field. o Two years of experience with medical claims, medical coding , or medical review of ... Opportunity ** * Knowledge of Medicaid rules, medical claims processing, medical terminology and coding principles and practices. * Knowledge of reviewing,… more
    State of Montana (12/17/25)
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  • Appeals Audit Specialist - McLaren Careers

    McLaren Health Care (Mount Pleasant, MI)
    …related field + ACMA or ACDIS memberships + Certified Medical Coder , Certified in Healthcare Compliance, Certified Coding Specialist, or Certified Clinical ... to write appeals demonstrating accuracy/proficiency in referencing support from the medical recorddocumentation and coding guidelineswith timely and successful… more
    McLaren Health Care (11/11/25)
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  • Associate Investigator

    Highmark Health (Pittsburgh, PA)
    …to prevent further improper payments. Forwards case to the Credentialing and/or Medical Review Committee, law enforcement and regulatory agencies. + Develop and ... to internal and external law enforcement and regulatory agencies, Credentialing or Medical Review Committee. + Other duties as assigned or requested. **EDUCATION**… more
    Highmark Health (12/18/25)
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