• Field Reimbursement Manager, Pittsburgh, PA

    Sun Pharmaceuticals, Inc (Cleveland, OH)
    …supporting practices, accounts, and providers with necessary support materials and education to seek coverage to therapy for appropriate patients. Educational ... components include reimbursement (coverage, coding & payment), specialty pharmacy and distribution processes, provider...of Sun products. + Has a deep understanding of medical vs pharmacy benefit and policy + Understands the… more
    Sun Pharmaceuticals, Inc (01/20/26)
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  • CDI Physician Advisor

    AdventHealth (Orlando, FL)
    …and coding compliance. Coordinate with GME to provide focused education on early development of documentation best practices to incoming residents 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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  • Transplant Charge Specialist - Kidney Acquisition…

    University of Southern California (Los Angeles, CA)
    …field/clinical application(s). + Req 1 year Experience in healthcare billing, coding , reimbursement, transplant financials, medical auditing, HIM coding ... hospital charge audit management. + Pref 3 years Experience in healthcare billing, coding , reimbursement, transplant financials, medical auditing, HIM coding more
    University of Southern California (01/07/26)
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  • Senior Manager, Claims Administration

    LA Care Health Plan (Los Angeles, CA)
    …in claims adjudication logic, benefit structures, regulatory requirements, billing and coding standards, and provider contract application. The Senior Manager builds ... accuracy and aims to remove rework. Ensures examiners correctly apply benefits, coding , pricing, and provider contract terms. Identifies claim types or provider… more
    LA Care Health Plan (01/16/26)
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  • Professional, Overpayment Recovery and Monitoring…

    MVP Health Care (Rochester, NY)
    …degree with the equivalent combination of related experience may also be considered. + Coding certification, such as AAPC CPC, CIC, COC, CCS is required. + The ... minimum of three (3) years' experience in a professional coding environment and three (3) years' experience in auditing...skills and attention to details. + Ability to initiate education with providers and make internal recommendations for process… more
    MVP Health Care (01/03/26)
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  • Manager Patient Accounts, Payer Billing…

    Truman Medical Centers (Kansas City, MO)
    …apply.** Manager Patient Accounts, Payer Billing and Collections 101 Truman Medical Center **Job Location** Truman Support Center Kansas City, Missouri ... department. Additionally, this manager routinely coordinates with patient access, coding , and utilization/quality teams while maintaining high customer service… more
    Truman Medical Centers (01/15/26)
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  • Financial Counselor

    Rush Copley Medical Center (Aurora, IL)
    Seeking candidate with previous medical office and billing experience to serve as financial counselor for busy clinics. Primary responsibilities include but are not ... insurance plans (including Medicare and Medicaid) and their limitations and CPT/ICD9 coding . The ideal candidate must be energetic, well organized, have excellent… more
    Rush Copley Medical Center (12/27/25)
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  • Mammography Specialist - Sharp Chula Vista…

    Sharp HealthCare (Chula Vista, CA)
    …work completed in department matches billed exam. Provide correct coding of exams, billing modifiers, and supplies.Depart patient in IDX/RAD ... by the Manager/Supervisor. + Patient and family educationProvides pre and post procedure education and reassurance to include but not limited to: what the procedure… more
    Sharp HealthCare (11/14/25)
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  • Director of Internal Audits

    MetaOption, LLC (Melville, NY)
    …coded services; reviews report findings and sends to the physicians to provide awareness/ education on accurate coding practices and compliance issues. + Prepares ... collaborate and own audits that are on the Compliance Work Plans. + Ensures audits are being conducted on medical record documentation to identify under coded and up… more
    MetaOption, LLC (01/15/26)
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  • Compliance Auditor (Clinical)

    St Croix Hospice (Mendota Heights, MN)
    …with departments such as Legal, Human Resources, Finance, IT, Quality, Billing and Coding to enhance internal controls and address and remediate compliance risks. + ... audit best practices. + Develop and deliver compliance audit training and education to employees on regulatory requirements, compliance best practices and audit… more
    St Croix Hospice (12/30/25)
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