• Medical Claim Review LVN/LPN (CA LVN…

    Molina Healthcare (San Diego, CA)
    … medical necessity and appropriate/accurate billing and claims processing. * Evaluates medical records and/or medical notes providing clinical expertise ... Certification, Association** Registered Nursing license in good standing. Certified Clinical Coder , Certified Medical Audit Specialists (CMAS), Certified Case… more
    Molina Healthcare (10/18/25)
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  • Coding Data Quality Auditor

    CVS Health (Helena, MT)
    …and every day. **Position Summary** Responsible for performing quality inter-rater review audits of medical records coded by internal team (CDQA and Sr CDQA) to ... and assists others to achieve the same through mentoring and instruction. + Medical record auditing skills and abstraction expertise. + Serves as the training… more
    CVS Health (10/16/25)
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  • Inpatient Audit Specialist

    Datavant (Providence, RI)
    …software experience preferred. **You Will:** + Conduct inpatient coding audits on medical records , utilizing ICD-10-CM, CPT, and appropriate coding references ... for accurate DRG and APC assignment. + Review non-CC/MCC records to assess proper coding or identify the need...HCPCS and CPT codes influencing APC assignment. + Provide coder education through the auditing process. + Prepare preliminary… more
    Datavant (10/09/25)
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  • Medical Billing Clerk

    Luke Staffing (Butner, NC)
    …services providers are coded appropriately based upon the care documented in the inmates' medical records . . Utilizing Medicare Part A and Part B payment ... ** MEDICAL BILLING CODING SPECIALIST** **We encourage Military Veterans...(CCS) . Certified Coding Assistant (CCA) . Certified Professional Coder (CPC) **CORE RESPONSIBILITIES:** . Requires strong analytical, organizational… more
    Luke Staffing (08/07/25)
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  • Medical Claim Review Nurse (RN)

    Molina Healthcare (Buffalo, NY)
    …documentation for denial and modification of payment decisions + Independently re-evaluates medical claims and associated records by applying advanced clinical ... and coding experience. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Certified Clinical Coder , Certified Medical Audit Specialists, Certified Case Manager… more
    Molina Healthcare (10/18/25)
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  • Compliance Auditing Specialist- Remote/Hybrid…

    WMCHealth (Valhalla, NY)
    …in compliance with established documentation and coding standards. Responsibilities: . Audits medical records to assure compliance with applicable coding and ... the following credentials: Certified Risk Coder (CRC), Certified Professional Coder certification (CPC), Certified Professional Medical Auditor (CPMA) or… more
    WMCHealth (09/12/25)
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  • Medical Billing and coding Instructor…

    Ideal Home Care (Islandia, NY)
    Job description Position Overview: We are seeking an experienced and dedicated Medical Billing and Coding Instructor to join our academic team. The ideal candidate ... delivering high-quality education and training to students in the field of medical billing and coding. This role involves preparing students for certification exams,… more
    Ideal Home Care (07/25/25)
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  • Compliance Analyst II, Urmc and Affiliates

    University of Rochester (Rochester, NY)
    …engaging in professional associations, networking with peers at other academic medical centers, reviewing relevant literature, and participating in industry seminars ... related to professional and/or facility payment systems. + Performs audits of medical record documentation to ensure compliance with coding and billing requirements… more
    University of Rochester (10/03/25)
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  • Manager Medical Billing & Coding, Acelis…

    Abbott (Livermore, CA)
    …spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 114,000 colleagues ... where you can grow the career you dream of. + Employees can qualify for free medical coverage in our Health Investment Plan (HIP) PPO medical plan in the next… more
    Abbott (09/16/25)
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  • Supervisor, Medical Referrals

    CenterWell (San Antonio, 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 ... Full Time / 40 Hours / M-F / 8a-5p **Job Type** : Medical Records **Specialty** : Primary Care for Seniors **Position Type:** Clinic / On-site **Additional… more
    CenterWell (09/25/25)
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