• Revenue Cycle Specialist - Onsite Position

    Kaniksu Community Health (Sandpoint, ID)
    …to Land this Gig: + High School Diploma or equivalent required. + Certified Coding Specialist qualification or equivalent preferred. + Minimum 2 years of ... experience in medical billing, coding or revenue cycle operations...CPT, HCPCS) and reimbursement methodologies. + Proficient in using medical billing software and electronic health records more
    Kaniksu Community Health (10/11/25)
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  • Clinical Documentation Specialist II- RN-…

    Beth Israel Lahey Health (Charlestown, MA)
    …data, and drive improvement toward quality physician documentation within the body of the medical record. The CDI Specialist II works under the direction of the ... Manager of CDI and collaborates with coding , clinicians, medical staff, and physician advisors to improve documentation and the importance of complete and… more
    Beth Israel Lahey Health (11/21/25)
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  • Sr. Claims Specialist , Medical

    Sedgwick (Los Angeles, CA)
    …Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr. Claims Specialist , Medical Malpractice | Professional Liability | California **PRIMARY ... PURPOSE** : To analyze complex or technically difficult medical malpractice claims; to provide resolution of highly complex...+ Ensures claim files are properly documented and claims coding is correct. + Refers cases as appropriate to… more
    Sedgwick (11/15/25)
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  • Insurance Authorization Specialist

    Houston Methodist (Houston, TX)
    At Houston Methodist, the Insurance Authorization Specialist position is responsible for obtaining and managing insurance authorizations for medical services and ... FUNCTIONS** + Initiate and manage the authorization process for medical services and simple procedures and treatments. + Maintain...and treatments. + Maintain accurate and up to date records of all authorization requests and approvals. + Document… more
    Houston Methodist (11/06/25)
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  • Senior Claim Denial Prevention & Appeals…

    Oracle (Little Rock, AR)
    …and Appeal Drafting:** Conduct in-depth clinical reviews of denied claims, utilize medical records , medical necessity criteria, payer reimbursement ... + Knowledge of medical and insurance terminology, MS-DRG, APR-DRG, CPT, ICD coding structures, and billing forms (UB, 1500). + Experience with coding ,… more
    Oracle (12/11/25)
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  • Charge Entry Specialist

    HCA Healthcare (San Antonio, TX)
    …finalizing/updating charges in the system . You will extract information from medical records , operative notes, hospital admissions, consults, progress notes and ... you have the career opportunities as a(an) Charge Entry Specialist you want with your current employer? We have...in the healthcare field is required . Knowledge of medical terminology and coding is highly preferred… more
    HCA Healthcare (10/22/25)
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  • Clinical Document Specialist

    RWJBarnabas Health (New Brunswick, NJ)
    …Job Overview: A clinical documentation specialist (CDS) reviews a patient's medical records to ensure documentation is accurate as well as up-to-date ... Brunswick, New Brunswick, NJ 07757 Job Title: Clinical Document Specialist Location: Barnabas Health Corp Department: Clinical Documentation Mgmt...CDS must have familiarity with the codes involved with medical records , each of which is used… more
    RWJBarnabas Health (12/12/25)
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  • Claim Benefit Specialist - Medical

    CVS Health (Franklin, TN)
    …decision-making skills **Preferred Qualifications** + 1-2 years' experience reviewing medical records + Medical coding knowledge **Education** HS Diploma ... medical and final expense claims for reimbursement through knowledge of medical records reviews, team processes, and effective communication skills. **A… more
    CVS Health (11/20/25)
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  • Clinical Documentation Specialist , Second…

    SSM Health (MO)
    …the interdisciplinary care team member, an auditor, and an educator ensuring medical records are complete and clinical documentation comprehensively represents ... **Job Responsibilities and Requirements:** PRIMARY RESPONSIBILITIES + Reviews clinical records of both clinical documentation integrity and mortality scoring. +… more
    SSM Health (11/21/25)
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  • Pre-Authorization Specialist

    University of Colorado (Aurora, CO)
    …or billing roles, preferably DME, rehabilitation, or orthopedic specialty. + Knowledge of medical coding , insurance rules, and medical terminology. + ... Specialist ** **Description** **Univers** **ity of Colorado Anschutz Medical Campus** **Department: Orthopedics** **Job Title:** **Position #:** **- Requisition… more
    University of Colorado (12/12/25)
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