• Payment Integrity DRG Coding & Clinical Validation…

    Excellus BlueCross BlueShield (Rochester, NY)
    …and APR-DRG payment systems. This position is responsible for reviewing medical records for appropriate provider documentation to support the principal diagnosis, ... I . Analyzes and audits acute inpatient claims. Integrates medical chart coding principles, clinical guidelines, and objectivity in.... Associate or bachelor's degree in health information management ( RHIA or RHIT) or a Nursing Degree. . Three… more
    Excellus BlueCross BlueShield (10/23/25)
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  • Medical Coder III

    SAIC (TX)
    …Applicants must have **ONE** of the following medical coding certifications: **RHIT/ RHIA /CPC/CCS-P/** **CDEO/CDEI/ACDIS/CCDS/CCDS-O/CDIP/CEMA** Applicants ... **Description** SAIC is looking for a Full-Time **Remote** Medical Coder III to provide remote medical...**Remote** Medical Coder III to provide remote medical coding support to government Medical Treatment… more
    SAIC (12/06/25)
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  • Certified Specialty Coder- Three Rivers…

    UPMC (Pittsburgh, PA)
    …is required. + Graduation from an approved Health Record Administration or Accredited Medical Record Technician program ( RHIA /RHIT or eligible) or a certified ... flexibility after training Responsibilities: + Utilize advanced, specialized knowledge of medical codes and coding procedures to assign and sequence appropriate… more
    UPMC (12/08/25)
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  • Clinical Documentation Improvement Specialist…

    University of Southern California (Arcadia, CA)
    …+ Graduate from a program of nursing, BSN, Health Information Management RHIT, RHIA , or foreign medical doctorate degree strongly preferred. + Accredited college ... coding conventions and guidelines and applies to ongoing evaluation of medical record documentation. + Designs and implements in collaboration with physician… more
    University of Southern California (12/12/25)
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  • Health Record Coder III Extra On-Call Remote

    Trinity Health (Fresno, CA)
    …as well as familiarity with state and federal laws governing the release of medical information is required. 4. RHIA , RHIT or CCS certification is required. ... discharged and/or outpatient surgery records (ie, inpatient, emergency room, outpatient medical and outpatient surgery). **REQUIREMENTS** 1. High school diploma or… more
    Trinity Health (12/12/25)
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  • Clinical Documentation Specialist (Remote -Texas…

    UTMB Health (Galveston, TX)
    …setting. **Licenses, Registrations, or Certifications Required:** RN current license or RHIA /RHIT/CCS ( medical school graduates are exempt from this MQ) ... (Remote -Texas Resident) - Clinical Data **Galveston, Texas, United States** Medical Administrative UTMB Health Requisition # 2505072 **Minimum Qualifications:** .… more
    UTMB Health (12/12/25)
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  • Regulatory Compliance Manager - Hybrid/Remote

    University of Utah (Salt Lake City, UT)
    …care setting or equivalency; coding certification ( CPC , ACS , CCS -P/H, RHIA ); knowledge of medical auditing, Federal healthcare program policies and ... coding certification ( CPC , ACS , CCS -P/H, RHIA ); knowledge of medical auditing, Federal healthcare program policies and requirements (including Medicare… more
    University of Utah (11/15/25)
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  • Coding Specialist

    Kaleida Health (Buffalo, NY)
    …those employees with a Bachelor of Science in Health Information Management ( Medical Record Administration) must obtain & maintain RHIA certification. Employees ... Tech (RHIT) within 6 months required. Reg Health info Admin ( RHIA )- employees with a BS in HIM/ Medical Record must obtain this certification within 6 months of… more
    Kaleida Health (11/07/25)
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  • DRG Auditor

    Insight Global (South Jordan, UT)
    …certification (2 years in clinical documentation) OR IF NOT A NURSE: Degree in RHIM, RHIA , RHIT with medical coding degree or just CCS is fine with strong ... and APR-DRG payment systems. This position is responsible for auditing inpatient medical records and generating high-quality recoverable claims for the benefit of… more
    Insight Global (12/09/25)
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  • Registered Nurse - Clinical Documentation…

    Cedars-Sinai (Los Angeles, CA)
    …Physician Assistant, foreign MD license or certification in Health Information Management or Medical Coding, such as RHIT, RHIA , CCDS, CDIP OR CPC, required ... through extensive interaction with physicians, nursing staff, other patient caregivers, and medical records coding staff to support the level of service rendered to… more
    Cedars-Sinai (09/18/25)
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