• Coding and Compliance Internal Auditor I - CPC

    Atlantic Health System (Morristown, NJ)
    …to assure appropriateness and accurate code assignments in accordance with Center of Medicare and Medicaid (CMS) guidelines and provide ongoing feedback and ... for assisting with coding inquiries from providers, charge posters, billing staff, etc. Principal Accountabilities: Coordinates, schedules, performs the professional… more
    Atlantic Health System (10/01/25)
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  • Director of Revenue Cycle Management

    WestCare Foundation (Henderson, NV)
    …of healthcare billing systems, coding guidelines (ICD-10, CPT), Medicare / Medicaid , commercial insurance, and reimbursement methodologies. + Demonstrated ... cycle, including patient registration, insurance verification, coding, charge capture, billing , collections, denial management, and revenue integrity. This role… more
    WestCare Foundation (09/26/25)
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  • Compliance Coding Auditor - Integrity…

    Guthrie (Sayre, PA)
    …and insurance regulations as well as The Guthrie Clinic policies, as applicable, Medicare , Medicaid , and LCD (Local Coverage Determinations), and NCD (National ... requirements. + Minimum 1-year experience in Physician coding and billing and/or compliance field required 5 year of clinical...and training providers and staff in relation to coding, billing and compliance issues + Assists in developing annual… more
    Guthrie (09/13/25)
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  • Provider Services Auditor

    St. Luke's University Health Network (Allentown, PA)
    …competency in coding and documentation State and Federal regulatory requirements including Medicare , Medicaid and third-party payers as well as strong ... office staff, as well as the Coding and SLPG Billing Department. JOB DUTIES AND RESPONSIBILITIES: + Perform quality...to support billed claims. + Generate provider reports through billing software. + Coordinates, schedules, and meet with providers… more
    St. Luke's University Health Network (09/04/25)
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  • Senior Investigator (Aetna SIU)

    CVS Health (Morgantown, WV)
    …per year, depending on business needs) **Preferred Qualifications** + Previous Medicaid / Medicare investigatory experience + Exercises independent judgement and ... to prevent payment of fraudulent claims submitted to the Medicaid lines of business + Researches and prepares cases...findings + Initiates proactive data mining to identify aberrant billing patterns + Makes referrals, both internal and external,… more
    CVS Health (11/15/25)
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  • Sr. Product Manager - Claims Management

    Waystar (Louisville, KY)
    …1K+ hospitals and health systems, and is connected to over 5K commercial and Medicaid / Medicare payers. We are deeply committed to living out our organizational ... thorough fashion + An understanding of hospital & professional coding and billing workflows and the provider reimbursement process, obtained either through direct… more
    Waystar (11/07/25)
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  • (Bilingual Spanish) Intake Specialist, Homecare

    RiseBoro Homecare Inc. (Brooklyn, NY)
    …base. This role requires a strong understanding of homecare regulations related to Medicare , Medicaid , and other insurance programs. The Intake Specialist will ... Home Health Aide Program (CHHA) and Managed Long-Term Care (MLTC), Medicaid , insurance verification, Maximus procedures, and MLTC enrollment. . Collaborate and… more
    RiseBoro Homecare Inc. (10/30/25)
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  • Senior Business Intelligence Engineer

    Humana (Lincoln, NE)
    …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... Intelligence Engineer position will be supporting BI work for our Medicare organizations. **Senior Business Intelligence Engineer** : + Develops and maintains… more
    Humana (11/27/25)
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  • Registered Manager Local Specialty

    Walgreens (San Francisco, CA)
    billing and submission of claims to government-sponsored health care programs, including Medicare , Medicaid , and all other third-party payers, as well as the ... bodies and contracts with payers and pharmaceutical manufacturers (BOP, DEA, Medicare , accreditation bodies, compounding, FDA, etc.). + Complies with all federal… more
    Walgreens (11/27/25)
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  • Business Office Manager (Accountant III)…

    State of Colorado (Rio Grande County, CO)
    …banking, petty cash, and donation accounts + Overseeing/completing regular billings for Medicare , Medicaid , Hospice, the Department of Veterans Affairs, Managed ... Care/Insurance and private payers + Reviewing VA Per Diem Billing , approving Donation Account and Trust Fund reconciliations, and overseeing the management of these… more
    State of Colorado (11/26/25)
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