• Medical Investigator I/II

    Excellus BlueCross BlueShield (Rochester, NY)
    …presentation skills, and strong writing skills for the creation of comprehensive professional documents. + Proficient with health systems operations including an ... operations including an understanding of reimbursement methodologies and coding conventions for governmental and commercial products (eg, Medicare, Medicaid,… more
    Excellus BlueCross BlueShield (09/17/25)
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  • Quality Improvement Professional

    CenterWell (Richmond, VA)
    …Collaborates with various stakeholders/partners (internal and external) including market operations /provider relations, coding teams; medical directors, clinical ... and help us put health first** The Quality Improvement Professional partners and or aligns with Stars leadership to...promote action on the part of clinical teams and operations to address opportunities and close gaps (excel moderate… more
    CenterWell (09/25/25)
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  • Provider Engagement Professional

    Humana (Springfield, IL)
    … operations , and strong interpersonal skills. The Provider Engagement Professional develops and grows positive, long-term relationships with physicians, providers ... and healthcare systems. The Provider Engagement Professional (Physician and LTSS) roles and responsibilities include: + Serve as primary relationship manager … more
    Humana (08/02/25)
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  • Outpatient Coder (Remote)

    WMCHealth (Valhalla, NY)
    …Applicant link Job Details: Job Summary: The Coder is responsible for coding medical records, including all diagnoses and operative and diagnostic procedures in ... Procedural Terminology (CPT) and Health Care Financing Administration Common Procedures Coding System (HCPCS) and entering coded information into an automated… more
    WMCHealth (09/12/25)
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  • Quality & Risk Adjustment Provider Consultant

    Blue Cross and Blue Shield of Minnesota (Eagan, MN)
    …Adjustment Provider Consultant Location: Hybrid | Eagan, Minnesota Career Area: Customer Service/ Operations About Blue Cross and Blue Shield of Minnesota At Blue ... and identifies actionable opportunities for providers to improve their Quality and Coding Accuracy performance. The role leads face-to-face meetings with leaders in… more
    Blue Cross and Blue Shield of Minnesota (09/30/25)
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  • Supervisor, Revenue Cycle Ops

    Emory Healthcare/Emory University (Atlanta, GA)
    …corrective action as necessary. + Hires and trains new employees. + Works with manager to formulate a plan for professional development. + Attends educational ... of equivalent education and experience; OR successful completion of the TEC Operations Development Program (ODP). + Preferred skills: Coding certificate through… more
    Emory Healthcare/Emory University (09/05/25)
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  • PT Acct Billing Liaison

    Covenant Health Inc. (Knoxville, TN)
    …billing guidelines updates. Communicates to Director or Revenue cycle and/or CBO Operations Manager so information can be distributed to proper ... duties as assigned to the satisfaction of the CBO Operations Manager and/or Director of Revenue Cycle....during working hours within the department. + Identifies possible coding problem areas that need stronger focus and/or resolution.… more
    Covenant Health Inc. (08/15/25)
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  • Account Representative - (Museum District)

    Houston Methodist (Houston, TX)
    …all outstanding third party primary and secondary insurance claims for professional services. This position performs collections activities on simple and complex ... denials and on outstanding insurance balances in the professional fee environment. This role is also responsible for...communication. + Identifies denial trends and notifies supervisor and/or manager to prevent future denials and further delay in… more
    Houston Methodist (08/14/25)
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  • MES System Analyst III

    Hyundai Autoever America (Savannah, GA)
    MES System Analyst III Location - Savannah, GA CBU: HMGMA Reports to: MES Manager Purpose of Position: We seek a skilled and enthusiastic individual to join our ... III bridges the gap between information technology (IT) and manufacturing operations to ensure efficient and effective production processes. Your primary focus… more
    Hyundai Autoever America (08/19/25)
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  • Revenue Integrity Analyst - Inpatient

    University of Washington (Olympia, WA)
    …Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Professional Coder (CPC), ... Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Professional Coder (CPC),… more
    University of Washington (08/23/25)
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