• RN Medical Claim Review Nurse Remote

    Molina Healthcare (Albuquerque, NM)
    …programs. **Preferred Qualifications** * Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified ... with previous Inpatient Hospital, Skilled Nursing Facility experience, and outpatient coding experience including diagnosis. Candidates with knowledge of CPT/HCPCS… more
    Molina Healthcare (10/19/25)
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  • Revenue Cycle Manager

    Select Medical (Tampa, FL)
    …front office personnel to identify the best fit and reduce Patient Service Specialist turnover. Ensure Checkster is complete for references. + Ensure all sections of ... the Patient Service Specialist On-Boarding process are complete to include the Front...reconciled monthly to include completion and submission of the Outpatient Petty Cash Reconciliation Form. + Ensure monthly reconciliation… more
    Select Medical (10/19/25)
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  • Compliance Analyst II, Urmc and Affiliates

    University of Rochester (Rochester, NY)
    …Compliance Billing, Coding, and Education Analyst,** **or** **2: Compliance Specialist ):** **1: Compliance Billing, Coding, and Education Analyst** Provides ... developing and delivering comprehensive education and training. **2: Compliance Specialist ** Provides compliance oversight and support across URMC and Affiliates… more
    University of Rochester (10/03/25)
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  • Clinical Revenue Auditor-CDM Patient Financial…

    Mount Sinai Health System (New York, NY)
    …abilities, excellent communication skills, and proficiency with EHR systems and audit software. Attention to detail and ethical judgment are also important. ... Professional Medical Auditor (CPMA), Certified Inpatient Coder (CIC), Certified Coding Specialist (CCS), or Certified Healthcare Auditor (CHA) can be beneficial.… more
    Mount Sinai Health System (09/24/25)
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  • Ambulatory Payment Classification Coordinator

    AdventHealth (Maitland, FL)
    …Classifications (APCs) and statistical reporting. Responsible for monitoring the outpatient APC reimbursement for all AdventHealth Central Florida South Division ... latest Coding and payment updates. The APC Coordinator may assist in training outpatient coders on the appropriate resolution of NCCI edits. Work alongside members… more
    AdventHealth (10/02/25)
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  • Analyst, Coding Data Quality Auditor

    CVS Health (Indianapolis, IN)
    …+ Acts as mentor to provide education to internal staff based on audit findings; provides general education on ICD codes as appropriate. + Effectively communicates ... the audit process and results to appropriate departments and management....+ CPC (Certified Professional Coder) or CCS-P (Certified Coding Specialist -Physician) and CRC (Certified Risk Adjustment Coder) required **Preferred… more
    CVS Health (10/31/25)
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  • HIM Cert OP Coder-Surgical Coder

    Carle Health (Champaign, IL)
    …responsible for accurate and timely coding of hospital inpatient, hospital outpatient and/or professional fee encounters using appropriate ICD10/ICDPCS, CPT, or ... - American Health Information Management Association (AHIMA); Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA);… more
    Carle Health (10/15/25)
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  • Coding Quality Auditor

    Cleveland Clinic (Cleveland, OH)
    …be responsible for assessing the accuracy and completeness of inpatient and outpatient medical record documentation through the conduct of random and focused coding ... audits. You will document findings, prepare and present audit results and perform investigations to provide comprehensive feedback. In this capacity, you will serve… more
    Cleveland Clinic (10/21/25)
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  • Billing And Coding Compliance Analyst

    Hunterdon Health Care System (Flemington, NJ)
    …to keep knowledge base current , responds to CBO needs in coding outpatient services for specialist offices Actively participates in scheduling education ... Administrative Director + Responsible for maintaining ,tracking, trending and communicating audit results on monthly basis and providing education to physicians and… more
    Hunterdon Health Care System (10/19/25)
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  • Coding and Reimbursement Auditor

    Avera (Sioux Falls, SD)
    …written reports with findings and recommendations. + Analyzes financial impact following audit activities based on various types of reviews including but not limited ... compliance focused Medicare reviews to resolve and minimize risks for a larger audit if compliance not resolved initially. Provide timely Education as needed to… more
    Avera (09/30/25)
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