• Payment Policy Sr. Specialist

    Blue Cross Blue Shield of Massachusetts (Hingham, MA)
    …healthcare reimbursement methodologies + Certified Professional Coder (CPC) and certified outpatient coder (COC) preferred + Proficiency in working ... inquiries within the facility reimbursement mailbox + Maintain and update the hospital outpatient and drug fee schedules, including assessing and pricing new codes +… more
    Blue Cross Blue Shield of Massachusetts (10/09/25)
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  • Ambulatory Clinical Documentation Integrity…

    Trinity Health (Livonia, MI)
    …integrated health care delivery system, revenue cycle or consulting experience. + Certified Risk Adjustment Coder (CRC), Certified Clinical Documentation ... Integrity (CDI), Certified Clinical Documentation Specialist - Outpatient (CCDS-O), Certified Documentation Expert Outpatient (CDEO), or Certified more
    Trinity Health (12/19/25)
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  • Coding Educator FT-Katy CC (Hybrid)

    Houston Methodist (Houston, TX)
    …CPC from AAPC is required **LICENSES AND CERTIFICATIONS - PREFERRED** + CPC-I - Certified Professional Coder Instructor (AAPC) -- (CBO Coders only) **OR** + CPMA ... teaching/training experience **LICENSES AND CERTIFICATIONS - REQUIRED** + For inpatient/ outpatient coding: RHIT, RHIA, or CCS certification from AHIMA...- Certified Professional Medical Auditor (AAPC) -- (CBO… more
    Houston Methodist (10/22/25)
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  • Manager, Ambulatory Clinical Documentation…

    Trinity Health (Livonia, MI)
    …experiences in clinical documentation integrity, coding, healthcare quality or equivalent + Certified Risk Adjustment Coder (CRC), Certified Clinical ... Documentation Integrity (CDI), Certified Clinical Documentation Specialist - Outpatient (CCDS-O), Certified Documentation Expert Outpatient (CDEO), or … more
    Trinity Health (12/19/25)
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  • Supervisor Provider Coding Specialist

    Tidelands Health (Myrtle Beach, SC)
    …- Physician-based - American Health Information Management Association Required + Certified Professional Coder - American Academy of Professional Coders ... will do** + Leads and guides staff that performs medical coding functions and supervises the processes and systems...of staffing schedule to achieve timely coding, provider and coder audits, identification of and implementation of proactive denial… more
    Tidelands Health (12/31/25)
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  • Associate Investigator

    Highmark Health (Pittsburgh, PA)
    … Fraud Examiner (CFE) + Certified Professional Coder (CPC) + Certified Outpatient Coder (COC) + Accredited Healthcare Fraud Investigator (AHFI) ... to prevent further improper payments. Forwards case to the Credentialing and/or Medical Review Committee, law enforcement and regulatory agencies. + Develop and… more
    Highmark Health (12/18/25)
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  • Investigator

    Highmark Health (Harrisburg, PA)
    … Fraud Examiner (CFE) + Certified Professional Coder (CPC) + Certified Outpatient Coder (COC) + Accredited Healthcare Fraud Investigator (AHFI) ... to prevent further improper payments.Forwards case to the Credentialing and/or Medical Review Committee, law enforcement and regulatory agencies. + Responsible for… more
    Highmark Health (12/12/25)
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  • Inpatient Coding Denials Analyst - Full Time…

    Texas Health Resources (Arlington, TX)
    …or RHIT - Registered Health Information Technician 12 Months REQUIRED or CPC - Certified Professional Coder 12 Months REQUIRED Skills Demonstrates the ability to ... coding denials resolution preferred Licenses and Certifications CCS - Certified Coding Specialist 12 Months REQUIRED or CCA -...Professional Accountability Additional perks of being a Texas Health Coder * Benefits include 401k, PTO, medical ,… more
    Texas Health Resources (11/18/25)
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  • Clinical Revenue Auditor-CDM Patient Financial…

    Mount Sinai Health System (New York, NY)
    …Technologist and related professions). + Certifications such as Certified Professional Medical Auditor (CPMA), Certified Inpatient Coder (CIC), ... organization and bridges the gap between clinical care and medical billing and reimbursement. This position will report to...Certified Coding Specialist (CCS), or Certified Healthcare Auditor (CHA) can be beneficial. **Computer Skills:**… more
    Mount Sinai Health System (12/24/25)
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  • Clinical Appeals and Disputes Nurse

    University of Washington (Seattle, WA)
    certified case manager, certified documentation specialist, certified coder , certified professional medical auditor + Previous experience working ... for UWMC and HMC, including billing for inpatient and outpatient services provided at the Medical Centers....+ Certification in at least one of the following: certified healthcare chart auditor, certified professional in… more
    University of Washington (12/19/25)
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