• Vendor Resource Management Profee Coding Manager

    HCA Healthcare (Nashville, TN)
    …payment compliance, credentialing, health information management, customer service, payroll and physician billing . We also provide full-service revenue cycle ... concerns or resource changes are communicated to CCU as needed; ensures coder productivity and daily/weekly/monthly completion volumes are tracked and monitored. The… more
    HCA Healthcare (07/19/25)
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  • Senior Coding and Reimbursement Auditor

    Avera (Sioux Falls, SD)
    …on quality audit findings or requested risk areas and evaluates clinicians' and coder coding performance. + Audit activity may identify risks for escalation of ... coders based on findings from quality coding audits. Collaborates with departments and physician specialties as needed for clinical support on education topics + May… more
    Avera (09/23/25)
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  • Senior Director, Revenue Cycle

    Scripps Health (San Diego, CA)
    …and productivity program for coding and CDI staff. * Collaborates with physician and operational leadership to optimize workflows and technology. * Demonstrates ... across the system, in collaboration with, clinic managers, CDI Educators, Physician Advisors, and coding departments, on coding and documentation related issues.… more
    Scripps Health (08/15/25)
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  • Inpatient Coding Quality Officer III - (Medicare)…

    RWJBarnabas Health (Oceanport, NJ)
    …processes and pharmacology is required. + Knowledge of Medicare and Medicaid billing and coding regulations. + Must have excellent interpersonal, oral, and written ... within the RWJBH organization. This results in improved outcomes in DRG assignment, coder education and DNB lag time within all facilities. + Sustains an excellent… more
    RWJBarnabas Health (10/14/25)
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  • Sr Enterprise Rules and Edits Consultant

    Waystar (Atlanta, GA)
    …scoping, project planning, implementation, and stabilization. The Consultant will leverage billing and coding subject matter expertise and industry experience to ... changes and compliance issues, focusing on government/payer requirements for claims billing & coding/authorization * Leverage analytical tools (Excel, PowerBI, SQL… more
    Waystar (09/23/25)
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  • Compliance & Audit Partner

    Emory Healthcare/Emory University (Atlanta, GA)
    …laws, regulations, and industry standards, focusing on compliance risk areas and billing practices, while also providing ongoing educational support, and fostering a ... of five years of experience working as a medical coder , coding auditor, and/or coding educator. + Certified in...CCS-P, CCS, CPMA, COC) + Strong knowledge of teaching physician rules, E/M leveling, and/or split/shared services. + Experience… more
    Emory Healthcare/Emory University (09/23/25)
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  • Revenue Cycle Compliance Analyst

    Carle Health (Champaign, IL)
    …1 year - American Health Information Management Association (AHIMA); Certified Professional Coder (CPC) within 1 year - American Academy of Professional Coders ... research, assessment of organizational risk based on industry trends, billing guidelines issued by governmental authorities and regulatory changes.Conducts routine… more
    Carle Health (09/18/25)
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  • Revenue Integrity Analyst

    Hartford HealthCare (Farmington, CT)
    …communication and education on correct charge capture, documentation, coding and billing processes. 5) Lead annual, quarterly, CPT(R), HCPCS changes for accuracy, ... compliance with applicable billing guidelines, and optimization of reimbursement 6) Communicate CDM maintenance activities to clinical departments and information… more
    Hartford HealthCare (09/18/25)
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  • Quality Clinical Documentation Improvement RN

    Dignity Health (Rancho Cordova, CA)
    …Follows department policies and guidelines on appropriate documentation to billing codes, abstracting information from chart notes based on performance ... timely manner within pre-set acceptable accuracy levels. Tracks trends for each physician to identify potential training areas. - Maintains accurate, timely tracking… more
    Dignity Health (10/14/25)
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  • DRG Specialist II

    UPMC (Pittsburgh, PA)
    …accurately coded and sequenced according to coding and compliance guidelines. + Review billing data when conducting focused chart audits to ensure it is complete and ... the Patient Business Services department for appropriate reimbursement. + Formulate physician queries that present indications, utilizing clinical judgment, of a… more
    UPMC (09/25/25)
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