• Revenue Integrity Program Manager (Remote)

    Stanford Health Care (Palo Alto, CA)
    …- Certified Coding Specialist preferred . or + CPC and/or CCSP - Certified Professional Coder preferred . or + RHIT - Registered Health Information Technician ... Manager is a critical role responsible for optimizing hospital and professional revenue, identifying potential revenue leakage while ensuring compliance in charging… more
    Stanford Health Care (10/14/25)
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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 ... management of staffing schedule to achieve timely coding, provider and coder audits, identification of and implementation of proactive denial mitigants, and… more
    Tidelands Health (10/01/25)
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  • Investigator

    Highmark Health (Harrisburg, PA)
    …None **Preferred** (any of the following) + Certified Fraud Examiner (CFE) + Certified Professional Coder (CPC) + Certified Outpatient Coder (COC) + ... acute care hospital or health insurance setting + 1 year in professional billing, facility Patient Financial Services, HIM, Internal Audit, Professional /Facility… more
    Highmark Health (12/12/25)
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  • Medicare/Medicaid Claims Editing Specialist

    Commonwealth Care Alliance (Boston, MA)
    …certification OR willing to get certified within 1 year of employment - + Certified Professional Coder (CPC) + Certified Inpatient Coder (CIC) + Certified ... Please note employment with CCA is contingent upon acceptable professional references, a background check (including Mass CORI, employment, education,… more
    Commonwealth Care Alliance (11/25/25)
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  • Provider Network Operations Medicaid Analyst

    AmeriHealth Caritas (Charleston, SC)
    …**Education/Experience: ;** + High School Diploma/GED required. + American Academy of Professional Coders (AAPC) Certified Professional Coder (CPC) ... + Critical thinking and root cause analysis skills required. **Other:** + Certified Professional Coder (CPC) or CPC - A or CBCS is a requirement. **;** ;… more
    AmeriHealth Caritas (11/19/25)
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  • CDI Reconciliation Specialist

    HCA Healthcare (Nashville, TN)
    Coder , or (CCS) Certified Coding Specialist, or (CPC) Certified Professional Coder , or (RHIA) Registered Health Information Administrator, or (RHIT) ... goals + Delivers targeted and actionable communications that invites two-way professional communication. Adjusts messages appropriately by audience + Demonstrates a… more
    HCA Healthcare (11/04/25)
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  • Manager Reimbursement Services (CPC, CRC,…

    Geisinger (Danville, PA)
    …Management Association; Certified Risk Adjustment Coder - American Academy of Professional Coders (AAPC); Certified Professional Coder - American Academy ... of Professional Coders (AAPC) OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. KINDNESS: We strive to treat everyone as we would hope to be treated ourselves.… more
    Geisinger (10/31/25)
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  • Quality & Risk Adjustment Provider Consultant

    Blue Cross and Blue Shield of Minnesota (Eagan, MN)
    …Care Quality measures * Certified Risk Adjustment Coder (CRC via AAPC) or Certified Professional Coder (CPC via AAPC). If you do not have both the CRC AND ... performance. Required Skills and Experience * 7+ years of related professional experience. All relevant experience including work, education, transferable skills,… more
    Blue Cross and Blue Shield of Minnesota (09/30/25)
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  • Compliance Auditing Specialist- Remote/Hybrid…

    WMCHealth (Valhalla, NY)
    …ambulatory setting with one or more of the following credentials: Certified Risk Coder (CRC), Certified Professional Coder certification (CPC), Certified ... Professional Medical Auditor (CPMA) or Certified Clinical Documentation Specialist (CCDS) credential(s). Education: Bachelor's Degree in related field Other: Remote/Hybridavailable Special Requirements: About Us: NorthEast Provider Solutions Inc. Benefits:… more
    WMCHealth (12/12/25)
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  • Revenue Integrity Charge Auditor (Remote)

    Stanford Health Care (Palo Alto, CA)
    …+ CCS - Certified Coding Specialist required . or + CPC and/or CCSP - Certified Professional Coder required . or + Certified Outpatient Coder - COC required ... to appropriate execution of regulatory requirements and guidelines related to professional or facility and documentation, charging, coding and billing, including… more
    Stanford Health Care (12/10/25)
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