• Sr. Fraud Data Analyst

    Blue Cross Blue Shield of Massachusetts (Boston, MA)
    …Fraud Examiner (CFE), Accredited Healthcare Fraud Investigator (AHFI), Certified Professional Coder (CPC), or similar fraud detection/healthcare certification ... preferred. + At least five years business experience. + Skilled at manipulating and analyzing large data sets. + Four years' experience in investigation/detection, data analytics or a related field that demonstrates expertise in reviewing, analyzing/developing… more
    Blue Cross Blue Shield of Massachusetts (10/14/25)
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  • Billing Code Senior Manager

    HCA Healthcare (Nashville, TN)
    …preferred - Health Care Compliance Association (HCCA) preferred + Certified Professional Coder (CPC) certification considered + Certified Healthcare Compliance ... (CHC) certification considered We are comprised of affiliated hospitals, physician practices and other sites of care across the United States and United Kingdom. The Sarah Cannon Cancer Network is transforming cancer care through integrated services and… more
    HCA Healthcare (10/12/25)
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  • REMOTE - Trauma Registrar - Level 1 Trauma Center…

    Queen's Health System (Honolulu, HI)
    …+ Preferred certifications: + Registered Health Information Technician (RHIT) + Certified Professional Coder (CPC) + Certified Specialist in Trauma Registry ... (CSTR) + Certified Abbreviated Injury Scale Specialist (CAISS) **Be a part of something bigger. Help us deliver care when every second counts.** Equal Opportunity Employer/Disability/Vet more
    Queen's Health System (10/09/25)
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  • Revenue Integrity Coordinator

    WMCHealth (Valhalla, NY)
    …preferred or two years' work experience. Licenses / Certifications: Certified Professional Coder (CPC) or similar credential, preferred. Other: Familiarity ... with medical record documentation standards and practices, health care insurance billing issues, and federal and state billing compliance issues for hospitals; knowledge of CPT-4 codes and ICD-10-CM codes is preferred. Special Requirements: Requires travel to… more
    WMCHealth (10/08/25)
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  • Clinical Reviewer

    Independent Health (Buffalo, NY)
    …NYS license required; BSN preferred. Certified Coding Specialist (CCS)/AHIMA or Certified Professional Coder (CPC)/AAPC credentials preferred. + Four (4) years ... of clinical experience required. Utilization Management experience preferred. + Comprehensive knowledge and experience with managed care benefit plans. + Ability to research and assist clinical team in rendering coverage determinations in accordance with… more
    Independent Health (10/07/25)
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  • Manager, Coding

    Virginia Mason Franciscan Health (Seattle, WA)
    …years of increasingly responsible management experience in healthcare). + Certification as Professional Coder (CPC) through AAPC or Coding Credential through ... AHIMA required. + Experience in a clinic/hospital financial operations; exceptional interpersonal skills and an emphasis on customer service; skilled in team dynamics and consensus building; ability to be decisive while preserving a working relationship with… more
    Virginia Mason Franciscan Health (10/03/25)
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  • Trainer, Revenue Integrity

    Guthrie (Sayre, PA)
    …Administration, Health Information Management, or related field (required) + Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent ... certification (preferred) Key Roles and Responsibilities: 1. Design and deliver training programs on revenue integrity topics including coding, billing, and documentation. 2. Assess training needs through surveys, audits, and performance data. 3. Develop… more
    Guthrie (10/03/25)
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  • APC Coordinator Virtual

    AdventHealth (Maitland, FL)
    …(RHIA) + Registered Health Information Technician (RHIT) - Cert Required + Certified Professional Coder (CPC) + Certified Coding Specialist (CCS) This facility ... is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills,… more
    AdventHealth (10/02/25)
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  • Associate Investigator - Program Integrity

    Insight Global (Norfolk, VA)
    …insurance billing, internal/ external audit, claims investigations, etc. -Must have a Professional Coder certification -Must have wonderful communication due to ... all of the teams and contacts this person will be communicating with -Microsoft Excel, Word, Access, and Outlook experience -Bachelor's Degree in related field more
    Insight Global (10/01/25)
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  • Denials Specialist 2 / HIM Coding

    Hartford HealthCare (Farmington, CT)
    …management and appeals preferred. *Licensure, Certification, Registration* . A Certified Professional Coder with a Registered Health Information Technician ... (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS),and/or Certified Clinical Documentation Specialist (CCDS), Certified Documentation Integrity Practitioner (CDIP) *Language Skills* . Strong written and verbal… more
    Hartford HealthCare (09/30/25)
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