• Compliance Analyst II, Urmc and Affiliates

    University of Rochester (Rochester, NY)
    … coding experience** required, to include: **APG** , **APC** , and/or **DRG** coding methodologies or professional coding and billing in specialty areas. ... pathways for the Compliance Analyst II (1: Compliance Billing, Coding , and Education Analyst,** **or**...(CCEP), + Certified Fraud Examiner (CFE), + Certified Internal Auditor (CIA), + Or equivalent professional certification… more
    University of Rochester (10/03/25)
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  • Compliance Auditing Specialist-…

    WMCHealth (Valhalla, NY)
    …to providers and staff regarding accurate and complete medical record documentation and coding in compliance with established documentation and coding ... standards. Responsibilities: . Audits medical records to assure compliance with applicable coding and documentation standards. Manages query process that is… more
    WMCHealth (09/12/25)
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  • Compliance & Audit Partner

    Emory Healthcare/Emory University (Atlanta, GA)
    …of experience working as a medical coder, coding auditor , and/or coding educator. + Certified in Healthcare Compliance (CHC or CPCO) preferred. If no ... At Emory Healthcare.** At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoingmentorshipand leadership programs… more
    Emory Healthcare/Emory University (09/23/25)
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  • Compliance Specialist

    Sanford Health (ND)
    … Coder (CPC), Certified Coding Specialist (CCS), Certified Professional Medical Auditor (CPMA), Certified Coding Specialist-Physician-based ... 44.00 **Job Summary** The primary function of this position is to ensure compliance with the federal and state laws, regulations, and rules governing healthcare… more
    Sanford Health (10/04/25)
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  • Compliance Specialist

    Sanford Health (Sioux Falls, SD)
    … Coder (CPC), Certified Coding Specialist (CCS), Certified Professional Medical Auditor (CPMA), Certified Coding Specialist-Physician-based ... * Auditing / Evaluation / Investigation The day to day work of a compliance specialist is managing projects of varying scopes from start to end. Key accountabilities… more
    Sanford Health (07/31/25)
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  • Analyst, Compliance Auditing, Monitoring…

    Option Care Health (Bannockburn, IL)
    …Interests (PQIs)** + Experience with healthcare laws and regulations, preferably with compliance requirements related to billing and coding , privacy and ... as is familiarity with statistical methodologies. + Certified in Healthcare Compliance (CHC), Certified Internal Auditor (CIA), Certified Fraud Examiner… more
    Option Care Health (10/19/25)
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  • Inpatient Audit Specialist

    Datavant (Providence, RI)
    …mouse, headset, and keyboard + Comprehensive training led by a credentialed professional coding manager + Exceptional service-style management and mentorship ... you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding … more
    Datavant (10/09/25)
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  • Compliance Partner

    Corewell Health (Grand Rapids, MI)
    …after hire: + CRT-Healthcare Compliance , Certified (CHC) - HCCA Health Care Compliance Association Or + CRT- Professional Coder - AAPC American Academy of ... Professional Coders Or + CRT- Coding Specialist (CCS) - AHIMA American Health Information Management...IIA Institute of Internal Auditors Or + CRT-Healthcare Privacy Compliance , Certified (CHPC) Or + CRT-IRB Professional ,… more
    Corewell Health (10/01/25)
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  • Medicare/Medicaid Claims Editing Specialist

    Commonwealth Care Alliance (Boston, MA)
    …Working under the direction of the Sr. Director, TPA Management and Claims Compliance , Healthcare Medical Claims Coding Sr. Analyst will be responsible for ... Professional Coder (CPC) + Certified Inpatient Coder (CIC) + Certified Professional Medical Auditor (CPMA) **Desired Education (nice to have):** + Masters… more
    Commonwealth Care Alliance (08/26/25)
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  • Medical Investigator I/II (RN Required)

    Excellus BlueCross BlueShield (Rochester, NY)
    …investigating and remediating allegations of FWA while adhering to compliance and regulatory requirements. Primary activities include substantiating referrals, case ... contracts, group benefit structures, Corporate Medical Policies, the AMA CPT Coding Guidelines, HCPCS coding , inter-plan regulations, government policies, as… more
    Excellus BlueCross BlueShield (09/17/25)
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