• Physician Advisor Clinical Appeals

    CommonSpirit Health (Englewood, CO)
    …successful candidate will also collaborate cross-functionally with Utilization Management, CDI, coding , and compliance teams to reduce inpatient denials, ... **Job Summary and Responsibilities** **This is a remote position.** **This position represents 1 of 2 available opportunities.** We are seeking a highly skilled… more
    CommonSpirit Health (09/28/25)
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  • Clinical Document Improvement Specialist

    Arkansas Children's (Little Rock, AR)
    …CC017060 Health Information Management **Summary:** Monday to Friday, full-time - remote (must reside in Arkansas). **Training will be onsite**. Ensures overall ... with physicians, nursing staff, other patient caregivers, and medical records coding staff to support appropriate reimbursement and ensure that clinical severity… more
    Arkansas Children's (10/14/25)
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  • Psychiatrist - Adult, IP/OP

    Catholic Health Initiatives (Bismarck, ND)
    …medical findings, diagnoses, and treatment plans. + Ensure compliance with coding and billing regulations. Diagnostic Procedures: + Order and interpret diagnostic ... their growing Behavioral Health Team. The beautiful clinic and inpatient unit, both based in the hospital, has it's...on, 2 weeks off model + Potential to offer remote /telehealth services + Set your own schedule with ability… more
    Catholic Health Initiatives (10/11/25)
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  • Medical Director - Florida

    Humana (Montgomery, AL)
    …participation in care management. The clinical scenarios predominantly arise from inpatient or post-acute care environments. Has discussions with external physicians ... require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and outpatient… more
    Humana (10/03/25)
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  • Assistant Professor, Clinical Faculty Appointment…

    MD Anderson Cancer Center (Houston, TX)
    …Professor under Clinical Faculty Appointment (CFA) to support the newly established inpatient consult service at MD Anderson Cancer Center (MDACC) in Houston, TX. ... a successful and robust outpatient practice while balancing the inpatient consult service component. Refer to the Department of...experience. b. Visually review for proper ICD-10 and CPT coding and approve all charge documents within five working… more
    MD Anderson Cancer Center (08/10/25)
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  • Clinical Documentation Specialist

    UNC Health Care (Goldsboro, NC)
    …to accurately reflect care. 2. Collaborates closely with healthcare team and coding staff to assure documentation of diagnoses and any co-morbid conditions are ... compliant and concurrent questions to those Clinicians. 5. Utilizes inpatient admission criteria to assign diagnoses that meet acute...in CDS role in an acute care facility or coding certification of CCS, CCA, RHIT, or RHIA required.… more
    UNC Health Care (09/17/25)
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  • Patient Financial Services Analyst

    Garnet Health (Harris, NY)
    …years of extensive experience in revenue cycle, with a focus on hospital inpatient /outpatient billing and coding required. Experience with billing software such ... + Skills: In-depth knowledge of ICD, CPT, and HCPCS coding systems. Experience with Medicare, Medicaid, and commercial insurance...ventilated facility. No routine exposure to hazards. + For Remote and Hybrid Remote positions: If deemed… more
    Garnet Health (10/17/25)
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  • Key Account Manager - Cardiovascular

    Amgen (Pittsburgh, PA)
    …Hospital Pharmacy, Lipid Clinical, Heart Failure Clinical and Quality Directors ( inpatient and outpatient), hospital finance decision makers within assigned accounts ... and external dynamics in both dyslipidemia and heart failure (eg: inpatient to outpatient management and protocols, readmission programs, Electronic Management… more
    Amgen (10/17/25)
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  • Medical Director - Claims Management

    Humana (Salem, OR)
    …may require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, dispute, grievance, and appeals processes, and ... post residency or fellowship, which preferably includes some experience in an inpatient environment and/or related to care of a Medicare type population (disabled… more
    Humana (10/16/25)
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  • Key Account Manager - Cardiovascular

    Amgen (San Antonio, TX)
    …Hospital Pharmacy, Lipid Clinical, Heart Failure Clinical and Quality Directors ( inpatient and outpatient), hospital finance decision makers within assigned accounts ... and external dynamics in both dyslipidemia and heart failure (eg: inpatient to outpatient management and protocols, readmission programs, Electronic Management… more
    Amgen (08/21/25)
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