• Investigator External Audit Special Investigations…

    Providence (Oakland, CA)
    …billing and coding practices; and providing education related to coding , medical record documentation requirements, healthcare compliance and fraud, waste ... **Description** **Investigator External Audit Special Investigations Unit \* Remote The SIU Audit Investigator supports the compliance related activities of the… more
    Providence (09/27/25)
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  • Medical Review Auditor Analyst…

    Conduent (Charlotte, NC)
    …and be part of a culture where individuality is noticed and valued every day. ** Medical Review Auditor Analyst ( Remote - Charlotte Area)** **Are you a strong, ... describes you, then please apply!** **Job Summary:** Conduent is seeking an experienced Medical Review Auditor Analyst to join our team. This individual will work… more
    Conduent (09/16/25)
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  • Per Diem Professional Fee PA/NJ Remote

    St. Luke's University Health Network (Allentown, PA)
    …information into specialty- specific databases. + Conducts educational sessions to the medical staff for coding and documentation compliance. PHYSICAL AND ... entry of physician services statistics into specialty-specific databases. Works with Medical Records, Finance, and Physician Billing to ensure appropriate flow of… more
    St. Luke's University Health Network (09/26/25)
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  • Medical Billing Specialist Not…

    National Health Transport (Miami, FL)
    …other duties as assigned. Required Qualifications: + High School Graduate/GED + Medical coding training and experience + Familiar with Medicare/Medicaid laws ... Summary: Ambulance Medical Billing Specialist is responsible for billing and...be 8:00am-4:30pm, Monday through Friday. This position is not remote . Note: This description indicates, in general terms, the… more
    National Health Transport (07/23/25)
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  • Field Reimbursement Director ( Remote USA)

    Danaher Corporation (Memphis, TN)
    …/ customer facing role responsible for delivering compliant payer coverage, coding and reimbursement information regarding Cepheid on market diagnostics. This role ... office staff and financial decision makers on Cepheid diagnostics coverage, coding and reimbursement landscape. + Develop and maintain a comprehensive understanding… more
    Danaher Corporation (10/02/25)
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  • Utilization Management Appeals Nurse Consultant…

    CVS Health (Columbus, OH)
    …(Shift times may vary with possible weekends based on business needs) Location: 100% Remote (US only) **About Us** American Health Holding, Inc. (AHH), a division of ... Aetna/CVS Health, is a URAC-accredited medical management organization founded in 1993. We provide flexible,...a dedicated Utilization Management (UM) Nurse to join our remote team. **Position Summary** The Appeals Nurse Consultant plays… more
    CVS Health (10/12/25)
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  • Clinical Documentation Integrity Specialist- RN-…

    Beth Israel Lahey Health (Burlington, MA)
    …RN works under the direction of the Manager of CDI and collaborates with coding , clinicians, medical staff, and physician advisors to improve documentation and ... medical record documentation. Exhibits working knowledge of inpatient coding guidelines. Adheres to CDI convention and department policies and procedures.… more
    Beth Israel Lahey Health (10/16/25)
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  • Senior Account Reimbursement Specialist (Client…

    Vanderbilt University Medical Center (Nashville, TN)
    **Discover Vanderbilt University Medical Center** : Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery, and patient care, ... from registration and scheduling to the final payment of a balance. * Coding Knowledge (Novice): Ability to assign and interpret ICD-10-CM/PCS coding more
    Vanderbilt University Medical Center (10/14/25)
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  • Health Record Coder III Extra On-Call…

    Trinity Health (Fresno, CA)
    …**Description:** **SUMMARY** This position is responsible for training new staff on systems used for coding , as well as, being a resource for all coding staff to ... discharged and/or outpatient surgery records (ie, inpatient, emergency room, outpatient medical and outpatient surgery). **REQUIREMENTS** 1. High school diploma or… more
    Trinity Health (07/25/25)
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  • Manager, Medical Economics (Medicaid)…

    Molina Healthcare (Miami, FL)
    …different standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding /billing (UB04/1500 form) + Demonstrated understanding of key managed ... **JOB DESCRIPTION** **Job Summary** The Manager, Medical Economics provides support and consultation to the...health plan performance and identify the root causes of medical cost trends. With those root causes identified, drives… more
    Molina Healthcare (10/18/25)
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