• Medical Claims Specialist

    University of Washington (Seattle, WA)
    …updating patient registration information, posting rejections, or forwarding the claim to a medical coding specialist for review and coding changes prior ... (both electronic and paper) **WORKING SCHEDULE:** + Monday - Friday, Full-time + Remote **PRIMARY JOB RESPONSIBILITIES:** + Review charges that may need to be routed… more
    University of Washington (10/18/25)
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  • Xcelys Medical Claims Examiner

    NTT DATA North America (Ontario, CA)
    …as part of an overall sourcing strategy. NTT DATA Services currently seeks Xcelys Medical Claims Examiners to join our team remotely for a 3 month contract role. ... **MUST HAVE XCELYS EXPERIENCE** To serve as a Medical Claims Processor within the Xcelys environment. Provide subject-matter expertise on claims workflows and be a… more
    NTT DATA North America (10/02/25)
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  • Field Reimbursement Manager - Immunology…

    J&J Family of Companies (Austin, TX)
    …building strong customer relationship. . Demonstrated expertise with both pharmacy and medical /buy & bill benefits (as applicable), coding , and billing. . ... authorizations and appeals, reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations (local payers, government payers,… more
    J&J Family of Companies (10/17/25)
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  • Field Reimbursement Manager (Immunology…

    J&J Family of Companies (Nashville, TN)
    …building strong customer relationship. + Demonstrated expertise with both pharmacy and medical /buy & bill benefits (as applicable), coding , and billing. + ... authorizations and appeals, reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations (local payers, government payers,… more
    J&J Family of Companies (10/04/25)
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  • Inpatient Hospital Coder

    Seattle Children's (WA)
    **_Please Note: Position is 100% Remote for Washington State Only._** Under general supervision, the Inpatient Hospital Coder is responsible for the collection of ... and timely ICD-10 diagnosis and PCS procedural codes based on inpatient coding guidelines. Requires abstracting from inpatient hospital case types including low and… more
    Seattle Children's (08/16/25)
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  • Sales Representative

    MedKoder (Mandeville, LA)
    About Us MedKoder, LLC is a full-service medical coding management services provider based in Mandeville, Louisiana, specializing in expert medical coding ... of certified coders throughout the United States, MedKoder emphasizes coding excellence, remote -work flexibility, and a positive...pay, and flexible scheduling year-round + Internal network of Medical Coding Industry Leaders + CEO is… more
    MedKoder (09/27/25)
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  • Nurse Audit Manager

    Humana (Sacramento, CA)
    …Nurse Audit Manager, you will spearhead audit and validation processes to ensure medical documentation and coding are precise, compliant, and support optimal ... and interprets medical documentation to ensure capture of all relevant coding . + Identifies the root cause analysis of audit findings and submits recommendations… more
    Humana (10/18/25)
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  • Director of Risk Adjustment

    Blue Cross and Blue Shield of Minnesota (Eagan, MN)
    …improvement opportunities, and evaluation of in-home assessments, in office assessments, medical record retrieval and coding reviews, and point-of-care programs. ... and implementing risk adjustment strategies to facilitate accurate and complete coding , reporting, and regulatory compliance with CMS, HHS, and state guidelines.… more
    Blue Cross and Blue Shield of Minnesota (09/10/25)
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  • Client Inquiry Analyst

    Zelis (Atlanta, GA)
    …will act a subject matter expert (SME) as it pertains to correct coding /claim adjudication guidelines and the Zelis editing product. The Client Inquiry Analyst will ... + Perform as subject matter expert (SME) to provide coding and claim adjudication guidance for all assigned clients....FL, and Hyderabad, India. We foster a hybrid and remote friendly culture, and all our employee's work locations… more
    Zelis (10/17/25)
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  • Quality & Risk Adjustment Provider Consultant

    Blue Cross and Blue Shield of Minnesota (Eagan, MN)
    …and identifies actionable opportunities for providers to improve their Quality and Coding Accuracy performance. The role leads face-to-face meetings with leaders in ... plans. The consultants are in-house subject matter experts on coding accuracy and Quality programs such as including HEDIS...offer a comprehensive benefits package which may include: * Medical , dental, and vision insurance * Life insurance *… more
    Blue Cross and Blue Shield of Minnesota (09/30/25)
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