• Medicare /Medicaid Claims Editing…

    Commonwealth Care Alliance (Boston, MA)
    …This role will ensure that the applicable edits are compliant with applicable Medicare and Massachusetts Medicaid regulations. The role will also be responsible for ... necessary on all new and revised coding logic, related Medicare /Medicaid policies for review/approval through the Payment Integrity governance...all of the required certification OR willing to get certified within 1 year of employment - + … more
    Commonwealth Care Alliance (08/26/25)
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  • Medicare Annual Wellness Visit Registered…

    SUNY Upstate Medical University (Syracuse, NY)
    …Inc. (UUMAS) is seeking a Registered Nurse (RN), or Certified Nurse Specialist (CNS), to coordinate and conduct Medicare Annual Wellness Visits (AWVs) across ... preferred. 3-5 years of direct experience in a Primary Care setting preferred. Certified Nurse Specialist (CNS) preferred. Work Days: Monday - Friday 8:00… more
    SUNY Upstate Medical University (08/28/25)
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  • Certified Risk Adjustment Coding/Audit…

    Redeemer Health Home Care & Hospice (Huntingdon Valley, PA)
    …pathophysiology, and medical terminology necessary to correctly code diagnoses. The Certified Risk Adjustment Coding/Audit Specialist analyzes and translates ... professional journey. We invite you to apply today. SUMMARY OF JOB The Certified Risk Adjustment Coding/Audit Reviewer is a physician facing position and must have… more
    Redeemer Health Home Care & Hospice (08/13/25)
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  • Billing & Certified Coding…

    Beth Israel Lahey Health (Burlington, MA)
    …CPC-A ( Certified Professional Coder - Apprentice through AAPC), or CCS-P ( Certified Coding Specialist Physician Based through AHIMA) Experience: 1-2 years of ... coding guidelines. 2. Stays current on quarterly CCI Edits, bi-monthly Medicare Bulletins, Medicare 's yearly fee schedule, Medicare Website, and specialty… more
    Beth Israel Lahey Health (08/08/25)
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  • Certified Peer Specialist -Youth…

    State of Georgia (Rockdale County, GA)
    Certified Peer Specialist -Youth (GLS) Rockdale/Newton Georgia - Rockdale (https://ga.referrals.selectminds.com/jobs/69841/other-jobs-matching/location-only) Hot ... rates, lower dropout rates, decreased ER visits and decreased inpatient admissions. The Certified Peer Specialist ~ Youth will work as an integral team… more
    State of Georgia (07/02/25)
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  • Certified Peer Specialist - Extended…

    WellSpan Health (Mount Gretna, PA)
    …Preferred and + Professional office work experience. Preferred **Licenses:** + Certified Peer Specialist Upon Hire Required **Driver's License Statement:** ... health organization serving central Pennsylvania and northern Maryland. Our high-performing Medicare Accountable Care Organization (ACO) is the region's largest and… more
    WellSpan Health (08/09/25)
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  • Certified Peer Specialist

    WellSpan Health (York, PA)
    …Preferred and + Professional office work experience. Preferred **Licenses:** + Certified Peer Specialist Required **Driver's License Statement:** Must possess ... health organization serving central Pennsylvania and northern Maryland. Our high-performing Medicare Accountable Care Organization (ACO) is the region's largest and… more
    WellSpan Health (06/20/25)
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  • Certified Coding Specialist

    Randolph Hospital (Asheboro, NC)
    …accepted. Knowledge of ICD-9-CM, CPT-4 coding guidelines. Knowledgeable of current Medicare and Medicaid rules and regulations. Experience in encoder software. ... Knowledge of abstracting and use of databases. Ability to interact professionally with all levels of personnel. Ability to work under pressure. Excellent communication skills required. Minimum of two years coding experience within an acute care setting. more
    Randolph Hospital (08/07/25)
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  • Clinical Documentation Specialist , Second…

    SSM Health (MO)
    …school of nursing, PA, NP, or medical school, or Associate's degree and Certified Clinical Documentation Specialist (CCDS) certification from the Association of ... documentation or 4 years experience in clinical documentation with a Certified Clinical Documentation Specialist (CCDS) certification PHYSICAL REQUIREMENTS +… more
    SSM Health (08/13/25)
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  • Peer Recovery Specialist Patient Services

    University of Colorado (Aurora, CO)
    **Peer Recovery Specialist Patient Services** **Description** **University of Colorado Anschutz Medical Campus** **School of Medicine | Department of Psychiatry | ... Services (ARTS) | Adult Outpatient Program** **Job Title: Peer Recovery Specialist - Patient Services** **Position: #00828232 - Requisition: #35187** **Job… more
    University of Colorado (06/07/25)
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