• Corporate Compliance Coding

    Cleveland Clinic (Independence, OH)
    …career with one of the most respected healthcare organizations in the world. As a Corporate Compliance Coding / Billing Specialist, you will support the ... Office of Corporate Compliance by maintaining and administering the Cleveland Clinic Health...Compliance Program. In this role, you will conduct billing and coding compliance reviews,… more
    Cleveland Clinic (11/11/25)
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  • Investigator, Special Investigative Unit - FLORIDA

    Molina Healthcare (Dayton, OH)
    …include performing accurate and reliable medical review audits that may also include coding and billing reviews. The SIU Investigator is responsible for ... responsible for recognizing and adhering to national and local coding and billing guidelines in order to...position may also work with other internal departments, including Compliance , Corporate Legal Counsel, and Medical Officers… more
    Molina Healthcare (09/22/25)
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  • Business Manager

    BrightSpring Health Services (Columbus, OH)
    …client funds management, and payroll. Acts as liaison to select Corporate departments. Works under general direction. Supervises Office Coordinator. + Manages ... and expense reports and maintaining fixed asset systems. + Ensures accurate client billing by overseeing the collection and input of data into the company system(s).… more
    BrightSpring Health Services (10/14/25)
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  • Manager, Fraud & Waste Investigation (Nurse…

    Humana (Columbus, OH)
    …audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support ... and interprets medical documentation to ensure capture of all relevant coding . Identifies members with high-risk CMS Hierarchical Condition Categories (HCC) and… more
    Humana (11/04/25)
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  • Manager, Special Investigation

    CVS Health (Columbus, OH)
    …States: **Texas, Ohio, New York, and Oklahoma** + Experience with Interpreting Contracts + Billing and Coding certifications such as CPC (AAPC) + Knowledge of ... every day. **Position Summary** Job Description **A Brief Overview** Oversees corporate activities related to the prevention, investigation, and prosecution of… more
    CVS Health (10/19/25)
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  • Senior Accounting Analyst

    Carmeuse Americas (Beavercreek, OH)
    …variance analysis, assisting with weekly and monthly forecast and updates, weekly billing and margin analysis and reporting, sales tax oversight and reporting, ... financial closing for the business + Complete post-closing reports (local and corporate ). Understand local operations and processes to ensure accurate and timely… more
    Carmeuse Americas (10/28/25)
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  • Payment Integrity Clinician

    Highmark Health (Columbus, OH)
    …member satisfaction. Will be expected to identify potential discrepancies in provider billing practices and intervene for resolution and education or if necessary ... retrospective review processes that are consistent with established industry and corporate standards and are within the Payment Integrity Clinician's professional… more
    Highmark Health (11/14/25)
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