• Prospective Outpatient Risk Adjustment…

    Baystate Health (Springfield, MA)
    …+ Associate's Degree ; Certified Risk Adjustment Coder (CRC); Certified Documentation Expert Outpatient (CDEO); CMA or LPN + EHR (Cerner preferred) ... TEAMS. DIVERSE PATIENTS. DIVERSE LOCATIONS. **Education:** Associate of Arts: Medical Terminology (Required) **Certifications:** Certified Coding Specialist -… more
    Baystate Health (05/08/24)
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  • Special Investigative Analyst

    CDPHP (Albany, NY)
    …QUALIFICATIONS: + Professional clinical license valid in New York State, such as Registered Nurse , Licensed Practical Nurse , Pharmacist, Mental Health ... + Associate's degree or two (2) years of equivalent experience required + Certified Professional Coder (CPC(R)) Certification is preferred or required to be… more
    CDPHP (04/26/24)
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  • Coding Education Specialist - Careallies…

    The Cigna Group (Philadelphia, PA)
    …offices each week** + **Coding certification required (at least one of the below):** Certified Professional Coder (CPC) Certified Risk Adjustment Coder ... reside in Philadelphia** Job Description: Coding Education Specialist (AHIMA or AAPC certified ) We value our talented employees, and whenever possible strive to help… more
    The Cigna Group (05/31/24)
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  • SIU Coordinator (Hybrid)

    CareFirst (Baltimore, MD)
    …as Certified Fraud Examiner (CFE), Accredited Health Fraud Investigator (AHFI), RN/ LPN , or Certified Professional Coder (CPC). In depth knowledge ... investigations of fraud and/or abuse theory approach analyses, provider and subscriber medical data, claims, and systems reports as required. + Performs root cause… more
    CareFirst (04/27/24)
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  • Utilization Review RN

    Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
    …first 24 months in position. required or + Non Clinical\CPC and/or CCSP - Certified Professional Coder Must be attained within first 24 months in position. ... and managing all in-patient and out-patient claims from a medical standpoint to ensure proper administration of contractual limitations...license is required or + In lieu of degree, LPN license to practice in Louisiana as well as… more
    Blue Cross and Blue Shield of Louisiana (05/24/24)
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  • Analyst, Healthcare Quality Management - Must live…

    CVS Health (Topeka, KS)
    …vehicle required with insurance. Preferred Qualifications + RHI, RHIT, CRC, or CPC certified Coder or auditor (CMAS) or RN or LPN or LISW + Ability to manage ... education related to National Committee for Quality Assurance (NCQA) HEDIS measures, medical record documentation, and coding. They will function as a liaison… more
    CVS Health (05/08/24)
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