• Medical Necessity Coding

    HCA Healthcare (Salem, VA)
    …NV, NH, NC, SC, TN, TX, UT, VA). Do you have the career opportunities as a Medical Necessity Coding Compliance Coordinator you want with your current ... a committed, caring group of colleagues. Do you want to work as a Medical Necessity Coding Compliance Coordinator where your passion for creating… more
    HCA Healthcare (09/27/25)
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  • Lab Technologist

    UnityPoint Health (Sioux City, IA)
    …+ Obtains diagnoses for lab testing performed, and determines appropriate medical necessity and coding documentation in compliance with CMS and Health ... System, receives electronic orders and completes appropriately, and determines and validates medical necessity of all lab orders in addition to obtaining… more
    UnityPoint Health (10/04/25)
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  • Appeals And Grievances Registered Nurse

    Actalent (Sacramento, CA)
    …Milliman, NCCN, and ACOG, and assessing appeals for benefit coverage, medical necessity , coding accuracy, and policy compliance . You will collaborate ... NCCN, and ACOG. + Assess appeals for benefit coverage, medical necessity , coding accuracy, and policy compliance . + Collaborate with medical more
    Actalent (10/04/25)
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  • Professional Coding Compliance

    Emory Healthcare/Emory University (Atlanta, GA)
    …Ongoing mentorship and leadership programs + And more! **Description** The Professional Coding Compliance Auditor develops and executes audit, monitoring, and ... participates in continuing education opportunities to remain current with billing and coding compliance best practices (ie, conferences, workshops, and other… more
    Emory Healthcare/Emory University (09/02/25)
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  • Medical Coding Auditor

    Robert Half Accountemps (Cincinnati, OH)
    …Contract-to-Permanent position, you will play a critical role in ensuring the accuracy and compliance of outpatient medical coding processes. This role is ... observation cases. * Ensure assigned codes align with documented medical necessity and the reason for the...detailed reviews of medical records to ensure compliance with coding and billing standards. *… more
    Robert Half Accountemps (09/17/25)
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  • Physician Pro Fee Coding Specialist-…

    Community Health Systems (Franklin, TN)
    … integrity, and working collaboratively with internal teams to support physician coding compliance and reimbursement. **Essential Functions** + Assigns accurate ... for provider education. + Familiarity with NCCI edits, LCD/NCD guidelines, and medical necessity requirements. + Strong analytical and problem-solving skills,… more
    Community Health Systems (09/18/25)
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  • Analyst, Coding Data Quality Auditor

    CVS Health (IN)
    … guidelines and regulations to meet compliance requirements, such as establishing medical necessity . + In depth knowledge of medical terminology and ... codes required. + Minimum of 5 years recent and related experience in medical record documentation review, diagnosis coding , and/or auditing. + Experience with… more
    CVS Health (10/02/25)
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  • Coding Spec-Clinic

    Covenant Health Inc. (Knoxville, TN)
    …Educates coding staff to proper documentation necessary to support a DRG/APC/ Medical Necessity /ROM/SOI. + Integrates documentation, coding , and proper ... staff. Working directly with the physicians, Manager of Corporate Coding Services, Director of Registration/Admitting, and medical ... billing and regulatory requirements. + Increases awareness of compliance as it relates to coding and… more
    Covenant Health Inc. (08/04/25)
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  • Certified Coding Supervisor - Health…

    Ventura County (Ventura, CA)
    …cases; + Provides education to the physicians on documentation requirements to establish medical necessity based on coding guidelines for assignment of ... + Reviews and evaluates policies and procedures for the Medical Records Department in relation to the overall hospital...most difficult coding cases; + Ensures VCMC coding practices are in compliance with ICD-10… more
    Ventura County (08/25/25)
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  • Inpatient Coding Quality Officer III…

    RWJBarnabas Health (Oceanport, NJ)
    …Regulations and Compliance Guidelines. + Critically analyzes each Medicare inpatient medical record to apply appropriate coding , DRG judgements, SOI, ROM and ... organizational average accuracy rate. Adherance to applicable Federal and State Regulations, Compliance Guidelines, and Coding Guidelines set forth by RWJBH,… more
    RWJBarnabas Health (09/18/25)
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