Medical Coding
1,093 open positions
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UM RN HealthEdgeRemote 21d Review, research, and authorize requests for authorization of elective, direct, ancillary, urgent, and emergency services to ensure medical necessity, appropriate length of stay, intensity of service, and level of care.
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Clinical Quality Documentation Specialist I Northwestern-Memorial-HealthcareChicago, IL, us 21d Facilitates improvement in the completeness and accuracy of quality data and outcomes through extensive interaction with physicians, nursing staff, and clinical coders to advance problem analysis and creative process redesign for clinical documentation.
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Clinical Policy Configuration Specialist CoherehealthRemote $65k21d Configure and maintain medical coverage policies within a clinical intelligence platform to ensure accuracy, consistency, and compliance with industry standards.
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Health Info Professional↗ Michael Garron HospitalToronto, ON, CA 22d Responsible for the timely and accurate coding and abstracting of patient related health information, assists in the completion of hospital and departmental data quality assurance and provides support regarding release of patient information.
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Physician Advisor, Miami, Florida, Full-Time↗ Baptist HealthMiami, FL 22d Clinical resource providing identification, facilitation, and resolution of utilization issues, ensuring appropriate levels of care and compliance with federal/state regulations.
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?Medical Records / Central Supply↗ Whitesboro, TX, US 22d Maintaining resident medical records, ensuring coding accuracy for billing, and managing compliance with federal/state regulations in a skilled nursing facility.
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Denial & Appeals Manager↗ Howard University HospitalWashington, DC, US $86k–$96k22d Lead denial prevention, appeals management, utilization review oversight, and revenue integrity initiatives to optimize reimbursement and reduce revenue loss.
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Content Consultant - Encoder CpsiRemote - US 22d Creating, maintaining, and testing clinical and coding content for the TruBridge Encoder product, including research of coding standards (ICD10, HCPCS, CPT) and adherence to guidelines.
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Utilization Management Representative I ElevancehealthID-MERIDIAN, 2888 W EXCURSION LN, US 22d Coordinating cases for precertification and prior authorization review, determining contract and benefit eligibility, and conducting clinical screening for inpatient and outpatient services.
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Core Measures Data Abstractor-Sepsis↗ ParallonRemote 22d Abstract data for complex core measures, cardiovascular services, and infectious disease (sepsis) from medical records to ensure regulatory compliance.
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Senior Managed Care Manager GaigWoodland Hills, CA (USA) $135k–$183k22d Senior clinical resource leading managed care for complex workers' compensation claims to ensure appropriate, cost-efficient care for injured workers.
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Coder Abstractor↗ Lafayette Regional Health CenterLexington, MO, US 22d Assign appropriate E/M codes within medical records for reimbursement and enter patient charges.
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Senior Medical Officer↗ Link K Insurance Tpa P LtdTN, IN ₹480k–₹600k22d Verify medical necessity and authenticity of health insurance claims to determine admissibility and prevent fraud.
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Manager Professional Billing Coding Operations - Remote BmcRemote 22d Manage professional billing coding operations, validate CPT/HCPCS/diagnosis code accuracy, and supervise coding staff to ensure compliance with payer guidelines and organizational goals.
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Forensic Medical Coder EnsemblehpRemote $51k–$56k22d Perform root cause analysis of coding opportunities, lead improvement projects, and provide coding guidance for new service lines.
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SIU Investigator CenteneRemote $56k–$101k22d Conduct fraud, waste, and abuse (FWA) investigations in healthcare by reviewing claims data, medical records, and provider information to identify misconduct and support case resolution.
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Kodierfachkraft (m/w/d) in Teilzeit Filderklinik gemeinnützige GmbHFilderstadt, BADEN_WUERTTEMBERG 22d Central interface between clinical service delivery, billing, and payers, ensuring accurate coding and reimbursement for patients.
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DRG-Kodierfachkraft (m/w/d) Universitätsklinikum Erlangen AöRErlangen, BAYERN 22d Clinical coding specialist responsible for verifying medical documentation, coding patient diagnoses and treatments for DRG billing, and preparing billing for inpatient, outpatient, and specific statutory health insurance cases.
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Specialty Access & Reimbursement Manager (SARM) -Miami/Ft. Lauderdale GskUSA - Florida - Miami 22d Enable patient access to GSK specialty medicines by resolving reimbursement barriers and educating providers on coverage policies.
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Remote IP Quality Reviewer GuidehouseRemote $65k–$108k22d Review medical record documentation for coding and abstracting accuracy using ICD-10 CM/PCS and CPT systems.
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Credentialing Specialist - Full Time - Germantown, TN WestcancercenterGVS 22d Maintaining active credentialing status for all providers by completing initial and ongoing credentialing, privileging, licensing, and enrollment requirements for hospitals, surgery centers, and commercial and government payers.
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DRG-Experte Primärkodierung & Revision (m/w/d) DAMEDIC GmbHRemote 22d DRG coding expert performing primary coding and/or revision of hospital cases to ensure accurate billing and documentation.
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Assistant Manager-Coding and Process Excellence MedfarVisakhapatnam, Andhra Pradesh, in 23d Oversee a team of medical coders to ensure accurate and timely coding of medical diagnoses, procedures, and services for healthcare facilities.
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Clinical Documentation Improvement Specialist↗ OptumRemote $60k–$107k23d Provide oversight and day-to-day implementation of Clinical Documentation Improvement (CDI) processes for inpatient medical records to ensure technical accuracy, specificity, and completeness of provider documentation.
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Manager↗ Exl ServiceHR, IN 23d Performs clinical review of medical cases to determine coverage approval or denial based on plan guidelines and Medicare criteria.
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DRG-Fallbegleiter (w/m/d) Klinikum Magdeburg gGmbHMagdeburg, SACHSEN_ANHALT €41k–€50k23d Support patient management and medical controlling by documenting services for DRG billing and optimizing cost-revenue situations regarding length of stay.
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Molecular Diagnostics Medicare Medical Director - Palmetto GBA↗ Bluecross Blueshield of South CarolinaRemote $206k–$414k23d Oversees medical staff, analyzes utilization data, researches emerging molecular technologies, and develops medical policies to support Medicare coverage decisions.
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Director, PB Coding Operations & Education↗ Boston Medical CenterRemote $122k–$177k23d Provide coding oversight and standards to ensure coding accuracy, compliance, and appropriate reimbursement across BUMG, while managing operational execution and coding training.
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Medical Examiner↗ Hampshire Hospitals Nhs Foundation TrustBasingstoke, ENG, GB 23d Independent scrutiny of non-coronial deaths, ensuring appropriate coroner referrals, and improving death certification quality and mortality data.
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Assistant Attorney General - Medicaid Fraud Control OkgovOklahoma County, US $70k–$123k23d Criminal prosecuting attorney investigating and pursuing enforcement actions against health care providers who defraud the Medicaid program or abuse/neglect residents in residential health care facilities.
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Senior Revenue Integrity Analyst - FT - Days - MHS MemorialhealthcareMemorial Executive Office Building, US 23d Manages and configures complex healthcare billing applications to ensure accurate reimbursement, charge capture, and compliance with regulatory updates.
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Klinische Kodierfachkraft /Abrechnungsprüfung (m/w/d) Bodden-Kliniken Ribnitz-Damgarten GmbHRibnitz-Damgarten, MECKLENBURG_VORPOMMERN 23d Clinical coding and billing verification for a general hospital and care facilities.
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Assistant Manager-Coding and Process Excellence↗ Medfar Solutions CliniquesAP, IN 23d Oversee a team of medical coders to ensure accurate and timely coding of medical diagnoses, procedures, and services for healthcare facilities.
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Medical Director (Medical Policy & Operations) CvshealthRemote $174k–$375k23d Provide clinical expertise to promote high-quality medical care with a focus on clinical and payment policy, including transactional reviews for appeals, claim reviews, and predetermination of covered benefits.
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Physician Billing Certified Coder I ValleychildrensMadera, CA, US 23d Review provider documentation and perform coding functions to support the professional billing workflow.
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Coordinator, Credentialing CardinalhealthUS-Nationwide-FIELD 23d Ensures active credentialing and enrollment status with contracted payors and maintains active licensure for groups and providers in a community oncology practice alliance.
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MEDICAL RECORDS TECHNICIAN SriKamatchi Medical CentreIndia 23d Managing patient medical records, extracting information, auditing charts, and ensuring coding compliance.
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Trainee Collabera Talent Solutions Private LimitedNavi Mumbai, Maharashtra 191k24d Verify eligibility and benefits for US healthcare clients, submit authorization requests, and track approval/denial status.
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Supervisor Professional Coding (eastern standard time zone resident) GeisingerWork from Home, US 24d Directing, coordinating, and planning functions of all personnel in the coding program area to ensure timely, accurate, and complete processing of rendered services.
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Enfermeiro Auditor | Hospital São Lucas São Lucas HospitalRibeirão Preto, Estado de São Paulo 24d Conduct on-site audits of medical records and hospital accounts during hospitalization and pre-billing to ensure documentation completeness and compliance with institutional deadlines.
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Sr Executive - HIM services [Ancillary]↗ Corrohealth Infotech Private LimitedUP, IN 25d Extracting and validating patient record information, assigning medical codes (CPT, HCPCS, ICD-10, DRG, APC, ASA), and ensuring billing compliance.
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Medical Records Technician↗ Neuro Foundation Hospital, SalemTN, IN 25d Manage, maintain, and ensure accuracy of patient medical records in a hospital setting.
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