Medical Coding
1,091 open positions
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Utilization Management Rep II (US) ElevancehealthWI-Waukesha, N17W24222 Riverwood Dr., Ste 300, US 1mo Manage incoming calls to triage, open cases, and authorize inpatient admissions, outpatient precertification, and prior authorization requests for healthcare members.
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Enterprise Provider Compliance Auditor-Educator WvumedicineOperations Support Center, US 1mo Conducts compliance audits, reviews medical records and billing, and develops educational programs to ensure healthcare providers adhere to federal regulations and prevent fraud, waste, and abuse.
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Mitarbeiter*in für die ambulante Leistungsabrechnung Universitätsmedizin Greifswald Körperschaft des öffentlichen RechtsGreifswald, Hansestadt, MECKLENBURG_VORPOMMERN 1mo Coding and billing of outpatient treatments at the University Medicine of Greifswald, including case adjustments, accident claims processing, and managing cash machines and co-payment processes.
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Claim Analyst 2 Principal FinancialRemote 1mo Review, analyze, and adjudicate Critical Illness, Accident, and Hospital Indemnity claims in accordance with policy and regulations.
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Senior Investigator, Special Investigations Unit (SIU) - Must reside in Oklahoma CvshealthOK - Work from home, US $47k1mo Conduct high-level, complex investigations of healthcare fraud and abuse, specifically focusing on Medicaid lines of business to prevent aberrant claim payments.
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RN Clinical Documentation Specialist - Referrals EnsemblehpPutnam, CT, US $80k1mo Facilitate and obtain appropriate physician documentation for patient clinical conditions and procedures to support severity of illness, expected risk of mortality, and complexity of care.
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Mitarbeiter MD-Management/Kodierfachkraft (m/w/d) Spremberger Krankenhausgesellschaft mbHSpremberg, Niederlausitz, BRANDENBURG 1mo Reviewing patient records, medical reports, and nursing reports to assign ICD-10-GM and OPS codes to diagnoses and procedures.
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Fachberater (m/w/d) Krankenhaus, Prozesse und Abrechnung AOK Sachsen-AnhaltRemote €55k–€77k1mo Evaluate legal changes, develop strategies for hospital billing and care quality, and manage case coding and DRG billing processes.
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Iowa Clinical Investigator Consultant - Must Reside in Iowa Sun Life Financial, Inc.Des Moines, IA, US $54k–$81k1mo Retrospective review of paid claims and analysis of claims data to identify provider fraud, waste or abuse in dental and vision benefits.
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Senior Coder - Inpatient HighmarkhealthPA, Working at Home - Pennsylvania, US 1mo Reviews medical records to abstract data and assign ICD codes for diagnoses and procedures to assist in reducing accounts receivable days.
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Senior Claims Manager - Professional Conduct Claims Avant MutualRemote 1mo Manage member claims and investigations, provide medico-legal advice, and support retention initiatives for medical professionals.
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Coding Denials Auditor EnablecompRemote 1mo Analyze coded medical services, reports, and billed charges to determine the appropriateness of medical coding, delivery of care, and treatment plans for orthopedic and surgical claims.
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Medical Director - Utilization Management (Remote) MRIoARemote $240k1mo Perform clinical utilization management, peer review activities, and clinical quality management for healthcare organizations.
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MEDICAID ELIGIBILITY SPECIALIST City-Of-New-YorkBrooklyn, NY, us $44k1mo Review and process Medicaid eligibility applications, renewals, and changes for long-term care programs, determining eligibility based on NYC, NYS, and Federal guidelines.
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Klinische Kodierfachkraft (m/w/d) BDH-Klinik Hessisch Oldendorf gGmbHHessisch Oldendorf, NIEDERSACHSEN 1mo Clinical coding specialist ensuring accurate DRG billing and documentation quality for a neurological center's ICU, stroke unit, and rehabilitation phases.
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Coder II - MPG - FT - Days - MSS - Remote Eligible MemorialhealthcareMemorial Support Services, US 1mo Reviews medical record documentation to assign ICD-10 CM codes to complex diagnoses and CPT codes to procedures for outpatient encounters to ensure proper coding, billing, and compliance.
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Spezialist MD-Management und Kodierung (m/w/d) Universitätsklinikum WürzburgRemote 1mo Specialist bridging medical controlling, billing inquiries, and coding staff to ensure revenue security and process optimization.
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Customer Care Resolution Specialist CareSourceOhio WFH, US $47k1mo Subject matter expert handling escalated calls from members and providers, acting as a second-level support resource and coach for new hires.
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Iowa Clinical Investigator Consultant - Must Reside in Iowa SunlifeDes Moines, Iowa, US $54k1mo Retrospective review of paid claims and analysis of claims data to identify provider fraud, waste or abuse in dental and vision benefits.
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Inpatient Pediatric Medical Coder GuidehouseRemote $59k1mo Review clinical documentation for inpatient pediatric accounts to extract data and apply ICD-10 and CPT codes for billing, reporting, and regulatory compliance.
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Clinical Coder HealthscopeSydney, New South Wales 1mo Assigning accurate clinical codes and Diagnosis Related Groups (DRGs) to patient cases to support hospital casemix analysis and funding.
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Medical Coding Quality Analyst Acurus SolutionsRoyapettah, Tamil Nadu, India 1mo Assigning ICD and CPT codes to medical records for Evaluation and Management and Emergency Department services following federal and payor guidelines.
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Ophthalmologist (BPO - Remote) SnapscaleRemote 1mo Licensed ophthalmologist providing remote clinical support by reviewing patient medical charts, evaluating diagnoses and treatment history, and ensuring documentation accuracy for a U.S.-based healthcare practice.
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Profee Audit Specialist - FT Datavant2Remote 1mo Perform professional fee coding audits of medical records and abstracts to ensure accurate coding assignment and compliance.
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Senior Quality Auditor CenteneRemote $48k1mo Audits and validates routine pre and post payment claims to ensure correct adjudication and compliance with corporate policies and regulatory guidelines.
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Risk Adjustment (HCC Coding) Team Lead↗ ReveleerTN, IN 1mo Oversee day-to-day HCC coding and abstraction operations, drive team productivity and quality, and ensure adherence to coding guidelines and regulatory requirements for health plans.
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Klinische Kodierfachkraft (m/w/d) MD Management Evangelisches Krankenhaus Wesel GmbHWesel am Rhein, NORDRHEIN_WESTFALEN 1mo Clinical coding specialist responsible for medical documentation audits (MD), DRG system management, and revenue assurance within a multi-site healthcare network.
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Teamleitung Kodierung (w/m/d) Kliniken des Landkreises Lörrach GmbHLörrach, BADEN_WUERTTEMBERG 1mo Leading and developing a team of medical coders responsible for coding medical documentation for inpatient treatment cases.
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Mitarbeiter (m/w/d) für die Medizinische Auswertung / GOÄ-Abrechnung PVS -Privatärztliche Verrechnungsstelle Mosel-Saar GmbHRemote 1mo Medical coding and billing specialist handling private and ambulatory healthcare billing for doctors, dentists, and clinics.
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Coding Quality Reviewer and Educator-4 BrownhealthRemote $68k1mo Perform comprehensive audits of professional coding and clinical documentation to validate accurate ICD-10-CM, CPT, and HCPCS code assignment and ensure compliance with CMS regulations and payer policies.
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Mitarbeiter (m/w/d) - ambulante Leistungsabrechnung TUM Klinikum Rechts der IsarMünchen, BAYERN 1mo Independent management of outpatient patient billing and claims processing for a university hospital.
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Clinical Documentation Improvement Specialist (Remote), Day Shift, Clinical Documentation AdventisthealthcareRemote $77k1mo Examine medical records to ensure documentation is accurate, complete, and reflective of the patient's clinical status; detect inconsistencies and request provider clarifications to support correct coding and compliance.
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Director, Clinical Documentation Integrity UmiamiHialeah, FL, US 1mo Lead the Health System's Clinical Documentation Improvement (CDI) program to ensure medical records accurately reflect patient clinical status and care, driving quality monitoring and regulatory compliance.
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Kodierfachkraft (m/w/d) Medizincontrolling Klinikum Osnabrück GmbHOsnabrück, NIEDERSACHSEN 1mo Medical coding specialist responsible for primary case coding, case dialogues, and evaluating medical expert opinions to ensure precise documentation and billing.
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DRG-Fallbegleiter (w/m/d) Klinikum Magdeburg gGmbHMagdeburg, SACHSEN_ANHALT €41k–€50k1mo DRG case management and coding support for patient care optimization and billing accuracy.
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HIMS Coding Auditor RivhsRemote $60k1mo Audits medical record coding accuracy and compliance for inpatient and outpatient records, managing denials and appeals.
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RCM OPH/RCM Specialist EcpcareersRemote 1mo Revenue Cycle Management Specialist handling billing, coding, and accounts receivable for ophthalmology practices.
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Klinische Kodierfachkraft (m/w/d), GB Erlösmanagement Staedt.Klinikum Karlsruhe gGmbHKarlsruhe, Baden, BADEN_WUERTTEMBERG 1mo Clinical coding specialist responsible for independently coding and verifying diagnoses, procedures, and other relevant medical facts according to coding guidelines.
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Medizinische Kodierfachkraft (m/w/d) Krankenhaus Maria HilfBad Neuenahr-Ahrweiler, RHEINLAND_PFALZ 1mo Medical coding specialist responsible for accurately translating clinical documentation into standardized codes for billing and statistical purposes.
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Medical Billing Specialist (ONSITE) ShusaWhite Plains, NY, US $58k–$62k1mo Ensures providers are reimbursed by processing healthcare claims, coding medical procedures, and submitting claims to insurance companies.
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CLIN DOC SPEC-RISK ADJUSTMENT- FT (8 hour) Day Stanfordmedicine1830 Embarcadero - PALO ALTO, US $134k1mo Perform code audits and abstraction for risk adjustment programs, ensuring accurate HCC coding and verifying M.E.A.T. criteria in medical records.
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