Medical Coding
589 open positions
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Physician Advisor EnsemblehpRemote - Nationwide $198k–$198k10d Rendering compliant status determinations for hospitalized patients, conducting peer-to-peer reviews with payors' medical directors, and serving as a subject matter expert on utilization management (UM) issues.
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Healthcare Field Operations Specialist (Contract-to-Hire) CloverhealthField - New Jersey 10d Field-based specialist responsible for retrieving medical records from provider offices and designing scalable operational models for future expansion.
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Clinical Review & Correspondence RN CoherehealthRemote $0k–$0k10d Conduct medical necessity reviews and prepare compliant clinical determinations and communications for health plans.
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Insurance Claims Specialist SutherlandMandeville, Manchester Parish, Jamaica, 12, jm 10d Review, evaluate, and process medical insurance claims with high accuracy, ensuring timely adjudication and quality service.
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AUDIT SUPERVISOR City-Of-New-YorkNew York, NY, us 10d Supervise audit staff performing cost-benefit analyses, statistical sampling audits, and compliance reviews for NYC social services programs (food assistance, rental assistance, homelessness services) and Medicaid providers.
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Sr. Specialist, Clinical Documentation CvshealthRemote $0k–$0k11d Review patient charts and medical records to identify clinical suspects, analyze chronic condition prevalence, and support population health workflows for Medicare patients.
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Authorization Representative II - BioPlus Specialty Pharmacy ElevancehealthFL-LAKE MARY, 3200 LAKE EMMA RD, STE 1000 11d Administer prior authorization requests and appeals for specialty medications to ensure patient access to therapy.
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?Coder Outpatient↗ US 11d Assign ICD-10-CM, CPT, and HCPCS codes for outpatient services including ED visits, surgeries, and interventional radiology to ensure accurate reimbursement.
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Senior HIM Specialist↗ CommonSpirit HealthLittle Rock, AR, US $0k–$0k11d Performs advanced Health Information Management (HIM) functions to support the integrity, accuracy, and availability of patient health records across the medical record lifecycle.
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Medical Management Assistant ScanhealthplanRemote $0k–$0k12d Supports the Medical Management department by responding to provider calls, entering inpatient/outpatient data into case management systems, and authorizing SCAN services under clinical direction.
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Compliance Supervisor, Licensing↗ Cpsbc CareersRemote $73k–$73k12d Ensuring applicants and licensees of the College of Physicians and Surgeons of BC are compliant with legislation, bylaws, policies, and standards.
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Mgr - Multi-Facility CDI - SMNJ Medical Records FAC#1↗ Saint Michael's Medical CenterNewark, NJ, US 12d Lead clinical documentation improvement (CDI) programs across multiple facilities to enhance data quality for billing and research.
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Clinical Superintendent – St Vincent’s Hospital Network Sydney↗ St Vincent’s Health AustraliaInner West, NSW, AU 12d Lead non-specialist medical officers and manage medical coding within a tertiary hospital network.
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Physician Advisor↗ Physician Affiliate Group of New YorkBrooklyn, NY, US $241k–$241k12d Identify denial trends, perform root cause analysis, and implement prevention strategies to align clinical documentation with regulatory and payer guidelines for a municipal healthcare system.
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Billing Analyst - Lab & Pathology UasysLittle Rock 12d Review, analyze, and process billing and reimbursement activities to ensure accurate and timely payment for medical services.
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Coding Education Specialist – ED/UC UsacsRemote $0k–$0k12d Design, develop, and deliver coding curricula and training to internal staff and external partners, translating complex coding concepts into accessible learning experiences.
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Administration Support Officer Level 4 - Clinical Coder - Kempsey District Hospital↗ NSW HealthKempsey, NSW, AU $78k–$78k13d Translate the type and acuity of patient services by accurately and timely coding inpatient episodes of care to support clinical data integrity and healthcare funding.
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Medical Officer - TPA↗ Jupiter HospitalMH, IN 14d Review patient medical records and assess treatment details for insurance/TPA approvals.
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Medical Officer - TPA,CLAIMS(BDS , BHMS,BAMS ,Pharma.D)↗ Stalwarts ServiciosKA, IN $250k–$250k14d Medical claims adjudication and billing verification for health insurance/TPA.
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?PMB Specialist Durban, eThekwini $216k–$216k15d Review and adjudicate Pre-Existing Condition (PMB) medical claims, ensuring compliance with scheme requirements and resolving payment discrepancies.
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Analyst-Data↗ AscensionRemote $72k–$72k15d Perform revenue integrity reviews, maintain the Charge Description Master (CDM), monitor regulatory changes, and provide subject matter expertise for operational revenue integrity.
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?Medical Insurance Credentialer and Biller↗ Remote $894k–$894k15d Manage provider enrollment, payer credentialing, and medical billing (AR follow-up) for an orthopedic practice.
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Claims Resolution Specialists II AoncologyUS-GA-Macon $0k–$0k15d Review medical insurance claims, resolve denials, and obtain appropriate payments for oncology and related specialties.
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Medical Administrative Nurse OkgovOklahoma County $78k–$78k15d Provides clinical support and expert guidance to Medical Directors and Physicians to ensure effective evaluation and review of medical services within the Medicaid division.
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Credentialing & Payer Operations Manager NadiacareCorporate - Remote $80k–$80k15d Own end-to-end provider licensing, payer enrollment, and credentialing operations for a maternity care team including doulas.
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PMB Specialist Pillango PlacementseThekwini, KwaZulu-Natal $216k–$216k15d Manage and resolve Pre-Existing Condition (PMB) claims for a healthcare technology and medical claims business by assessing eligibility, gathering clinical data, and challenging incorrect rejections.
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RN, Utilization Management RochesterStrong Memorial Hospital $81k–$81k16d Review clinical documentation to determine medical necessity and appropriate level of patient care using evidence-based criteria.
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Clinical Operations Spec GehaRemote $49k–$49k16d Performs routine administrative workflow tasks to support Clinical Operations functions, including claims review, case identification, and member/provider engagement.
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Registered Nurse (RN) - Clinical Documentation Specialist, 40 hours/week MainegeneralAugusta, ME $0k–$0k16d Conduct concurrent and retrospective medical record reviews to ensure accurate documentation of diagnoses and procedures, supporting HCC capture and regulatory compliance.
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Inpatient Coding Manager Huron119 Locations $90k–$90k16d Manages systemwide compliance and daily oversight of inpatient coding operational processes, workflow, and staff to ensure accurate facility billing and quality metric reporting for a health system.
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Medical Review II (Medicare) BroadwayventuresRemote $62k–$62k16d Licensed Registered Nurse performing complex medical reviews of Medicare claims for Inpatient Rehabilitation Facility (IRF) services, including pre-claim, pre-payment, and post-payment determinations.
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Analyst Charge - Revenue Integrity (Remote)↗ Trinity HealthRemote $22k–$22k17d Ensures accurate CPT and ICD-10 documentation for patient billing, performs charge capture, reviews charge entries for errors/duplicates, and supports denial management through clinical documentation analysis.
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Research Manager, Medical Technologies MassgeneralbrighamRemote $80k–$80k17d Leads research on medical technologies and products to support coverage decisions, utilization management, and medical policy development for a health plan.
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Revenue Specialist, OSM EnablecompFranklin, TN 17d Ensure proper submission and adjudication of Medicaid claims while managing patient health information (PHI) and adhering to HIPAA guidelines.
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RCM/ OPH Quality Assurance Supervisor EcpcareersRemote 17d Oversees quality assurance and performance for charge entry and claims management functions across internal and offshore teams.
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