Medical Coding
1,073 open positions
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Técnico De Contas Hospital São Lucas da PUCRSPorto Alegre, Rio Grande do Sul 11d Verifying and validating billing for hospital procedures and supplies against health insurance contracts and institutional policies to ensure proper reimbursement.
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Coding Coordinator IV - (Remote) ChristianaCareRemote 12d Full-time Inpatient Coding Coordinator responsible for timely and accurate coding for reimbursement and data collection, coordinating daily responsibilities of coding and support staff.
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DME Documentation Quality Specialist - Full Time Mercy HealthOklahoma City, Oklahoma 12d Ensuring operational documentation is present and accurate before submitting to billing for claims submission.
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Clinical Coding Analyst - Remote IqviaRemote 12d Manage single and multi-service clinical coding projects, ensuring quality deliverables on time and within budget for customer satisfaction.
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Medical Director↗ Medical Review Institute of AmericaRemote $240k12d Perform clinical utilization management, peer review activities, and clinical quality management for healthcare organizations.
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Medical Management Assistant (SCAN Temp) ScanhealthplanRemote 12d Support the Medical Management department by responding to provider calls, entering inpatient/outpatient data into the case management system, and authorizing SCAN services under clinical direction.
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Medical Director, Medical Affairs CvshealthRemote $174k–$375k12d Provide clinical oversight, mentorship, and consultative support for CVS Health clinical programs, PBM Clinical Quality activities, and P&T processes.
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Manager Revenue Integrity - FT - Days - MHS - Remote Eligible MemorialhealthcareRemote 12d Provides operational leadership for Revenue Integrity functions to ensure accurate, compliant, and timely charge capture, billing readiness, and revenue protection across the health system.
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Associate Auditor (Analyst) R1rcmRemote, USA 12d Validate coding updates affecting diagnosis-related groups (DRG) on claims to ensure reimbursement accuracy and coding compliance for healthcare clients.
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Director - Professional Coding (Remote) StanfordmedicineRemote 12d Oversees and provides leadership for professional coding, quality, audit, and education functions across the enterprise, ensuring compliance and revenue integrity.
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Director Mid Revenue Cycle AahAAO Milwaukee - 750 W Virginia St, US 12d Lead Mid Revenue Cycle operations to ensure accurate coding, timely reimbursement, and regulatory compliance for a large integrated healthcare system.
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Medizin Controller/-in (m/w/d) DAK-GesundheitHamburg, HAMBURG 12d Develop hospital billing management under DRG criteria, analyze hospital billing behavior and coding strategies, and provide medical expertise for hospital billing audits.
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Medical Coder HarriscomputerOffice - Mumbai (Vikroli), IN 12d Review and analyze Emergency Department (ED) medical records to assign accurate ICD-10-CM, CPT, and HCPCS codes for E/M services, procedures, and diagnoses.
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Cardiovascular Data Abstractor↗ West Valley Medical CenterRemote 12d Abstraction of data for complex core measures, cardiovascular services, and infectious disease data from medical records to ensure regulatory compliance.
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Cardiovascular Data Abstractor↗ Hca Florida West HospitalRemote 12d Abstraction of data for complex core measures, cardiovascular services, and infectious disease data from medical records to ensure regulatory compliance.
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Cardiovascular Data Abstractor↗ Frankfort Regional Medical CenterRemote 12d Abstraction of data for complex core measures, cardiovascular services, and infectious disease data from medical records to ensure regulatory compliance.
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Cardiovascular Data Abstractor↗ Hca Florida North Florida HospitalRemote 12d Abstraction of data for complex core measures, cardiovascular services, and infectious disease data from medical records to ensure regulatory compliance.
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Cardiovascular Data Abstractor↗ Tristar HealthRemote 12d Abstraction of data for complex core measures, cardiovascular services, and infectious disease data from medical records to ensure regulatory compliance.
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Cardiovascular Data Abstractor↗ Medical City HealthcareRemote 12d Abstraction of data for complex core measures, cardiovascular services, and infectious disease data from medical records to ensure regulatory compliance.
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DRG QA/Training Manager↗ MachinifyRemote $130k–$150k12d Lead the DRG QA/Training team to ensure accuracy and compliance in MS-DRG and APR-DRG clinical validation for health plan clients.
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Clinical Documentation Specialist RN↗ Advocate Aurora HealthChicago, IL, US 12d Improves quality and completeness of clinical documentation by performing chart reviews, identifying principal diagnoses, and clarifying medical records with physicians to ensure accurate severity of illness and risk of mortality assessment.
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Medical Bill Review Consultant↗ Medical EquationAustin, TX, US 12d Independent expert witness reviewing medical bills, coding accuracy, and reasonable value of healthcare services for litigation support.
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Appeals Clinical Consultant↗ Point32healthRemote, US 12d Clinical resource supporting the Appeals & Grievances department by analyzing complex member/provider issues, determining physician review needs, and providing clinical input for appeal decisions.
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Manager, Grievance & Appeals CenteneRemote $70k–$126k12d Manage the day-to-day operations of the Grievance & Appeals department, ensuring processing of member and provider appeals in accordance with legal and contractual requirements.
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Prior Authorization Specialist↗ CardiooneRemote 12d Obtain and verify prior authorizations for procedures, diagnostic tests, and services to ensure compliance with insurance policies and healthcare regulations.
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Hiring: Super-Specialist Medical Desk Auditors↗ Phoenix Assurance Pvt LtdRemote ₹840k–₹960k12d Review and audit medical insurance claims, evaluate medical records and treatment protocols, and assess medical necessity for specific specialties.
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Medical Officer↗ Fhpl - Family Health Plan Insurance Tpa LimitedHyderabad, Telangana, India 12d Review and evaluate medical documents and health insurance claims to ensure medical necessity, adherence to clinical guidelines, and alignment with policy terms.
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Clinical Investigator II BmcRemote, US $78k–$113k12d Clinical subject matter expert leading complex healthcare fraud, waste, and abuse investigations, evaluating medical necessity, and collaborating with law enforcement to safeguard plan assets.
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Internal Medicine Hospitalist, Part-Time AI Documentation Review - Remote (Canada)↗ Opentrain AIRemote 12d Review adult inpatient medicine charts to validate claims for clinical AI systems and improve their accuracy.
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Licensed Physician Reviewer - Remote - Endocrinology ChenmedRemote $205k–$293k12d Primary physician reviewer for Utilization Management (UM) cases, covering specified territories and coordinating care for patients.
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Coder II AoncologyRemote 12d Assign medical codes for general surgery and oncology procedures and diagnoses from medical records to ensure accurate billing and compliance.
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Credentialing Coordinator OulahealthBrooklyn/NYC $52k12d Manage clinician credentialing, privileging, and payer enrollment across multiple hospital partners to enable provider onboarding and patient care.
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Senior Clinical/Operations Internal Monitoring Manager CloverhealthRemote 12d Lead second-level clinical and operational monitoring for Utilization Management, Claims, and Appeals to ensure compliance with regulatory standards and clinical policies.
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Młodszy Specjalista / Specjalista (k/m) w Dziale Realizacji Kontroli w Terenowym Wydziale Kontroli XV w Departamencie Kontroli Centrala NFZPoznań, wielkopolskie PLN 6k12d Conducting inspections and audits of healthcare service providers, analyzing documentation, and preparing reports on irregularities for the National Health Fund.
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Manager I, Claims Services Sun Life Financial, Inc.Hong Kong, Hong Kong, HK 12d Overseeing pre-approval medical services (cashless claims), managing junior case reviews, and establishing medical cost/quality control guidelines.
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Advanced Clinical Coder SA HealthRemote $82k–$86k13d Provide timely and accurate clinical coding, quality assurance, auditing, and education to support high-quality patient data, reliable reporting, and accurate Activity Based Funding.
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DRG Senior Educator, Coding EnsemblehpRemote - Nationwide, US $69k13d Subject matter expert educating, training, and developing processes to facilitate accurate clinical documentation and Diagnosis Related Group (DRG) assignments.
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Kodierfachkraft (m/w/d) Gemeinnützige Gesellschaft der Franziskanerinnen zu Olpe mbHBergisch Gladbach, NORDRHEIN_WESTFALEN 13d Coding medical cases in clinical departments based on digital patient records and current DRG classification systems.
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Coding Auditor Senior ElevancehealthMO-ST. LOUIS, 100 S 4TH ST, US 13d Audits diagnosis data from physician and hospital medical records to ensure proper ICD-9/ICD-10 coding and compliance with risk adjustment requirements.
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Kodierfachkraft (m/w/d) Klinik sinexo GmbHMünchen, BAYERN €48k–€50k13d Assigning appropriate codes to treatment cases according to current guidelines and verifying billing data completeness and consistency.
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Manager of Inpatient Coding OsuRemote 13d Manage systems and operations for efficient inpatient medical record coding to ensure accurate billing and reimbursement from payers.
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