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Healthcare
› Medical Coding
Medical Coding
607 open positions
Certified Coder and Surgical Scheduler
↗
The Women's Group of Northwestern
Chicago, IL, US
$42k–$42k
23d
Medical coding and surgical scheduling for a women's health practice, managing patient financial information, billing claims, and coordinating GYN procedures.
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Clinical Documentation Specialist Remote
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Mercyone
Remote
23d
Direct efforts toward the integrity of clinical documentation by acting as a reviewer, educator, and consultant to ensure the quality, completeness, and accuracy of medical records.
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Medical Officer
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Safeway Insurance Tpa Service
MH, IN
$420k–$420k
23d
Review medical documents and assess health insurance claim admissibility to process cashless and reimbursement claims.
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MBBS Doctors Opening _ Non Clinical _ Working from Office
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Medi Assist Insurance Tpa Private Limited
KA, IN
$540k–$540k
23d
Auditing processed claims and pre-authorizations to validate process guidelines, quality, and terms while ensuring no financial implications for the organization.
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Clinical Documentation Improvement Specialist
↗
Deliverhealth Solutions
IN
23d
Validate AI-generated Clinical Documentation Improvement (CDI) recommendations and clinical notes to ensure clinical accuracy, relevance, and coding value for InstaNote's AI product.
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Prior Authorization Specialist
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Deliverhealth Solutions
IN
23d
Evaluate the quality, accuracy, and efficiency of AI-driven Prior Authorization workflows on the InstaAuth platform to improve automation reliability and clinical compliance.
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Manager - Prior Authorization ( Mumbai)
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Eclat Health Solutions
MH, IN
23d
Lead end-to-end Prior Authorization operations for Physician Billing specialties, ensuring timely approvals and compliance.
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Coding Specialist (EM& Surgery)
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Ventra Health
TN, IN
23d
Review medical documents to identify procedures and diagnoses, ensuring accurate coding using current guidelines.
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Senior Professional Customer Support Remote
↗
Gainwell Technologies LLC
Remote
$51k–$51k
23d
Senior-level customer support professional and subject matter expert for Electronic Visit Verification (EVV) and Electronic Data Interchange (EDI) operations, resolving complex inquiries and mentoring support representatives.
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Medical Director- Florida Medicare
Elevancehealth
FL-MIAMI, 11430 NW 20TH ST, STE 200 & 300, US
23d
Lead utilization management and medical necessity reviews for inpatient and outpatient authorizations, appeals, and peer-to-peer clinical discussions to ensure compliance with Medicare and state regulations.
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Medical Director Utilization Management
Coherehealth
Remote
$240k–$240k
23d
Physician reviewing clinical information to determine medical appropriateness of services using evidence-based guidelines.
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Clinical Billing Integrity Lead Analyst
GeneDx
Remote
$100k–$100k
23d
Lead clinical integrity efforts to ensure claims and prior authorization requests align with payer medical necessity rules, mitigating denials and improving reimbursement for genomic testing services.
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QA Coordinator (QAC)
Broadwayventures
United States - Remote
$65k–$65k
23d
Licensed Registered Nurse supporting quality coordination, inter-rater reliability (IRR) activities, and reviewer performance monitoring for a Medicare review portfolio.
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Medical Claims Review Senior Analyst
↗
The Cigna Group
KA, IN
24d
Provides clinical review expertise for high-dollar and complex medical claims, including facility and professional bills, while identifying coding/billing errors and potential fraud.
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?
Medical scribe
↗
TS, IN
$600k–$600k
24d
Transcribe physician dictation into clinical notes, manage medical records, and assign diagnosis/procedure codes to ensure billing compliance.
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Chief Medical Officer - Remote
↗
Alacura Medical Transportation Management, LLC
Remote
$250k–$250k
24d
Provide physician leadership and clinical oversight for medical transportation utilization management, including medical necessity determinations, appeals, and peer-to-peer reviews for interfacility, ground, and air ambulance transport.
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UM Nurse Analyst
↗
Availity, LLC.
Remote
24d
Interpret payer medical policy guidelines and construct/maintain AI-enabled decision trees for automated prior authorization workflows.
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?
Medical Billing Executive
↗
TS, IN
$400k–$400k
24d
Manage prior authorizations, verify insurance eligibility, review clinical documentation for medical necessity, and handle claim denials and appeals for healthcare providers.
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Credentialing -Sr/Process Associate (US Healthcare -Physician Billing)
↗
Medco Global Services
TS, IN
$264k–$264k
24d
Managing end-to-end provider credentialing, enrollment, and re-credentialing processes for US healthcare providers, including verification of licenses, NPI, DEA, and malpractice insurance, while coordinating with Medicare, Medicaid, and commercial payers.
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Manager, Complex Clinical Review
↗
Machinify
Remote
$115k–$115k
24d
Manage a remote team of nurses and auditors performing complex clinical bill reviews and clinical audits for health plan clients.
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Coding QA Specialist
↗
Mass General Brigham
Remote
$64k–$64k
24d
Ensuring the accuracy and quality of surgical billing information by auditing records, resolving discrepancies, and maintaining compliance with regulatory standards.
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QA Coordinator (QAC)
↗
Broadway Ventures
Remote, US
$65k–$65k
24d
Licensed Registered Nurse supporting quality coordination, inter-rater reliability (IRR) activities, and reviewer performance monitoring for a Medicare review portfolio.
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OASIS QA Specialist
↗
Netsmart Technologies
Remote, US
24d
High-level clinical quality and training leader ensuring accuracy, consistency, and compliance in Coding & OASIS review processes.
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Clinical Coder
↗
Ramsay Health Care
Everton Park, QLD, AU
24d
Accurately code patient diagnoses and procedures following discharge to ensure data integrity for patient care and funding.
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Senior Revenue Integrity Analyst
↗
Northeast Georgia Health System
Remote, US
24d
Subject matter expert in charge capture, CDM application, compliance, and reimbursement, leading audits and driving revenue optimization across clinical departments.
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Kodierfachkraft (m/w/d) für das Medizincontrolling mit MD Erfahrung
Artemed-Se
Augsburg, BY, de
24d
Coding of stationary medical cases according to valid regulations and billing rules, including review of patient records and handling queries from payers.
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Regional Network Manager
Elevancehealth
CT-ROCKY HILL, 500 ENTERPRISE DR, 3RD FL
25d
Drive process improvements, quality, and efficiency in high-volume medical operations (Medical Review, Appeals, Claims) by analyzing workflows, implementing new systems, and leading training.
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Team Manager, RCM Coding
Modmed
Hyderabad, India
25d
Lead a global team of internal medical coders and audit vendors to ensure documentation compliance, optimize billing workflows, and improve claim generation accuracy for physician practices.
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Coder II (Remote)
Christianacare
Remote
$0k–$0k
25d
Assign ICD-10 CM/PCS, HCPCS, and CPT codes for inpatient, outpatient, emergency, and ancillary records to support billing, data quality, and statistical reporting.
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Team Lead E&M
↗
Guidehouse
TN, IN
25d
Lead and monitor daily medical coding production for US clients, ensuring schedule adherence, quality compliance, and efficient staff allocation.
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MBBS Doctors Opening _ Non Clinical _ Working from Office
↗
Medi Assist Insurance Tpa Private Limited
RJ, IN
$600k–$600k
25d
Auditing processed claims and pre-authorizations to validate process guidelines, quality, and terms while ensuring no financial implications for the organization during settlement.
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Clinical Operations Lead
↗
Reveleer
Remote
25d
Lead clinical operations for risk adjustment and quality improvement by managing coding pends, over-read feedback, manual assignments, and data entry production while ensuring QA scores and collaborating on product releases.
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RN, Targeted Review
↗
Kaiser Permanente
Atlanta, GA, US
25d
Conduct precertification, medical necessity, and eligibility reviews for outpatient procedures, services, and inpatient admissions to ensure appropriate utilization of healthcare resources.
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RN, Targeted Review
↗
Kaiser Permanente
Atlanta, GA, US
25d
Conducts precertification, medical necessity reviews, and eligibility checks for targeted outpatient procedures, services, and inpatient admissions to ensure appropriate resource utilization.
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RN, Targeted Review
↗
Kaiser Permanente
Atlanta, GA, US
25d
Conducts precertification and medical necessity reviews for designated referrals, outpatient procedures, and inpatient admissions to ensure appropriate utilization of healthcare resources.
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Coder Senior - Professional Coding and Auditing experienced (Eastern United States resident)
Geisinger
Remote
25d
Transform verbal descriptions of diseases, injuries, and procedures into numeric or alphanumeric designations for healthcare claims submission.
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RN, Specialty Care Review
↗
Kaiser Permanente
Atlanta, GA, US
25d
Conduct medical necessity reviews for Home Care and DME Specialty Care referrals, ensuring adherence to established criteria and guidelines.
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Medical Officer
↗
Mongoose Minds Private Limited
KA, IN
$240k–$240k
25d
Review and adjudicate medical claims for Indian Health Insurance or TPA operations, ensuring adherence to guidelines and compliance standards.
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Vigilance Officer
↗
Garbhagudi Ivf
KA, IN
$360k–$360k
25d
Investigate complaints regarding breaches of confidentiality and unauthorized access, conduct internal audits of medical records and billing, and monitor security systems to ensure compliance with regulations.
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Physician Advisor
Ensemblehp
Remote - Nationwide
$198k–$198k
26d
Provides leadership for efficiently managing resource and utilization to deliver quality cost-effective care in the most appropriate setting, working closely with medical staff to optimize hospital service use.
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Clinical Operations Coordinator
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Trusted Ally Home Care
Remote
$85k–$85k
26d
Registered Nurse supporting clinical infrastructure, ensuring compliant and accurate patient care documentation, chart integrity, and billing accuracy across a multi-state home care agency.
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Data Entry Agent
Job On Remote Online USA
Remote
$0k–$0k
29d
Credentialing medical providers for insurance networks by conducting research, managing databases, and validating information via outreach.
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Utilization Review Representative, Care Management (Part Time, Non Benefitted)
Rch
Main Campus - Orange
$0k–$0k
29d
Process utilization review for inpatient and outpatient statuses, manage authorization requests with payors, and assist RN Care Managers with data collection and insurance verification.
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Claim Auditor I
Cookchildrens
Fort Worth, TX
29d
Auditing behavioral and medical claims for Texas Medicaid and CHIP programs to ensure payment integrity and regulatory compliance.
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Home Health/Medicare RCD Clinical Reviewer
Broadwayventures
United States - Remote
$65k–$65k
29d
Conduct comprehensive reviews of home health pre-claim review (PCR) packages to determine compliance with Medicare coverage, coding, and payment criteria.
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Pre-Service RCM Specialist (Prior Authorization / Insurance Verification)
TLNT Group
Remote
1mo
Verify insurance benefits, secure prior authorizations, and manage clinical records for high-value surgical cases to ensure accurate payment.
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Health Information Tech, Senior - HIM - Full Time 8 Hour Days (Non-Exempt) (Non-Union)
Usc
TWP The Walnut Plaza, US
$0k–$0k
1mo
Provides clerical and analysis support to the Health Information Management Department by managing electronic health records, validating documents, and generating reports.
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Medical Director Therapy
Coherehealth
Remote
$210k–$210k
1mo
Review clinical information to determine the medical appropriateness of therapy services (PT/OT/SLP) using evidence-based guidelines.
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MEDICAID ELIGIBILITY VERIFICATION SPECIALIST
City-Of-New-York
New York, NY, us
1mo
Review and analyze Medicaid case records and computer data to determine eligibility for State and Federal funding, identify retroactive obligations, and minimize audit disallowances.
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Medical Record Technician
Siloam-Hospitals-Group
Balikpapan, Kalimantan Timur, id
1mo
Compiling and coding medical record files (ICD-10/ICD-9CM) to ensure documentation neatness, process statistical data for internal/external reporting, and arrange files for service efficiency.
♥
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