Medical Coding
615 open positions
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Physician Advisor EnsemblehpRemote - Nationwide $198k–$198k26d 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↗ Trusted Ally Home CareRemote $85k–$85k26d 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 USARemote $0k–$0k29d 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) RchMain Campus - Orange $0k–$0k29d 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 CookchildrensFort 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 BroadwayventuresUnited States - Remote $65k–$65k1mo 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 GroupRemote 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) UscTWP The Walnut Plaza, US $0k–$0k1mo 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 CoherehealthRemote $210k–$210k1mo 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-YorkNew 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-GroupBalikpapan, 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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Prior Authorization UM Nurse Consultant CvshealthRemote $0k–$0k1mo Review prior authorization requests and medical records to determine medical necessity for members across broad medical specialties.
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Field Reimbursement Manager, Market Access - Mid-Atlantic Region GehcRemote $132k–$132k1mo Customer-facing subject matter expert providing education, support center integration, and patient-level issue resolution for reimbursement and access across the Pharmaceutical Diagnostic (PDx) portfolio.
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Licensed Physician Reviewer- Gynecology - PRN - REMOTE ChenmedRemote $205k–$205k1mo Licensed Physician Reviewer for Utilization Management (UM) cases in Gynecology, covering specified territories and coordinating care.
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Nurse - Clinical Review Wns-Global-ServicesRemote $65k–$65k1mo Performs utilization review of healthcare cases to determine medical necessity and ensure compliance with client policies and regulatory standards.
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Med Supp (Medigap) Compliance Program Manager ScanhealthplanLong Beach, CA $92k–$92k1mo Independent oversight of Medicare Advantage and Medigap compliance programs, ensuring adherence to federal and state Department of Insurance regulations.
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Utilization Management Nurse, Out of Network MassgeneralbrighamRemote $90k–$107k1mo Review prior authorization requests for planned inpatient or outpatient services from out-of-network providers to assess medical necessity and benefit coverage.
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Payment Integrity Program Development Senior Manager – Clinical & Facility Specialist DevotedRemote $111k–$111k1mo Architect and invent automated clinical claim edit and audit logic for inpatient, outpatient, ASC, and professional settings to ensure payment integrity.
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Medical Review Officer First AdvantageMéxico 1mo Act as a gatekeeper and advocate for the accuracy and integrity of drug testing review processes, determining legitimate medical explanations for positive, adulterated, or invalid test results.
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Senior Coding/Revenue Integrity Analyst BmcRemote $78k–$78k1mo Ensures compliant charge capture and revenue tracking for Boston Medical Center and Boston University Medical Group by monitoring regulatory changes, auditing workflows, and mitigating revenue leakage.
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Utilization Review Specialist Charlie Health Behavioral Health OperationsRemote $744k–$744k1mo Ensure thorough and streamlined utilization processes to determine optimal length of stays for patients with complex behavioral health needs.
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Epic PB Analyst SuperlanetRemote $156k–$156k1mo Transition Optum Claims Manager edits into Epic charge review edits and optimize Charge Router workflows for accurate billing.
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Director, Quality, Clinical Coding and Documentation Herself HealthRemote 1mo Lead quality, clinical coding, and documentation operations to drive HEDIS/Star Ratings performance and accurate risk adjustment for a women's primary care network.
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Coding Compliance Audit & Education Specialist Privia HealthRemote $70k–$70k1mo Audits medical records for compliance with federal coding regulations and provides education to providers on proper documentation and code assignment.
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Mitarbeiter ambulante Abrechnung (m/w/d) Artemed-SeLilienthal, NDS, de 1mo Billing and coordination of outpatient medical treatments, including emergency, accident insurance, and ambulatory surgery services.
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Quality Practice Advisor CenteneRemote-OH $0k–$0k1mo Establishes and fosters healthy working relationships with large physician practices and IPAs to support NCQA HEDIS measures and risk adjustment.
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DRG Clinical Auditor Principal ElevancehealthOH-MASON, 4361 IRWIN SIMPSON RD, US $122k–$122k1mo Auditing inpatient medical records on claims paid based on Diagnostic Related Group (DRG) methodology, including case rate and per diem, to generate complex audit findings and recoverable claims.
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Clinical Coding Auditor IqviaLondon, United Kingdom 1mo Producing monthly data quality and targeted audit reports, delivering clinical coding audits, and leading clinical quality improvement initiatives.
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Medical Director CareSourceRemote, US $195k–$195k1mo Provide clinical consultation, prior authorization reviews, and case management oversight for CareSource members.
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Clinical Documentation Specialist↗ Deforay TechnologyTN, IN $403k–$403k1mo Reviews inpatient or outpatient medical records for completeness, accuracy, and compliance to support correct medical coding and reimbursement.
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Clinical Scribe Trainer EcpcareersGRO Walker 1mo Train and mentor clinical scribes and technicians to ensure accurate ophthalmic documentation, workflow efficiency, and regulatory compliance across multiple clinic locations.
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Charge Posting Executive - US Healthcare/Medical Billing↗ Taurus PartnersHR, IN $312k–$312k1mo Review medical charts and charge tickets to extract, verify, and enter charge data accurately into the billing system for US healthcare providers.
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Medical Officer↗ Safeway Insurance Tpa ServiceDL, IN $360k–$360k1mo Review medical documents and assess health insurance claim admissibility for TPA/health insurers.
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