Medical Coding
1,095 open positions
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Medical Coder (Epic/Outpatient Focus)↗ OpTechLansing, MI 16d Perform accurate ICD-10-CM/PCS, CPT, and HCPCS coding for facility and professional services with a heavy emphasis on outpatient records.
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Revenue Integrity Auditor Full Time Days HendricksDanville, IN, US 16d Identify billing and coding discrepancies, compliance violations, and revenue leakage across the healthcare revenue cycle to ensure financial integrity.
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Mitarbeiter (m/w/d) für die Plausibilitätsprüfung im Fachbereich Plausibilitäts- und Kassenverfahren Kassenärztliche Vereinigung BrandenburgPotsdam, BRANDENBURG 16d Verify the accuracy and traceability of medical billing submissions from over 5,000 outpatient physicians and psychotherapists in Brandenburg, analyze billing anomalies, and prepare documentation for the Billing Committee.
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Kodierfachkraft (m/w/d) Klinikum Main-SpessartLohr am Main, BAYERN 16d Primary coding of inpatient cases using the DRG system, including validation of pre-codes and ensuring timely billing.
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Part Time Physician Advisor - Pittsburgh, PA HighmarkhealthMonroeville PA, 15146, 2566 Haymaker Rd, Monroeville, US 16d Supports Forbes Hospital and Allegheny Valley Hospital by aligning patient needs with regulatory and payer requirements for medical necessity, level of care, and care setting.
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Lead Utilization Review, RN EnsemblehpRemote - Nationwide, US $82k16d Lead Utilization Review RN conducts medical necessity reviews, monitors resource utilization, manages denials, and facilitates discharge planning to ensure appropriate patient care and financial integrity.
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Clinical Compliance Analyst, RN↗ Firsthealth of the CarolinasPinehurst, NC, US 16d Supports enterprise-wide compliance initiatives, audits, investigations, and regulatory monitoring within the healthcare organization.
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Senior Coding Specialist (Psychiatry/Dermatology Coding Exp) - REMOTE VumcRemote 16d Reviews, accurately assigns, and abstracts professional and outpatient facility diagnostic and procedural codes to encounters using designated coding classification independently.
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Senior Health Information Manager - Audit & Education↗ Eastern HealthBox Hill, VIC, AU 17d Coordinate clinical coding audit activities, analyze findings for quality and funding optimization, and develop targeted education programs for coding staff.
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RN Nurse Clinical Documentation Improvement Specialist R1rcmRemote, USA $52k–$98k17d Conduct clinically based concurrent and retrospective reviews of inpatient medical records to improve documentation quality, severity of illness, and risk of mortality.
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Inpatient Coder Associate, Payment Integrity Clover HealthRemote $76k–$99k17d Ensure accurate payment of medical claims and reduce inappropriate medical spend by identifying provider DRG denials and upcoding.
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Clinical Coder Calvary HealthcareRemote $86k–$88k18d Reviewing, interpreting, and accurately coding inpatient episodes of care using ICD-10-AM, ACHI, and Australian Coding Standards to ensure data integrity and support DRG assignment and Activity Based Funding.
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MRD Executive↗ Kauvery HospitalTN, IN ₹228k–₹300k18d Collect, assemble, and audit inpatient and outpatient case sheets; enter patient data into HIS/EMR; code clinical data using ICD-10; prepare statistical MIS reports on hospital occupancy and mortality.
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Verwaltungsangestellte (m/w/d) Medizinische Rechnungsprüfung Universitätsklinikum Schleswig-HolsteinRemote 18d Administrative processing of medical service audit requests (MD) and related documentation for a university hospital.
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Kodierfachkraft (w/m/d) - FLEX Stiftungsmanagement Stiftung kreuznacher diakonieBad Kreuznach, RHEINLAND_PFALZ 18d Ensuring accurate coding and timely billing of inpatient hospital cases through case management or primary documentation review.
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Pre-Certification Specialist Ohio ENT & Allergy PhysiciansUSA $76k–$116k18d Verify patient insurance eligibility and obtain prior authorizations/pre-certifications for procedures and services to ensure coverage and support revenue cycle performance.
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BPO Medical Records Coding Sr. Associate NTT America, Inc.Coimbatore, Tamil Nadu 18d Review clinical statements and patient medical records to assign standard alphanumeric codes for diagnoses, procedures, and services.
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Medical Coding VDart Software Services Private LimitedHyderabad, Telangana 19d Review and validate CPT, ICD-10-CM, and HCPCS codes for accuracy; investigate complex medical claims to identify fraud, waste, and abuse while ensuring clinical documentation integrity.
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?Policy and Publication Specialist↗ Tampa, FL, US 19d Manage the distribution, formatting, editing, and publication of medical policies for health plans, ensuring accuracy and alignment with client requirements.
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Coding Denials Specialist↗ Ventra HealthTN, IN 19d Investigate and resolve health plan claim denials and rejections to ensure accurate coding and appropriate action.
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Verwaltungsangestellter (m/w/d) - Patienten- und Erlösmanagement (ambulante Leistungsabrechnung) v. Bodelschwinghsche Stiftungen BethelBielefeld, NORDRHEIN_WESTFALEN 19d Independent billing of outpatient medical cases using GOÄ and EBM fee schedules, preparing data for electronic exchange with the Kassenärztliche Vereinigung Westfalen-Lippe.
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Ärztliche/r Berater/in im Medizincontrolling (m/w/d) Delphi HR-Consulting GmbHRemote 19d Strategic consultant developing and implementing DRG examination strategies and providing medical evaluation for complex cases.
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Audit & Reimbursement III - Training ElevancehealthIN-INDIANAPOLIS, 220 VIRGINIA AVE, US $66k19d Design, deliver, and improve audit training for staff performing desk reviews on hospital and non-hospital providers; lead large/complex field audits and approve team audit work.
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Pflegerischer Medizincontroller (m/w/d) Klinikum Kassel GmbHKassel, Hessen, HESSEN 19d Independent assessment of hospital cases for medical audits (MD), including drafting statements and appeals, representing the hospital in discussions with payers, and consulting departments on coding and billing.
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Medical Director (PRN) CenteneRemote-IN, US $215k–$408k19d Provide medical leadership for utilization management and medical review activities, including case reviews, appeals, and determining medical necessity for complex services.
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Sr Coordinator, Complaints & Appeals Operations CvshealthCT - Work from home, US 19d Process commercial member clinical appeals, complete determination letters, manage expedited requests, and support the panel hearing process.
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Coding Consultant Outpatient - PRN Datavant2Remote 19d Review medical records and assign accurate ICD/CPT codes for diagnoses and procedures in outpatient settings to support hospital billing and statistical reporting.
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3850810-Executives ExlIndia 19d Review complaints and appeals filed by providers to ensure cost-effective delivery of health services.
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Clinical Auditor/Analyst (Remote)- Fraud, Waste and Abuse↗ UpmcRemote 20d Conduct clinical audits and reviews to detect fraud, waste, and abuse in healthcare claims and services, ensuring compliance with clinical guidelines and regulations.
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Leitung (m/w/d) Medizincontrolling Rems-Murr-Kliniken gGmbHBADEN_WUERTTEMBERG 20d Leading the Medical Controlling department at a hospital, focusing on DRG billing, cost management, and strategic performance analysis.
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Home Health Medical Coder↗ Cliniqon Rcm Pvt LtdKL, IN ₹324k–₹396k20d Review home health medical records and assign accurate ICD-10-CM diagnosis codes to support PDGM reimbursement and compliance.
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Inpatient Care Physician (MD/DO)↗ EvbRemote 20d Review and assess medical records, clinical notes, and inpatient documentation (HPI, PMH, assessments, care plans) to train AI systems for clinical documentation and decision support.
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Compliance/Rights Officer↗ Texana CenterRosenberg, TX, US 20d Develop, implement, and oversee the Compliance Plan; investigate fraud/waste/abuse complaints; ensure HIPAA compliance for electronic health records; serve as Custodian of Medical Records.
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Trauma Registrar VCUHealthRichmond, VA, US 20d Maintains a trauma registry database for VCU Health System's adult and pediatric trauma programs to support Level 1 Trauma Center verification and quality improvement.
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Inpatient Medical Coding Auditor HumanaRemote $71k–$98k20d Reviews inpatient hospital claims for proper reimbursement, handles provider disputes, and ensures correct claims payment and appropriate DRG assignments.
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Mitarbeiter für die GOÄ-Abrechnung / Abrechnungsmanagement (m/w/d) - digitale Abrechnung PVS holding GmbHBerlin, BERLIN 20d Processing and verifying billing data for private medical practices according to the German Physicians' Fee Schedule (GOÄ) to ensure accuracy and completeness.
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Medizinische Kodierfachkraft – Zentrales Medizincontrolling (m/w/d) Marienhaus GmbHRemote 20d Medical coding specialist for a central medical control team, processing stationary treatment cases digitally across multiple clinics.
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Facility Coding Quality Integrity Analyst - Inpatient AahRemote 20d Ensures accurate and compliant inpatient professional and hospital coding practices through audits, data analysis, and guidance development.
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