Medical Coding
532 open positions
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UB-04 Hospital Biller (Cerner) Cpsi 2mo Full-cycle hospital billing and revenue cycle operations ensuring accurate claim submission and maximum reimbursement for facility-based services.
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Medical Director - Radiation Oncology - MD or DO CvshealthRemote $174k–$174k2mo Oversees utilization review, quality assurance, prior authorization, and claim determinations for radiation oncology services within a health plan/payer setting.
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Senior Billing Compliance Analyst SaintfrancisRemote - OK 2mo Senior Billing Compliance Analyst providing advanced support to the health system's billing compliance program by performing complex audits, leading data analytics activities, and guiding prevention and monitoring strategies.
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HEDIS Audit Quality Manager (State and NCQA) ElevancehealthGA-ATLANTA, 740 W PEACHTREE ST NW, US $99k–$99k2mo Managing HEDIS audit activities and ensuring compliance for submissions to NCQA, CMS, and State Regulatory Agencies.
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Medical Director-Payment Integrity HumanaRemote $224k–$224k2mo Medical Director determines authorization of inpatient and post-acute care services based on clinical guidelines and CMS policies.
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Revenue Integrity Analyst - Laboratory LvhnAllentown, PA, US 2mo Maintain laboratory chargemaster (CDM), validate test builds, audit charges for compliance, and ensure accurate reimbursement for lab services.
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Senior Clinical Quality Assurance Analyst InovalonRemote $85k–$85k2mo Ensuring clinical oversight, quality improvement, and compliance with healthcare standards while supporting clinical product strategy and implementation.
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Population Health Associate Privia HealthHouston, TX, us $50k–$50k2mo Consultative role supporting population health initiatives for an attributed patient population by partnering with providers and care centers to develop action plans, improve quality performance, and ensure accurate coding and documentation for value-based…
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Health Navigator I Moda HealthRemote $44k–$44k2mo Provides phone, email, and chat-based customer service to members of specific health insurance groups by analyzing needs and providing timely, accurate responses regarding benefits and health programs.
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Manager Rev Cycle - Patient Access Adult/Peds Services ER UmmcJackson, MS - Main Campus 2mo Managing workflows and business operations across billing, follow-up, collections, cash posting, and customer service for a medical center's revenue cycle.
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Health Information Management- Coder PullmanregionalhospitalPullman Regional Hospital $0k–$0k2mo Outpatient coding specialist reviews medical records to abstract data and assign diagnosis and procedure codes using ICD-10 and CPT systems to support billing and cash flow.
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Senior Manager, Reimbursement Operations & Field Market Access - ION IntuitiveSunnyvale, CA, us 2mo Lead execution of U.S. HEMA reimbursement operations, serving as the primary tactical interface between sales/marketing, providers, and payers to ensure code implementation and coverage success.
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Admission Liaison - LVN- Acute Rehab Unit - Full Time 8 Hours Day (Non-Union, Non-Exempt) UscARH Arcadia Hospital, US $0k–$0k2mo Collect patient data via chart review and communication to determine admission appropriateness for the acute rehab unit and ensure CMS compliance.
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Coder LmhRemote 2mo Accurate medical coding, abstracting, claims filing, and documentation review for inpatient and outpatient medical records to ensure quality and code compliance.
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Forward Deployed Process Consultant- R37 R1rcmRemote, USA $114k–$114k2mo Bridging executive strategy with operational execution in healthcare revenue cycle management by optimizing medical coding workflows and implementing process improvements.
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Senior Manager, Medical Loss Ratio CenteneRemote $108k–$108k2mo Accountable for Medical Loss Ratio (MLR) compliance, reporting, and governance across assigned lines of business, ensuring accurate calculations, timely federal/state filings, and audit readiness.
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Utilization Management Registered Nurse ValleychildrensMadera, CA $0k–$0k2mo Screen patient admissions against clinical criteria, manage denials, and serve as a clinical resource for staff.
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Clinical Proofreader Editor 4 Corner ResourcesRemote $52k–$52k2mo Reviewing clinical system events and member/provider correspondence to ensure compliance, accuracy, and adherence to regulatory guidelines and corporate branding.
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Hospital Based Outpatient Coder II - HIM - FT - Days - MSS - Remote Eligible MemorialhealthcareMemorial Support Services 3mo Reviews medical record documentation to assign ICD-10 CM codes to complex diagnoses and CPT codes and modifiers to procedures for outpatient encounters to ensure proper coding, billing, and compliance.
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Clinical AI Data Specialist Datavant2Remote - United States $120k–$120k3mo Ensure clinical accuracy of AI training data, model output labels, and clinical logic for risk adjustment products by annotating medical records and validating coding standards.
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Demand Writer Support Specialist (Remote) | LATAM HireHawkRemote $14k–$14k3mo Review medical records and bills to build attorney-ready personal injury demand packages.
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RCM Training Consultant 2 ModmedRemote 3mo Design, develop, and deliver comprehensive training programs for Revenue Cycle Management (RCM) software to medical practices, hospitals, and billing companies.
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RCM Solutions Engineer ElationhealthRemote $80k–$95k3mo Serve as a Revenue Cycle Management (RCM) subject matter expert to bridge prospect pain points with Elation's billing and practice management capabilities for small to medium-sized medical practices.
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Supervisor, Coding Data Management & Education ChristianacareWilmington, DE $79k–$79k3mo Provides operational oversight for health information management services coding data quality monitoring and coder education activities to support accuracy, integrity, productivity, and compliance in an acute care hospital setting.
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Claims Audit Analyst - Denver Health Medical Plan (Must Live in Colorado. Weekly On-Site Requirement) DenverhealthDenver Health Medical Plan - 601 Broadway, Denver, CO 80203 $61k–$61k3mo Perform audits on claims processed by vendors, review provider escalations and grievances, and monitor member accumulators to ensure adherence to CMS, DOI, and contractual rules.
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Medical Director, Medical Management HighmarkhealthRemote $228k–$228k3mo Physician leader ensuring utilization management responsibilities align with clinical standards by reviewing escalated cases for medical necessity and appropriateness.
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Application Specialist (w/m/d) – Krankenhausabrechnung & Kodierung (DRG) MesalvoRemote 3mo Develops and maintains technical demo and workshop scenarios for hospital billing and coding processes, supporting sales teams with domain expertise in DRG systems and translating clinical requirements into product storylines.
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Charge Description Master Analyst II EnsemblehpRemote $69k–$69k3mo Routine data validation, monthly Chargemaster maintenance, and revenue monitoring for healthcare clients.
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Clinical Coding Trainer Torbay and South Devon NHS Foundation TrustRemote $0k–$0k3mo Deliver comprehensive training programmes for clinical coding trainees and apprentices while supporting the ongoing development of the wider coding workforce.
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Leitung Erlösmanagement (m/w/d) Artemed-SeFreiburg im Breisgau, BW, de 3mo Lead revenue management, inpatient billing, patient data management, and medical controlling for a hospital.
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Revenue Integrity A/R Representative HarriscomputerRemote 3mo Ensure accurate charge capture, compliant billing, and timely reimbursement for physician practices by resolving billing discrepancies and reducing denials.
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Inpatient Medical Coder– DRG Specialist - Remote SutherlandRemote 3mo Analyze and interpret complex trauma 1 facility inpatient records to assign and sequence diagnostic and procedure codes for accurate billing.
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Senior Configuration Specialist QNXT - SCAN Temp ScanhealthplanRemote $72k–$72k4mo Provide strategic guidance and support to the Configuration Department, leading initiatives to improve processing accuracy through system configuration, automation, and process optimization for health plan operations.
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Professional Coder I SouthshorehealthWeymouth, MA $0k–$0k4mo Assigns accurate ICD-10 and CPT-4 diagnostic and procedural codes to inpatient, outpatient, and observation medical records.
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Medical Director, Utilization Management-Remote AlignmenthealthcareRemote $262k–$262k4mo Lead clinical reviews for medical necessity, treatment appropriateness, and compliance for inpatient, outpatient, and skilled facility services while optimizing utilization and ensuring quality of care.
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Healthcare Advocate GrantedRemote - Continental US $50k–$50k4mo Resolve complex medical billing and insurance cases end-to-end, advocating for users to correct errors, negotiate bills, and navigate the healthcare system.
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CDI Clinical Performance Auditor WaystarUnited States, Remote 4mo Plans, designs, develops and performs quality assessments on data elements and structures to document and evaluate integrity, completeness, quality, and appropriateness of formats, records and structures.
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Onboarding Documents Associate ClipboardRemote 4mo Review and validate onboarding documentation for healthcare professionals to ensure compliance with facility, state, and federal guidelines.
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Manager - Registered Nurse - Clinical Documentation Improvement SsmhRemote 4mo Oversees and manages the daily operations of a regional Clinical Documentation Improvement (CDI) program, promoting standardized documentation and optimizing operations across a network.
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