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Healthcare
› Medical Coding
Medical Coding
532 open positions
AVP, Medicare Advantage C-SNP Compliance
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Verda Healthcare
Huntington Beach, CA, US
1d
Lead compliance for CMS Medicare Advantage Chronic Special Needs Plans (C-SNP), overseeing regulatory adherence, audit readiness, and Model of Care implementation.
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Compliance Documentation Improvement Specialist
Aah
Atrium Health Cleveland - 201 E Grover St, Shelby, NC, US
$0k–$0k
1d
Reviews inpatient medical records to identify diagnoses and assign MS-DRGs based on clinical evidence to support corporate compliance and quality goals.
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Prior Authorization Associate I
Abbott
Remote
$0k–$0k
1d
Lead the Revenue Cycle team to ensure timely and accurate submission of claims, appeals, and cash posting while monitoring performance and coordinating workflows.
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Utilization Management Rep I
Elevancehealth
Remote
1d
Coordinates cases for precertification and prior authorization review, managing incoming claims and determining benefit eligibility for inpatient and outpatient services.
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Quality Practice Advisor
Centene
Corpus Christi-Texas(78412), US
$0k–$0k
1d
Educates physician practices and IPAs on NCQA HEDIS measures, medical record documentation, and coding to ensure plan compliance and quality improvement.
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Care-coordinator - BEI
Bupa
Egypt - Cairo
1d
Evaluate and authorize complex medical preauthorizations and high-value claims for international health insurance members.
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Medical Auditor
RemoteJobsOne
Remote
$62k–$62k
2d
Review and audit outpatient professional fee coding for accuracy and compliance to train next-generation AI systems.
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HEALTHCARE CLAIMS ADJUSTOR
Heya South Africa
Johannesburg, Gauteng
2d
Reviewing, assessing, and adjudicating incoming U.S. healthcare claims for accuracy and completeness, then processing payments to providers in line with Benefit Plan rules.
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Coder - ED Facility with E/M Injection & Infusion
Guidehouse
Chennai, Tamil Nadu
3d
Transform medical diagnoses and procedures into ICD-10-CM, CPT, and HCPCS codes for Emergency Department, ED with E/M, and Infusion & Infusion (I&I) facility workflows.
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Médico Auditor
Hospital Nipo-Brasileiro
São Paulo, Estado de São Paulo
3d
Evaluate clinical pertinence of procedures and analyze hospital accounts for compliance with care guidelines and contracts.
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Persönlichkeit für den Bereich ambulante Leistungen / Region Brugg / Fest
absolutLIV AG
Remote
3d
Reviewing and auditing invoices for outpatient services across all medical specialties, ensuring compliance with legal, medical, and insurance regulations, and managing payment or rejection of claims.
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In Hospital Case Manager
The Recruitment Studio
Central Johannesburg, Johannesburg
3d
Utilizing clinical knowledge to mitigate financial risk through accurate coding of hospital events, justifying levels of care and length of stay, and communicating with funders.
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Process Associate
eNoah iSolution India Private Ltd
Coimbatore, Tamil Nadu
3d
Review and edit AI-generated summaries of medical documents for accuracy, completeness, and relevance to support underwriting decision-making.
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Medical Billing Specialist
Jobgether
Remote
3d
Ensure accurate and timely charge capture within a healthcare revenue cycle by reviewing charges, resolving discrepancies, and maintaining billing records.
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Field Reimbursement Manager - Med Device (Remote)
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Remote
3d
Field-based specialist supporting accurate coding, billing, and payer contract navigation for Flex Vascular medical device products.
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Medical Claims Review Senior Analyst
Cigna Group
Bangalore, Karnataka
3d
Provides clinical review expertise for high-dollar and complex medical claims, identifying coding/billing errors, fraud, and abuse while ensuring application of reimbursement policies.
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Medical Claims Reviewer, 6 Month Contract (Remote)
Broadwayventures
Remote
$67600k–$67600k
4d
Conduct medical reviews by comparing End Stage Renal Disease (ESRD) patient medical records against data submitted to CMS EQRS and CDC NHSN to identify and classify discrepancies.
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Technicien d’Information Médicale (H/F)
Groupe Hospitalier Paris Saint Joseph
Paris, IDF, fr
4d
Translating patient medical records into standardized diagnostic and procedure codes (PMSI) to ensure accurate hospital stay valuation and financing.
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CONFERENCE OFFICER
City-Of-New-York
New York, NY, us
4d
Provide administrative rationale and documentation for fair hearing compliance, manage staff performance and attendance, and coordinate with legal teams and external agencies regarding case status and compliance issues.
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Koordynatorka / Koordynator ds. Nadzoru Usług Medycznych (PZU Zdrowie)
PZU Zdrowie SA.
Warszawa, mazowieckie
4d
Planning and executing audits of medical and billing documentation for healthcare providers, verifying service correctness, and analyzing data to identify irregularities and risks.
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Neuro science gradautes for medical coding
Nestem Technologies
India
$128k–$128k
4d
Converting verbal medical descriptions into numeric or alphanumeric codes using ICD 10 CM, CPT, and HCPCS standards.
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Medical Director-Medicaid (ABH-LA)
Cvshealth
Remote
$174k–$174k
4d
Lead clinical decision-making for Medicaid members across multiple states, focusing on utilization management, medical necessity reviews, and peer-to-peer consultations.
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Senior Coder - ED Facility with Injection & Infusion
Guidehouse
IN - Chennai
4d
Transform medical diagnoses and procedures into ICD-10-CM, CPT, and HCPCS codes for Emergency Department and Infusion & Injection facilities.
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Senior Coder - Profee E&M IP
Guidehouse
IN - Chennai
4d
Transform medical diagnoses and procedures into ICD-10-CM, CPT, and HCPCS codes for inpatient emergency and multispecialty cases.
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Credentialing Consultant
Osu
OSU Health Plan, US
4d
Leads and oversees operational activities for corporate credentialing services, managing non-physician provider credentialing, privileging, and verification processes for OSU hospitals.
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Senior Coder - Facility IP DRG
Guidehouse
IN - Trivandrum
4d
Transform medical diagnoses and procedures into ICD-10-CM and ICD-10-PCS codes to assign Diagnosis-Related Groups (DRGs) for reimbursement.
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Senior Coder - Facility IP
Guidehouse
IN - Trivandrum
4d
Transform medical diagnoses and procedures into alphanumerical codes (ICD-10-CM/PCS) and assign DRGs to ensure accurate reimbursement and compliance.
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Clinical Review Nurse - Prior Authorization
Centene
Remote
$56k–$56k
4d
Analyzes prior authorization requests to determine medical necessity and appropriate level of care in accordance with national standards and benefit coverage.
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Coder - E/m Hospitalist
Guidehouse
IN - Chennai
4d
Transform medical diagnoses and procedures into ICD-10-CM, CPT, and HCPCS codes for hospital emergency and medicine departments.
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RN - Registered Nurse - Clinical Documentation Improvement Specialist
Geisinger
Remote
4d
Analyze inpatient medical records to optimize clinical documentation for accurate DRG assignment, severity of illness, and risk of mortality.
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Quality Practice Advisor
Centene
Remote-NV, US
$0k–$0k
4d
Establishes and fosters relationships with physician practices and IPAs to educate on NCQA HEDIS measures and risk adjustment, ensuring compliance with state and federal standards.
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Nurse Auditor, Delegation Oversight
Altamed
Montebello, CA 90640, US
$69k–$69k
4d
Performing delegation oversight auditing to ensure delegates comply with upstream health plan contractual requirements, NCQA, federal, and state regulations.
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Clinical Authorization Specialist - High Tech Radiology
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Trinity Health
Ann Arbor, MI, US
4d
Reviewing, submitting, and monitoring prior authorizations for high-tech radiology services, procedures, and DME for IHA patients.
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LPN / Health Information Manager
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Signature Healthcare LLC
Lexington, KY, US
4d
Manage the full lifecycle of medical records, ensure regulatory compliance, and serve as the facility's Compliance Liaison.
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Health Information Manager
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Signature Healthcare LLC
Hartford, KY, US
4d
Manage the full lifecycle of resident medical records, ensure regulatory compliance, and serve as the facility's Compliance Liaison.
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Authorization Representative II
Elevancehealth
FL-LAKE MARY, 3200 LAKE EMMA RD, STE 1000, US
$0k–$0k
4d
Administer prior authorization requests for patients requiring drug approvals under various health plans, ensuring documentation accuracy and completeness.
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Utilization Management Representative II
Elevancehealth
OH-MASON, 4241 IRWIN SIMPSON RD, US
4d
Managing incoming calls to triage, open cases, and authorize inpatient admissions, outpatient precertification, and prior authorizations for specialty pharmacy services.
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Coder III
Gbmc
GBMC Hospital, US
$0k–$0k
4d
Assigns ICD-10-CM and CPT codes by abstracting and analyzing demographic and clinical information for accurate billing and data integrity.
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Med Rec Coder III, Complex
Rochester
Remote
$0k–$0k
4d
Advanced medical coder analyzing complex medical documentation to assign procedural terminology and medical codes in accordance with coding rules and policies.
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Pre-Authorization Nurse
Humana
Remote
$71k–$71k
4d
Reviews prior authorization requests for appropriate care and setting, completing medical necessity and level of care reviews using clinical judgment.
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Assistant Manager- Physician Reviewer
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Exl Service
TN, IN
4d
Review and analyze patient medical records to extract clinical information, interpret diagnoses and treatments, and summarize insights for decision-making.
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Trauma Registrar
Brownhealth
Brown University Health, US
$0k–$0k
4d
Collect, abstract, and enter clinical data for trauma patients into the TraumaOne database to support performance improvement and ACS verification.
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Senior Coder - ED Facility
Guidehouse
IN - Trivandrum
4d
Transform medical diagnoses and procedures into ICD-10-CM, CPT, and HCPCS codes for emergency room and ED facility work.
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Medical Director - ENT
Cvshealth
Remote
$174k–$174k
4d
Clinical Subject Matter Expert for Otolaryngology (ENT) providing guidance, oversight, and evidence-based decision-making for medical management programs.
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Credentialing Specialist
↗
Emp Claims
GJ, IN
$400k–$400k
4d
Manages the full lifecycle of provider credentialing, re-credentialing, and payer enrollment for physicians and advanced practice providers to ensure revenue integrity.
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Medical Biller/ Coder (OB/GYN coder)
Dianahealth94
Remote
5d
Accurate coding of medical procedures and diagnoses across inpatient, outpatient, ambulatory, and specialty care to ensure compliance and optimize reimbursements.
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Area Lead Health Information Specialist
Datavant2
Tennessee
5d
Processing medical record requests (Release of Information) for healthcare providers, ensuring HIPAA compliance and accuracy.
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CDQI Nurse Specialist
Datavant2
Remote - United States
$0k–$0k
5d
Conduct daily evaluations of inpatient medical records to enhance documentation clarity, completeness, and accuracy for precise code assignment and reimbursement.
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Coding Consultant Outpatient PRN
Datavant2
Remote
$0k–$0k
5d
Review medical records and assign accurate ICD/CPT codes for diagnoses and procedures in an outpatient ED/Ambulatory Surgical setting.
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Coding Consultant Outpatient - PRN
Datavant2
Remote
$0k–$0k
5d
Review medical records and assign accurate ICD/CPT codes for diagnoses and procedures in outpatient settings including observation, injections, infusions, and emergency departments.
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