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Healthcare
› Medical Coding
Medical Coding
532 open positions
Supervisor - Audit/Investigation
Jobgether
US
6d
Lead audit and investigation activities to identify and address Medicare and Medicaid fraud, waste, abuse, and compliance issues while overseeing a team of auditors and investigators.
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Documentation Specialist
Jobgether
Remote
$0k–$0k
6d
Coordinate documentation for positive drug-testing results by verifying medical records with healthcare professionals to support accurate determinations.
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Hospitalist Physician
RemoteJobsOne
Remote
$146k–$146k
6d
Review medical records and clinical notes to train next-generation AI systems for inpatient care and documentation standards.
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DRG Clinical Validation Lead
Elevancehealth
IN-INDIANAPOLIS, 220 VIRGINIA AVE, US
$90k–$90k
6d
Ensures medically appropriate, high quality, cost effective care by assessing the medical necessity of inpatient admissions, outpatient services, surgical and diagnostic procedures, and treatment settings.
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Medical Coder-Outpatient
Ummc
Jackson, MS, US
6d
Review outpatient medical records and documentation to assign accurate ICD-10, CPT, and HCPCS codes for healthcare services rendered.
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Medical Coder - Outpatient - HIM HB Coding
Ummc
Jackson, MS, US
6d
Review outpatient medical records to assign ICD-10, CPT, and HCPCS codes, ensuring compliance with regulations and payer policies to facilitate accurate billing and reimbursement.
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Required Doctors _ Non Clinical _ Working from Office _ Freshers
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Medi Assist Insurance Tpa Private Limited
JH, IN
$264k–$264k
6d
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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Authorization Specialist I
Saintfrancis
Remote - OK, US
6d
Ensures accuracy of insurance information and procures prior authorization and predetermination for scheduled patient appointments and inpatient admissions to prevent claim denials.
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Associate Clinical Documentation Improvement Specialist - Part Time
Mercy Health
Joplin, Missouri
6d
Reviews inpatient medical records to ensure accuracy, completeness, and compliance, reflecting true clinical scenarios, Severity of Illness (SOI), and Risk of Mortality (ROM) for quality care measurement and reporting.
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Grievance Specialist
Devoted
Remote
$0k–$0k
6d
Resolve member grievances and Medicare Advantage appeals with accuracy, efficiency, and compassion while ensuring regulatory compliance.
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Health Claims Investigator (Field Staff)
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Ocean Group
TN, IN
$120k–$180k
6d
Investigate insurance claims related to medical treatments and procedures to determine legitimacy and accuracy.
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Medical Director, Post-Service Review & Medical Claims Review (MCR)
CareSource
Remote, US
$195k–$195k
6d
Provide clinical review services, peer-to-peer discussions, and physician review for clinical appeals and post-service audits to determine medical necessity and payment integrity for CareSource members.
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Required Doctors _ Medical Officer_ Working from Office _ Freshers / Experineced
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Medi Assist Insurance Tpa Private Limited
AS, IN
$264k–$264k
6d
Evaluate treatment plans and validate claims processing against medical guidelines to ensure no financial implications for the organization.
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Enterprise Medical Director, Post-Service Review & Medical Claims Review (MCR)
CareSource
Remote, US
$195k–$195k
6d
Develop and implement corporate clinical care standards, quality improvement plans, and medical review policies for high-dollar claims and hospital-acquired conditions.
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Payment Integrity Concept Development Analyst - Outpatient
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Machinify
Remote
$80k–$80k
6d
Develop, maintain, test, and optimize payment integrity audit concepts for government and commercial healthcare claims to ensure accurate billing and compliance.
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Cancer Registry Registrar
Denverhealth
Fully Remote (CO), US
$56k–$56k
6d
Compiles and maintains statistical diagnostic and treatment information on cancer patients, managing case finding, coding, abstracting, and state reporting for Denver Health's Cancer Registry.
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Casual - Clinical Data Collector – Nursing/Health Background Work From Anywhere
Access Telehealth
Remote
6d
Review patient records and enter clinical data (diagnoses, medications, hospital events) into a national clinical quality registry for aged care.
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Clinical Coder
Healthscope
Sydney, New South Wales
6d
Perform accurate and timely clinical coding of inpatient episodes, abstracting diagnostic and procedural codes to support casemix analysis and quality improvement.
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Prior Authorization Specialist
Adaptivebiotechnologies
Remote
$45k–$45k
7d
Obtain insurance approvals for Adaptive Biotechnologies' clonoSEQ MRD Assay to facilitate patient access to essential laboratory services.
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Clinical Documentation Integrity & Claims Auditor
Jobgether
Remote
$58k–$58k
7d
Conduct concurrent and retrospective chart audits to validate diagnostic information and ICD-10-CM coding accuracy, ensuring complete and compliant clinical documentation for risk-adjustment initiatives.
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Team Lead, Auditing
Jobgether
Remote
$100k–$100k
7d
Lead a team of auditors in a high-growth Payment Integrity environment, overseeing comprehensive reviews across inpatient, outpatient, and professional claims to ensure reimbursement accuracy and identify overpayments.
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Lead Coding Outpatient Specialist (Emergency Medicine Facility Coding) - REMOTE
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Vanderbilt Health
Remote
7d
Lead the review, accurate assignment, and abstraction of diagnostic and procedural codes for outpatient facility encounters.
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Manager, W&E Professional Coding
Cvshealth
CT - Hartford, US
$60k–$60k
7d
Leading a team of Certified Coding Analysts to conduct medical claim reviews and coding audits for payment integrity, identifying billing errors, waste, abuse, and fraud.
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Payment Cycle Analyst II
CareSource
Remote, US
$63k–$63k
7d
Analyze claims data and clinical editing systems to identify reimbursement errors, validate payment policies, and support configuration of clinical editing tools for a health plan.
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EMR Support Specialist
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Parrish Medical Center
Titusville, FL, US
7d
Ensures EMR integrity, acts as super-user for HIM applications, monitors scanned document quality, audits medical records, and compiles/reports data for stakeholders.
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Medical Officer
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Vidal Health Tpa Private Limited
Remote
$250k–$250k
7d
Review and assess medical claims by verifying diagnosis, treatment details, and medical records to evaluate medical necessity and detect fraud.
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Senior Manager, Medicaid Compliance - MI
Cvshealth
Southfield-2 Towne Square, US
$75k–$75k
7d
Manage, execute, and oversee the compliance program for Aetna's Michigan Medicaid managed care organization, serving as the designated Compliance Officer.
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Coder III, Professional Billing
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Hackensack Meridian Health
Remote
$0k–$0k
7d
Accurately abstract patient data and assign medical codes for reimbursements, research, and compliance across the Hackensack Meridian Health network.
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Team Lead, Auditing
Coherehealth
Remote
$100k–$100k
7d
Lead a team of auditors to conduct comprehensive reviews of inpatient, outpatient, and professional claims, ensuring coding accuracy and maximizing overpayment identification using AI-driven tools.
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Physician Advisor – (P2P) Medical Reviewer (1099 Contractor)
Cloverhealth
Remote - USA
$240k–$240k
8d
Licensed physician conducting peer-to-peer clinical discussions to determine medical necessity and level of care for Medicare Advantage members.
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Release of Information Specialist
Charlie Health Behavioral Health Operations
Remote
$44k–$44k
8d
Ensures secure and authorized exchange of protected health information while maintaining compliance with privacy laws.
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Outpatient Coder II, HB Coding, Full-time, Days (Remote - Must reside in IL, IN, IA, WI, OH, MO, MI, or FL - Sign-on bonus eligible)
Northwestern-Memorial-Healthcare
Remote
8d
Assign ICD-10-CM, HCPCS, and CPT codes for complex outpatient encounters including observation stays, same-day surgery, and surgery centers to ensure accurate reimbursement.
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Financial Clearance Specialist
Northwestern-Memorial-Healthcare
Chicago, IL, us
8d
Facilitates pre-authorization of diagnostic exams and ensures financial clearance for admissions, surgeries, and outpatient procedures to maximize patient reimbursement.
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Utilization Management Specialist
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Liasions Community Care LLC
Remote
8d
Coordinate and track service authorization requests for behavioral health services, ensuring complete documentation before submission to managed care organizations.
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Health Information Management Specialist
Ensemblehp
2 Locations
$39k–$39k
8d
Analyze and reanalyze medical records to ensure accurate coding and timely billing for acute care facilities.
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Quality Assurance Manager
Devoted
Remote
$73k–$73k
8d
Own the quality assurance program for retrospective coding and auditing operations, including policies, SOPs, team direction, and findings production.
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Medical Scribe
Cvshealth
MO - Jennings, US
$0k–$0k
8d
Support primary care providers with real-time clinical documentation and coding to enable focus on patient care.
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Coding Manager
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Washington Hospital Healthcare System
Remote
$113k–$113k
8d
Lead coding operations, conduct quality audits, and deliver education to ensure accurate ICD-10-CM/PCS, DRG, and CPT assignment and compliance.
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Coding Quality Assurance Manager
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Devoted Health
Remote
$73k–$73k
8d
Own the quality assurance program for retrospective coding and auditing operations, including policies, SOPs, team direction, and findings production.
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Associate Medical Director - Genetic Testing (Internal and Family Medicine)
Elevancehealth
Remote
$187k–$187k
8d
Ensure timely and consistent medical decisions for members and providers by reviewing clinical cases and making medical necessity determinations for services, grievances, and appeals.
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Clinical Provider Auditor II
Elevancehealth
3 Locations
$55k–$55k
8d
Examines claims for compliance with billing guidelines to identify fraud, waste, and abuse risks in the healthcare sector.
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Coder II
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Ahmc Healthcare
San Gabriel, CA, US
10d
Review and code patient medical records for inpatient and outpatient services to ensure accurate billing and compliance with guidelines.
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Utilization Management Assistant
Cottinghambutlerinsuranceservicesinc
Remote
10d
First-level caller for utilization review, evaluating certification requests and triaging calls to determine if a Utilization Review Nurse is needed.
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Subject Matter Expert (SME) - USRN - Taguig
Sutherland
Taguig, NCR, ph
11d
Clinical and operational resource for disability and clinical claims operations, performing end-to-end case reviews while coaching teams.
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Trainee Clinical Coder
SA Health
Remote
$74k–$74k
11d
Translate diagnoses and procedures from patient medical records into standardized ICD-10-AM codes to support hospital planning, research, and Activity Based Funding.
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Remote Home Health Quality Assurance Specialist
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Allegro Home Health
Remote
11d
Review clinical documentation for accuracy, completeness, and Medicare compliance across Physical Therapy, Occupational Therapy, Speech Therapy, and Medical Social Work disciplines in a home health setting.
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Professional Medical Coding Educator Auditor HCS
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Catholic Health System
Buffalo, NY, US
11d
Audit medical records for coding accuracy and provide education to clinicians and coding staff to ensure compliance with billing rules and regulations.
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HIM Cert Coder IP - CFH
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Carle Health
Champaign, IL, US
$0k–$0k
11d
Accurate and timely coding of hospital inpatient, outpatient, and professional fee encounters using ICD10, ICDPCS, CPT, or HCPCs codes to ensure compliant billing.
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Manager PB Coding Denials Integrity - Medical Specialties
Aah
Remote
$0k–$0k
11d
Lead and manage daily operations for professional coding denials integrity across multiple medical specialties including Laboratory, Pathology, Behavioral Health, and various clinical divisions.
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Medical Consultant
Unum
Home Worker - US
$134k–$134k
11d
Provide expert medical analysis of claims files and underwriting applications to determine functional capacity, accuracy of diagnoses, and treatment plans for insurance claims.
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