Medical Coding
532 open positions
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?PMB Specialist Durban, eThekwini $216k–$216k18d Review and adjudicate Pre-Existing Condition (PMB) medical claims, ensuring compliance with scheme requirements and resolving payment discrepancies.
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Certified Professional Coder, Special Investigations Unit (Aetna SIU) CvshealthKY - Work from home, US $44k–$44k18d Perform medical claim reviews to ensure compliance with coding practices and identify billing errors, abuse, and fraud across medical, behavioral, and transportation healthcare providers.
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?Medical Insurance Credentialer and Biller↗ Remote $894k–$894k18d Manage provider enrollment, payer credentialing, and medical billing (AR follow-up) for an orthopedic practice.
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Analyst-Data↗ AscensionRemote $72k–$72k18d Perform revenue integrity reviews, maintain the Charge Description Master (CDM), monitor regulatory changes, and provide subject matter expertise for operational revenue integrity.
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Claims Resolution Specialists II AoncologyUS-GA-Macon $0k–$0k18d Review medical insurance claims, resolve denials, and obtain appropriate payments for oncology and related specialties.
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Credentialing & Payer Operations Manager NadiacareCorporate - Remote $80k–$80k19d Own end-to-end provider licensing, payer enrollment, and credentialing operations for a maternity care team including doulas.
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PMB Specialist Pillango PlacementseThekwini, KwaZulu-Natal $216k–$216k19d Manage and resolve Pre-Existing Condition (PMB) claims for a healthcare technology and medical claims business by assessing eligibility, gathering clinical data, and challenging incorrect rejections.
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Medical Director - Individual Segment ElevancehealthOH-CINCINNATI, 3075 VANDERCAR WAY, US 19d Lead clinical policy development, utilization review, and program implementation for individual health plans, ensuring medical necessity determinations and benefit decisions.
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Registered Nurse (RN) - Clinical Documentation Specialist, 40 hours/week MainegeneralAugusta, ME $0k–$0k19d Conduct concurrent and retrospective medical record reviews to ensure accurate documentation of diagnoses and procedures, supporting HCC capture and regulatory compliance.
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Clinical Operations Spec GehaRemote $49k–$49k19d Performs routine administrative workflow tasks to support Clinical Operations functions, including claims review, case identification, and member/provider engagement.
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Inpatient Coding Manager Huron119 Locations $90k–$90k19d Manages systemwide compliance and daily oversight of inpatient coding operational processes, workflow, and staff to ensure accurate facility billing and quality metric reporting for a health system.
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RN, Utilization Management RochesterStrong Memorial Hospital $81k–$81k19d Review clinical documentation to determine medical necessity and appropriate level of patient care using evidence-based criteria.
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Medical Coding Team Lead SutherlandClifton, NJ, us 20d Lead medical coding operations, ensure compliance, and mentor staff to maintain accuracy and productivity.
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Medical Review II (Medicare) BroadwayventuresRemote $62k–$62k20d Licensed Registered Nurse performing complex medical reviews of Medicare claims for Inpatient Rehabilitation Facility (IRF) services, including pre-claim, pre-payment, and post-payment determinations.
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Research Manager, Medical Technologies MassgeneralbrighamRemote $80k–$80k20d Leads research on medical technologies and products to support coverage decisions, utilization management, and medical policy development for a health plan.
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Analyst Charge - Revenue Integrity (Remote)↗ Trinity HealthRemote $22k–$22k20d Ensures accurate CPT and ICD-10 documentation for patient billing, performs charge capture, reviews charge entries for errors/duplicates, and supports denial management through clinical documentation analysis.
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Revenue Specialist, OSM EnablecompFranklin, TN 21d Ensure proper submission and adjudication of Medicaid claims while managing patient health information (PHI) and adhering to HIPAA guidelines.
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RCM/ OPH Quality Assurance Supervisor EcpcareersRemote 21d Oversees quality assurance and performance for charge entry and claims management functions across internal and offshore teams.
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Clinical Coder St Vincent’s Health AustraliaSydney, New South Wales 21d Learn to assign accurate clinical codes to patient episodes of care by analyzing medical records using ICD-10-AM/ACHI/ACS classifications.
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PMB Specialist Pillangó PlacementsDurban, eThekwini $216k–$216k21d Specialist review of medical claims to determine eligibility for Pre-Existing Condition (PMB) coverage under medical schemes.
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Enrollment Quality Auditor↗ Healthedge Software, Inc.Remote $44k–$44k21d Audit enrollment, disenrollment, eligibility, and plan/PCP change transactions for health plan Medicaid member operations to ensure accuracy and timeliness against CMS and state standards.
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Manager, Utilization Managment BilhWinchester Hospital 21d Licensed nursing professional managing patient classification, medical necessity reviews, and discharge planning to ensure safe care and appropriate reimbursement.
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Medical Officer↗ Safeway Insurance Tpa ServiceDL, IN $300k–$300k21d Review medical documents and assess health insurance claim admissibility for TPA/health insurers.
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Inspector/a Hospitalario - Cigna Healthcare CignaESP Barcelona 21d Hospital inspector acting as the company's eyes in hospitals and the hospital's voice in the company to control medical spending and optimize patient stays.
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Medical Director (Appeals) HcscRemote $192k–$192k21d Oversees assigned aspects of medical policies and programs; performs medical reviews and interacts with provider communities.
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Medical Billing & Revenue Cycle Specialist Freelance Latin AmericaRemote 22d Manage the full revenue cycle for U.S. primary care practices, including claims submission, payment posting, denial management, and patient billing support.
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Inpatient Rehab IRF PAI Coordinator↗ Doctors Hospital of AugustaAugusta, GA, US 22d Coordinate the completion, review, and submission of the Inpatient Rehabilitation Facility Patient Assessment Instrument (IRF-PAI) to ensure regulatory compliance, accurate clinical documentation, and appropriate reimbursement.
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Home Health RN QA↗ Safe Life Home Health Care, LLCLombard, IL, US $73k–$73k23d Ensures quality of care in home health settings by auditing patient charts, reviewing coding, and managing clinical documentation.
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Medical Records / Central Supply↗ Outfield Healthcare PartnersDallas, TX, US 24d Maintaining resident medical records, ensuring coding accuracy for billing, and managing compliance with federal/state regulations in a skilled nursing facility.
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Research Registry Abstractor Urology↗ Mount Sinai Medical CenterMiami, FL, US 24d Review patient medical records to extract, code, and enter detailed urologic clinical data into institutional, state, and national research and quality registries.
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Medical Transcriptionist- Nuclear Medicine↗ Jupiter HospitalMH, IN 24d Listen to, interpret, and transcribe recorded audio dictations from medical consultants into precise electronic medical reports.
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Deputy Clinical Information Manager (Medical Records Manager Gde 1, General Administration Staff Gde 11) - Perm FT↗ NSW GovernmentSydney Western Suburbs, NSW, AU $103k–$103k24d Manage medicolegal matters and assist in leading the Clinical Information Service for Fairfield Hospital.
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Medico Legal Officer↗ NSW HealthSt Leonards, NSW, AU $82k–$82k25d Processing requests for patient medical records, reports, and statements in compliance with privacy legislation and health policies.
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Medical Records Analyst↗ Methodist Health System - Ne and IaOmaha, NE, US 25d Performs Quality Assurance (QA) and abstraction of inpatient, outpatient surgery, and rehab medical records to ensure completeness and regulatory compliance.
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HH Patient Account Rep CookchildrensFort Worth, TX 25d Perform internal medical record audits to ensure billing compliance and process electronic and paper claims for Nursing, Rehab, Durable Medical Equipment, and Infusion services.
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MJPJAY Coordinator↗ Prakriti HospitalMH, IN $240k–$240k25d Coordinate patient admissions, pre-authorizations, and claims processing for the MJPJAY/PMJAY government health insurance scheme in hospitals.
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Senior Executive - Claims Audit↗ Exl ServiceTN, IN 25d Review and analyze medical records and claims data to ensure accuracy, completeness, and compliance with healthcare regulations and payer requirements.
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Complaint Investigator↗ College of Physicians & SurgeonsWinnipeg, MB, CA 25d Investigate complaints against medical registrants in Manitoba, review medical records, interview stakeholders, and prepare reports for the Investigation Committee.
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Sr Executive - HIM services↗ Corrohealth Infotech Private LimitedKA, IN 25d Extracting and coding patient record information to ensure billing compliance and accuracy.
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Quality Analyst - Profee Multispecialty E/m↗ GuidehouseTS, IN 25d Lead quality assurance for medical coding operations, ensuring accurate diagnosis and procedure code assignment (ICD-9-CM, CPT-4) and optimal reimbursement for hospital and professional charges.
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