FULL_TIME

FEED

UNKNOWN

Advanced Analytics & Suspecting Engine Governance: Suspecting Models: Partner with Healthcare Data Analytics teams to optimize "suspecting engines" that evaluate historic claims, prescription data, lab results, and social determinants of health (SDOH) to predict undocumented or under-documented chronic illnesses. Operating within a network structure comprised of independent, Fee-for-Service (FFS) practices and delegated Independent Physician Associations (IPAs), this Director leads programs such as in-home and virtual assessments, pre-visit suspecting, point-of-care documentation supports, and concurrent validation.

YEAR

Inland Empire Health Plan

Director, Risk Adjustment Prospective Programs

[AW]-iCims

The Analyst serves as a bridge between technical teams, finance, managed care administrators, and operational teams to translate complex contractual and technical information into actionable business insights, with a focus on advanced data analysis and accurate calculation automation. The Managed Care Analyst position is responsible for building, maintaining, optimizing, and analyzing managed care contracts within Epic's Contract Maintenance and Contract Modeling modules for both hospital (HB) and professional (PB) billing environments to ensure accurate reimbursement calculations.

University of Texas MD Anderson Cancer Center

Managed Care Analyst

Employees in this role must reside in one of the following states to be considered for fully remote positions: Kentucky, Indiana, Missouri, Ohio, Tennessee, Alabama, Virginia, Mississippi, North Carolina, South Carolina** . Identifies high volume, high risk coding, and reimbursement and quality problems.

Norton Healthcare

Coding Auditor, Revenue Integrity/Coding Physician Services, Shift Times Vary, Fully Remote

Job Category Job Category Advanced Clincial Providers Advanced Practice Providers Allied Health Prof/Technical Clerical/Administrative Support clerical/Administrative Supportc Executive/Management Finance/Info Systems Nursing Support Nursing/Nursing Management Physicians Professional/Non-Clinical Service/Trades. Company Company Bon Secours Charity Medical Group Bon Secours Community Hospital Good Samaritan Hospital HealthAlliance Hospital Margaretville Hospital MidHudson Regional Hospital Mountainside Residential Care Center NorthEast Provider Solutions Inc.

HOUR

Westchester Medical Center Health Network

Revenue Integrity Coordinator

Demonstrated ability to effectively work within a team environment, using excellent written, verbal, and presentation skills to share audit findings, risk areas, and compliance issues with coders, office managers, physicians, etc. Educate and support physicians and PB coders in accurate, complete, and compliant clinical documentation and coding practices by interpreting patient medical records, provide targeted feedback, and promote adherence to regulatory guidelines resulting in appropriate reimbursement.

The Christ Hospital

TCHP Coding Educator

The compensation range for this position is specific to the location and is in good faith what SI-BONE expects to pay for the position taking into account the wide variety of factors that are considered in making compensation decisions, including job-related knowledge; skillset; experience, education and training; certifications; and other relevant business and organizational factors. Track, monitor and report the outcomes of reimbursement initiatives (example: appeal outcomes from peer – peer reviews, external [independent] medical reviews, trends, observed from the various initiatives, etc. in assigned territory.

SI-BONE

Senior Patient Case Advocate

Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. At Datavant our total rewards strategy powers a high-growth, high-performance, health technology company that rewards our employees for transforming health care through creating industry-defining data logistics products and services.

Datavant LLC

HCC Risk Adjustment Coder

You will also assist in developing training programs for staff, identifying opportunities for automation and workflow improvement, and partnering with clinical and operations leaders to resolve complex payer or billing issues affecting patient access to care. Success in this role will be demonstrated by measurable improvements in prior authorization turnaround time, first-pass claim acceptance rates, denial reduction, and staff productivity – along with a well-trained, engaged team capable of scaling with the organization’s growth.

Advantage Healthcare Services

Revenue Cycle Management

Brightmove

GoHealth’s Core Values, listed below, are essential functions of this position: · Collaboration: Takes ownership for collectively establishing productive partnerships and relationships and seek to gain joint understanding of priorities and objectives so that the greater good of the organization and those we serve is always at the forefront. · Physical Activity: The role may require the ability to lift, carry, push, or pull materials, supplies, and equipment (up to 10 lbs.) Duties typically involve a combination of sitting, standing, and walking, with frequent changes in position.

GoHealth Urgent Care - UCSF Health

Coding Supervisor

The Clinical Coding Analyst will play a critical role in ensuring accurate and efficient processing of patient data, supporting the financial and operational integrity of healthcare services. If you have a passion for healthcare and a keen eye for detail, we invite you to apply for the position of Clinical Coding Analyst with our reputable organization.

Marvel Superheros

Clinical Coding Analyst

Responsible for all facets of medical, vision and/or dental billing and accounts receivable management including charge entry, payment posting, customer service and follow-up in accordance with practice protocol with an emphasis on maximizing patient satisfaction and profitability. Follow-up on all outstanding patient account balances at 90-days from the date of service in accordance with practice protocol with an emphasis on maximizing patient satisfaction and practice profitability using the A/R aged reports.

STERLING HEALTH SOLUTIONS, INC.

Billing Specialist I

Revenue Integrity'',''Revenue Integrity'',''MN-Minneapolis-Downtown Campus'',''MN-Minneapolis-Downtown Campus'','''','''',''FTE = 1.00 (80 hours per pay period)'',''FTE = 1.00 (80 hours per pay period)'',''Day'',''Day'',''Staff'',''Staff'',''Regular'',''Regular'',''Yes'',''Yes'',''Non-Union'',''Non-Union'',''$24.85'',''$24.85'',''$37.27'',''$37.27'',''Sep-11-2026'',''Sep-11-2026'',''false'',''428355'',''428355'',''true'',''428355'',''false'',''Submission for the position: Revenue Integrity Analyst Associate - (Job Number: 260982)'',''false'',''428355'',''false'',''true''. The comprehensive healthcare system includes a 473-bed academic medical center, a large outpatient Clinic & Specialty Center, and a network of clinics in the North Loop, Whittier, and East Lake Street neighborhoods of Minneapolis, and in the suburban communities of Brooklyn Park, Golden Valley, Richfield, and St.

Hennepin County Medical Center

Revenue Integrity Analyst Associate

Additionally, the role involves staying updated with Managed Care Organization (MCO) updates and changes to billing requirements to maintain compliance and streamline operations. Reporting to the Billing Manager, the Billing Specialist is responsible for ensuring the timely and accurate submission of claims, reimbursement follow-up, and denial management.

Ocean Health Initiatives, Inc. (OHI) is a Federally Qualified Health Center (FQHC) located in NJ; recognized as a Level 3, NCQA Patient Centered Medical Home (PCMH). We provide primary and preventative care services in our multi-specialty practice, including: Behavioral Health, Dental, Family Medicine, Internal Medicine, Women’s Health: Obstetrics and Gynecology (OB/GYN), Pediatrics, Pharmacy, Podiatry and Social Services. 
Since our founding in 2003 as a single location, OHI has grown into a multi-site healthcare organization; with Health Centers in Lakewood, Little Egg Harbor, Manahawkin, Manchester and Toms River; with our School Based Wellness Programs located within the Clifton Ave Grade School, Lakewood and the Lakewood High School. OHI Pharmacies are available in our Lakewood and Manchester Health Centers. 
OHI is dedicated to providing quality, accessible and comprehensive primary health care to the residents of Ocean County; regardless of economic status. We accomplish this mission by promoting healthy behaviors and lifestyle choices through educational outreach and providing the tools needed to maintain optimum physical and emotional health. 
We seek to add highly qualified individuals to our growing organization, for various positions throughout our Health Centers. OHI provides the tools to continuously grow personally and professionally; as we strive to achieve the highest standards for our employees and for our patients. 
Join our winning team! 

 <div style="height:1px; background:#000; color:#000;"></div>
 
Ocean Health Initiatives, Inc. (OHI) offers excellent benefits, including:
 <ul style="list-style-type:disc;">
 <li>Paid Time Off (PTO)</li>
 <li>Holidays (8)</li>
 <li>Health Insurance</li>
 <li>Dental Benefits</li>
 <li>401(k) + 2% match</li>
 <li>Group Term Life Insurance</li>
 <li>AFLAC</li>
 <li>Flexible Spending Account</li>
</ul>
OHI participates in the Primary Care Loan Redemption Program of New Jersey. 

Visit <a href="http://www.ohinj.org/" target="_blank" rel="nofollow">www.ohinj.org</a> for more information about OHI!

Ocean Health Initiatives Inc

BILLING SPECIALIST

Hospital Billing IP Coding'',''Hospital Billing IP Coding'',''MN-Minneapolis-Downtown Campus'',''MN-Minneapolis-Downtown Campus'','''','''',''FTE = 1.00 (80 hours per pay period)'',''FTE = 1.00 (80 hours per pay period)'',''Day'',''Day'',''Staff'',''Staff'',''Regular'',''Regular'',''Yes'',''Yes'',''Union'',''Union'',''$34.33'',''$34.33'',''$47.30'',''$47.30'',''Sep-25-2026'',''Sep-25-2026'',''false'',''429213'',''429213'',''true'',''429213'',''false'',''Submission for the position: Coding Coordinator, Hospital Billing IP Coding - (Job Number: 261102)'',''false'',''429213'',''false'',''true''. The comprehensive healthcare system includes a 473-bed academic medical center, a large outpatient Clinic & Specialty Center, and a network of clinics in the North Loop, Whittier, and East Lake Street neighborhoods of Minneapolis, and in the suburban communities of Brooklyn Park, Golden Valley, Richfield, and St.

Coding Coordinator, Hospital Billing IP Coding

The Medical Billing Specialist works collaboratively with providers, clinical staff, insurance carriers, and patients to resolve billing issues, maximize reimbursement, and maintain compliance with federal, state, HRSA, FQHC, and organizational requirements. The Medical Billing Specialist is responsible for the accurate and timely billing, claim submission, payment posting, and follow-up of medical claims for Health Care Partners of South Carolina.

HEALTH CARE PARTNERS

Medical Billing Specialist

Gethired

Collaborate with Marketing, Sales, Product Management and Regulatory teams to anticipate market needs and inform the development of customer-facing tools, economic models and other tactical elements of reimbursement to maximize patient access to Arthrex's technologies and products. They will serve as the primary reimbursement expert supporting the field in all areas related to reimbursement of Arthrex products and assist the Director, Market Access and Reimbursement on execution of company strategies related to field reimbursement initiatives, including HCP engagement, support and communication.

Arthrex Inc

Manager, Market Access and Reimbursement - North Central

REQUIRED EDUCATION AND EXPERIENCE: Associate's degree in Business, Healthcare, or a related field; and at least five (5) years of healthcare experience, including at least two years in an active role involving coding, auditing, finance, revenue cycle management, and/or physician billing (preferably within an Academic Medical Center setting); or equivalent combination of education and experience. ESSENTIAL RESPONSIBILITIES / DUTIES: Revenue Cycle Initiative Leadership: Leads complex revenue cycle initiatives and large-scale optimization projects across high-revenue-generating or at-risk clinical departments to improve overall revenue integrity, operational efficiency, and regulatory compliance.

Boston Medical Center

Senior Coding and Revenue Integrity Analyst

ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations. By collaborating with claims processors, healthcare providers, and compliance teams, the auditor helps to streamline claims management and reduce errors.

Independent Living Systems LLC

Claims Auditor

Senior Coding/Revenue Integrity Analyst

CHCP is on a mission to build a stronger community by inspiring our students to choose hope for their future, practice compassion in their service, and strive for purpose in their careers. The Medical Billing/Coding Instructor will "model" professional behavior, language, and activities for your students, so a strong background in medical billing and coding will be vital as you train the next generation of allied health care workers.

Certified Professional Coder Jobs in the United States

Director, Risk Adjustment Prospective Programs Inland Empire Health Plan

Managed Care Analyst University of Texas MD Anderson Cancer Center

Coding Auditor, Revenue Integrity/Coding Physician Services, Shift Times Vary, Fully Remote Norton Healthcare

Revenue Integrity Coordinator Westchester Medical Center Health Network

TCHP Coding Educator The Christ Hospital

Senior Patient Case Advocate SI-BONE

HCC Risk Adjustment Coder Datavant LLC

Revenue Cycle Management Advantage Healthcare Services

Coding Supervisor GoHealth Urgent Care - UCSF Health

Clinical Coding Analyst Marvel Superheros

Billing Specialist I STERLING HEALTH SOLUTIONS, INC.

Revenue Integrity Analyst Associate Hennepin County Medical Center

BILLING SPECIALIST Ocean Health Initiatives Inc

Coding Coordinator, Hospital Billing IP Coding Hennepin County Medical Center

Medical Billing Specialist HEALTH CARE PARTNERS

Manager, Market Access and Reimbursement - North Central Arthrex Inc

Senior Coding and Revenue Integrity Analyst Boston Medical Center

Claims Auditor Independent Living Systems LLC

Senior Coding/Revenue Integrity Analyst Boston Medical Center

Medical Billing & Coding Instructor CHCP

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