Coder Inpatient University of Colorado HealthCoder InpatientDenver, CORemote$25.80–$38.70 / hourEmployees have access to free assistance navigating the Public Service Loan Forgiveness program and submitting their federal student loans for forgiveness. Performance bonus: UCHealth offers a 3-Year Incentive Bonus to recognize employee contributions to our success in quality, patient experience, organizational growth, financial goals and tenure.
Coding Auditor - Professional Sarah Bush Lincoln Health CenterCoding Auditor - ProfessionalRemoteHigh School (Required)CEMA - Certified Evaluation & Management Auditor (within 6 months) - Sarah Bush Lincoln, Certified Professional Coder - Sarah Bush Lincoln, CPMA - Certified Professional Medical Auditor (within 1 year) - Sarah Bush Lincoln, Registered Health Information Technician (RHIT) - American Health Information Management Association or Registered Health Info Administrator (RHIA) - American Health Information Management Association - American Health Information Management Association Compensation . Coder Auditor-Professionals are responsible for auditing of coding assignment with providers and coders, training of coding professional staff, pro-fee based coding includes the assignment of Assigns ICD-CM, CPT, HCPCS codes, E&M assignment, modifiers, and charge posting.
Medical Coder - Remote Well Street Urgent CareMedical Coder - RemoteAtlanta, GARemoteWe believe our employees are our greatest asset and strive to create a workplace where every team member feels valued, supported, and empowered to succeed. Partner with Revenue Cycle Management and Billing teams to resolve coding-related issues and support timely claim submission.
Coder (Clinic - Iii) ThedaCareCoder (Clinic - Iii)CIN 3 Neenah Center, WIRemoteKEY ACCOUNTABILITIES: Reviews and/or assigns proper CPT procedures and/or diagnosis codes (ICD-10-CM including HCC risk adjustment diagnosis) for professional services including specialty medical services, in and outpatient E&M, and surgical procedures (i.e., cardiology, orthopedic, and general surgery) with a high degree of accuracy. Summary: The Coder (Clinic- III) performs coding review for surgical specialties for ThedaCare Physician Services to accurately reflect services rendered.
NewMedical Records Technician (Coder Inpatient) U.S. Department of Veterans AffairsMedical Records Technician (Coder Inpatient)ILRemote$39,694–$79,197 / yearEducation An associates degree from an accredited college or university recognized by the U.S. Department of Education with a major field of study in health information technology/health information management, or a related degree with a minimum of 12 semester hours in health information technology/health information management (e.g., courses in medical terminology, anatomy and physiology, medical coding, and introduction to health records); OR. Major duties include: Applies codes based on guidelines specific to certain diagnoses, procedures, and other criteria (in inpatient and outpatient settings) used to classify patients under the Veterans Equitable Resource Allocation (VERA) program that categorizes all VA patients into specific classes representing their clinical conditions and resource needs.
Mgr/Sr Manager, Payment and Coding Policy- Hybrid Blue Cross and Blue Shield AssociationMgr/Sr Manager, Payment and Coding Policy- HybridPhoenix, AZAZ Blue offers a variety of health insurance products and services to meet the diverse needs of individuals, families, and small and large businesses as well as providing information and tools to help individuals make better health decisions. Remote: not held to onsite requirements, however, leadership can request presence onsite for business reasons including but not limited to staff meetings, one-on-ones, training, and team building.
Medical Records Technician (Coder/Audit/Training) U.S. Department of DefenseMedical Records Technician (Coder/Audit/Training)Fort Campbell, TN$50,460–$65,599 / yearSpecialized Experience: One year of specialized experience which includes auditing physician coding and professional coders; identifying errors, trends, and/or concerns regarding diagnosis, Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS) and International Classification of Diseases, Procedure Coding Edition (ICD-10-PCS) and converting that data into training material; and providing guidance and functional knowledge to improve coding accuracy. For each relevant work experience, make sure you include the employers name, job title, start and end dates (include month and year), for qualifications purposes, the number of hours worked per week, and a brief description that show you can perform the tasks at the required level listed in the job announcement.
Coder (Clinic - III) ThedaCare IncCoder (Clinic - III)Neenah, WIRemoteKEY ACCOUNTABILITIES: Reviews and/or assigns proper CPT procedures and/or diagnosis codes (ICD-10-CM including HCC risk adjustment diagnosis) for professional services including specialty medical services, in and outpatient E&M, and surgical procedures (i.e., cardiology, orthopedic, and general surgery) with a high degree of accuracy. Summary: The Coder (Clinic - III) performs coding review for surgical specialties for ThedaCare Physician Services to accurately reflect services rendered.
Hospital Outpatient Coder TIS International (USA) IncHospital Outpatient CoderRemoteSummary Description: The Hospital Outpatient Coder supports the Coding department in various functions, including ensuring accurate hospital outpatient coding, resolving coding edits and rejections, and maintaining coding compliance. Job Responsibilities: Accurately code medical records for hospital outpatient services; Assign, sequence, edit and/or validate the appropriate ICD-10-CM and HCPCS/CPT codes for outpatient services provided by the hospital.
Outpatient Auditor III DS TechnologiesOutpatient Auditor IIIRemoteLeverage proprietary workflow systems and encoder tools ( 3M , Webstrat , Optum Encoder ) to make accurate audit determinations and effectively move claims through the workflow. As a Remote Certified Outpatient Auditor , you’ll bring your expert knowledge of outpatient coding , CPT coding guidelines , and reimbursement methodologies to audit outpatient and professional fee medical records.
Outpatient Facility Medical Coder with RHIT/RHIA (Remote for WA/OR ONLY) Macpower Digital Assets Edge Private LimitedOutpatient Facility Medical Coder with RHIT/RHIA (Remote for WA/OR ONLY)Clackamas, ORRemote$27.26–$32 / hourAll work will be carried out in accordance with the: International Classification of Diseases - Official Coding Guidelines for coding and reporting as established by the Centers for Medicare and Medicaid Services (CMS) and the National Center for Health Statistics (NCHS); American Medical Association (CPT); National Correct Coding Initiative (NCCI); Uniform Hospital Discharge Data Set (UHDDS), Medicaid (OMAP), and organization/institutional coding directives. Identifies and assigns principal diagnosis and procedure codes, sequencing them as needed for proper Ambulatory Payment Classification (APC), Medicare Severity-Drug Related Group (MS-DRG), All Patients Refined Diagnosis Related Groups (APR-DRG) assignment, utilizing applicable coding conventions.
NewInpatient PTF Coders Cooper ThomasInpatient PTF CodersRemote Home Office, DCRemoteExperience including, but not limited to data validation; analyzing and generating reports; reviewing and abstracting health record information, adhering to coding compliance, and ensuring that CPT/AMA and ICD codes and modifiers support clinical and physician documentation for proper and consistent data collection and reimbursement. Cooper Thomas, LLC, a leading provider of medical coding, auditing, and training services to the Department of Veterans Affairs (VA), has up to immediate openings for VA experienced Inpatient PTF Coders with at least 2 years of experience for (W-2) full-time (40 hours a week) positions.
Certified Medical Coder I (Professional Review Specialist I) CorVel CorpCertified Medical Coder I (Professional Review Specialist I)Syracuse, NY$19.24–$31.04 / hourPay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. ABOUT CORVEL: CorVel, a certified Great Place to Work Company, is a national provider of industry-leading risk management solutions for the workers' compensation, auto, health and disability management industries.
CSO-CODER MindlanceCSO-CODERArlington, TXRemotePreferred: 2 years Education/Audit Review or Specialty/Complex acute care OP surgical coding experience. Minimum 3 years acute care hospital outpatient surgical coding experience.
Inpatient Hospital Coder, Remote, Baptist Metro Square Baptist HealthInpatient Hospital Coder, Remote, Baptist Metro SquareRemoteCandidate must reside in the following approved states: Alabama, Florida, Georgia, Idaho, Indiana, Kentucky, Louisiana, Mississippi, North Carolina, Ohio, Oklahoma, Oregon, South Carolina, South Dakota, Tennessee, Texas, Virginia, West Virginia, Wyoming. This role is responsible for correctly identifying and assigning diagnosis and procedure codes using the ICD-10-CM/PCS Classification System to each patient's account for optimization in accordance with State and Federal requirements on Inpatient accounts.
Professional Coder Albany Medical CenterProfessional CoderSaratoga Springs, NYRemote$59,066–$88,599 / yearEffectively reviews, analyzes, and validates CPT, ICD-10 diagnosis codes, HCPCS, modifiers and charges applied by providers to assure compliant with federal and state regulations and insurance carrier guidelines. This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes.
Senior Outpatient Coder Quorum Health CorpSenior Outpatient CoderBrentwood, TNThe position supports Revenue Cycle Operations with special projects, including denial review, appeals, discharge-not-final-billed management, regulatory and payer edit review, and process improvement efforts designed to meet organizational goals while promoting accurate, complete, and compliant coding and billing. May research, review, resolve, and trend coding edits, including NCCI, OCE, MUE, encoder, claim-scrubber, and payer-specific edits; validates that any modifier or code change is supported by the health record and applicable guidance.
Certified Outpatient Surgical Auditor III DS TechnologiesCertified Outpatient Surgical Auditor IIIRemoteAs a Remote Certified Outpatient Surgical Auditor , you’ll bring your expert knowledge of outpatient coding , CPT coding guidelines , and reimbursement methodologies to audit outpatient and professional fee medical records. Leverage proprietary workflow systems and encoder tools ( 3M , Webstrat , Optum Encoder ) to make accurate audit determinations and effectively move claims through the workflow.
NewClinical Investigator Oscar Health IncClinical InvestigatorNew York, NYRemote$75,348–$98,894 / yearBonus points: Bachelor of Science in Nursing (BSN), Associate Degree in Nursing (ADN) with a Bachelor of Science in Health Administration, Clinical Informatics, or a related Medical Science field, or Associate Degree in Nursing (ADN) with 5+ years of specialized clinical audit experience. Work Location: This is a remote position, open to candidates who reside in: Arizona, Florida, Georgia, Illinois, Iowa, Kansas, Michigan, Missouri, Nebraska, New Jersey, New York, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas and Virginia.
Supervisor Patient Access Sentara Healthcare IncSupervisor Patient AccessHarrisonburg, VAThe Supervisor, Patient Access is responsible for overseeing the daily operations of the department, ensuring efficient and accurate registration, financial clearance, and front-end revenue cycle functions. Relevant experience in Patient Access/Registration, Billing/Patient Accounting, Revenue Cycle Management and/or Customer Service - 3 years (Required).
Patient Access Supervisor Sentara Healthcare IncPatient Access SupervisorSuffolk, VAAs a recognized accredited Primary Stroke Center, and Magnet hospital for nursing excellence, the hospital specializes in orthopedic and spine, heart and vascular, advanced imaging, gynecological and comprehensive breast services, behavioral health, maternity, weight loss surgery, and a heartburn treatment center. The Supervisor, Patient Access is responsible for overseeing the daily operations of the department, ensuring efficient and accurate registration, financial clearance, and front-end revenue cycle functions.
Clinical Coding Auditor & Trainer Fox Point RecruitmentClinical Coding Auditor & TrainerNew YorkPosition Purpose: Responsible for developing and conducting training and quality auditing programs for the Diagnosis Related Group (DRG) and Medical Record Audit Programs for Fidelis Care. Preferred License/Certification: Valid/Current CPC or CIC Certification, through APPC desired or CCS through AHIMA; RHIA/RHIT Credentials desired.
NewInpatient and Outpatient Coding Auditor J2 Integrity Solutions, LLCInpatient and Outpatient Coding AuditorPer diemIn addition to your primary focus on professional coding and audit work, you may also contribute to internal initiatives such as developing J2-branded content and tools, supporting operational workflows, assisting with marketing and thought leadership, participate in industry events, and cultivate your professional presence on platforms like LinkedIn in alignment with the J2 brand. Position SummaryThe Mid Revenue Cycle Inpatient and Outpatient Coding Auditor is responsible for performing professional and facility coding, conducting coding and documentation audits, identifying trends and root causes, and delivering targeted education to providers and coding teams.
Manager, Clinical & Coding Review Centene Corporation GroupManager, Clinical & Coding ReviewMORemote$107,700–$199,300 / yearEstablishes and oversees the end-to-end audit program lifecycle within Payment Integrity by setting strategic audit direction, managing and developing teams, and ensuring full compliance with all regulatory, contractual, and organizational requirements. Leveraging deep expertise in ICD-10, CPT/HCPCS coding, and clinical guidelines, the manager delivers actionable insights that shape operational strategies and drive informed decision-making.
Manager, Clinical & Coding Review Centene Management CompanyManager, Clinical & Coding ReviewRemoteEstablishes and oversees the end-to-end audit program lifecycle within Payment Integrity by setting strategic audit direction, managing and developing teams, and ensuring full compliance with all regulatory, contractual, and organizational requirements. Leveraging deep expertise in ICD-10, CPT/HCPCS coding, and clinical guidelines, the manager delivers actionable insights that shape operational strategies and drive informed decision-making.
Certified Healthcare Fraud Analyst CodoxoCertified Healthcare Fraud AnalystYour City, Your StateCodoxo is the premier provider of artificial intelligence-driven solutions and services that help healthcare companies and agencies proactively detect and reduce risks from fraud, waste, and abuse and ensure payment integrity. Evaluate claims data in accordance with federal regulations, state-specific policies, or commercial guidance to identify potential fraud, waste, and abuse [FWA], claim processing errors, or improper payments.
Senior Hospice Revenue Cycle Specialist curantissolutionsSenior Hospice Revenue Cycle SpecialistAddison, IllinoisYou'll work directly with hospice and palliative care organizations utilizing the Curantis platform—managing NOEs, levels of care billing, claim corrections, and the day-to-day realities of getting hospice claims out the door and paid. Medicare Hospice Billing Knowledge Apply deep knowledge of Medicare hospice billing regulations and reimbursement methodologies, including: Levels of care billing (Routine Home Care, Continuous Home Care, General Inpatient, Respite).
Quality Auditor II Blue Cross and Blue Shield AssociationQuality Auditor IIHopewell, NJ$79,100–$105,945 / yearRequires knowledge of the following applications, which include but not limited to: Care Planner Web, UCSW, Appeal Pro, Care Radius, SharePoint, Membership, Benefits, Business Objects and CMS web sites., This compensation range is specific to the job level and takes into account the wide range of factors that are considered in making compensation decisions, including but not limited to: education, experience, licensure, certifications, geographic location, and internal equity.
Quality Auditor II Horizon Healthcare ServicesQuality Auditor IIHopewell, New Jersey79,100 - $105,945 This compensation range is specific to the job level and takes into account the wide range of factors that are considered in making compensation decisions, including but not limited to: education, experience, licensure, certifications, geographic location, and internal equity. - Requires knowledge of the following applications, which include but not limited to: Care Planner Web, UCSW, Appeal Pro, Care Radius, SharePoint, Membership, Benefits, Business Objects and CMS web sites.,
Clinical Documentation Improvement Specialist Thomas Jefferson UniversityClinical Documentation Improvement SpecialistPhiladelphia, PAJefferson Health, nationally ranked as one of the top 15 not-for-profit health care systems in the country and the largest provider in the Philadelphia and Lehigh Valley areas, serves patients through millions of encounters each year at 32 hospitals campuses and more than 700 outpatient and urgent care locations throughout the region. Jefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research.
CDI Specialist Thomas Jefferson UniversityCDI SpecialistAbington, PAJefferson Health, nationally ranked as one of the top 15 not-for-profit health care systems in the country and the largest provider in the Philadelphia and Lehigh Valley areas, serves patients through millions of encounters each year at 32 hospitals campuses and more than 700 outpatient and urgent care locations throughout the region. Jefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research.
Clinical Documentation Specialist Singing River Health SystemClinical Documentation SpecialistAlabamaRemoteThe Clinical Documentation Specialist improves the overall quality and completeness of clinical documentation; facilitates modifications to clinical documentation through extensive interaction with physicians, nursing staff, other patient caregivers, and coding staff to ensure that documentation reflects the complexity and severity of illness for a complete and accurate level of service rendered to patients. Work requires close visual and acuity and the ability to adjust the eye to bring an object into sharp focus, i.e. shift gaze from viewing a computer monitor to forms/printed material that are closer to compare data at close vision.
Quality Analyst - Outpatient, Healthcare ExlService Holdings IncQuality Analyst - Outpatient, HealthcareNYRemote$85,000–$92,000 / yearEXL never requires or asks for fees/payments or credit card or bank details during any phase of the recruitment or hiring process and has not authorized any agencies or partners to collect any fee or payment from prospective candidates. EXL harnesses the power of data, analytics, AI, and deep industry knowledge to transform operations for the world's leading corporations in industries including insurance, healthcare, banking and financial services, media and retail, among others.
Nurse Practitioner Educator DaVita Inc.Nurse Practitioner EducatorDenver, CORemote$98,000–$155,000 / yearWe are seeking a detail-oriented, clinically trained Advanced Practice Provider (APP) that can provide expertise, education, coaching, and guidance on clinical practice and documentation to improve our clinical outcomes and increase the quality of provider documentation for diagnosis evaluation and quality metrics. Analyzes and interprets clinical data to identify gaps, inconsistencies, and/or opportunities for improvement in the clinical documentation and queries the provider using a concurrent query process following ACDIS/AHIMA Guidelines for Compliant Query Writing.
Review Consultant * ThisReview ConsultantRemoteReviews additional chart documentation to validate admission order, admission and discharge dates, point of origin, patient status, present on admission indicator, and coder queries to ensure accuracy. Uses various software applications, groupers, 3M and other coding tools to analyze and ensure appropriate codes, sequencing and edits.
Manager of Clinical Documentation (CCDS Required) - Clinical Data Management University of Texas Medical Branch at GalvestonManager of Clinical Documentation (CCDS Required) - Clinical Data ManagementGalveston, TXThe CDI Manager will work in collaboration with CDI specialists, clinicians, coders, and all members of the healthcare team to ensure accurate and timely clinical documentation within the medical record. Provide direction for the provision of education to the medical staff and the healthcare team regarding clinical documentation opportunities, coding and reimbursement issues, as well as performance improvement methodologies.
NewExternal Auditor Physician OMH HealthEdge Holdings IncExternal Auditor PhysicianBoca Raton, FLUnder general supervision of client, Omega's External Auditor Physician will perform reviews of inpatient and outpatient or Professional Services medical records for coding accuracy and medical record documentation as it impacts the accuracy of ICD-10-CM, ICD-10-PCS codes driving MS-DRG assignment and ICD-10-CM and CPT-4/HCPCS codes driving the APC assignment. Founded in 2003, Omega Healthcare Management Services (Omega Healthcare) empowers healthcare to thrive via intelligent solutions that optimize revenue cycle operations, administrative workflows, care coordination, and clinical research on a global scale.
Auditor/Educator Physician OMH HealthEdge Holdings IncAuditor/Educator PhysicianBoca Raton, FLFounded in 2003, Omega Healthcare Management Services (Omega Healthcare) empowers healthcare to thrive via intelligent solutions that optimize revenue cycle operations, administrative workflows, care coordination, and clinical research on a global scale. While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch or crawl; and talk or hear.
Health Information Management Clinical Documentation Integrity Specialist Parkland HospitalHealth Information Management Clinical Documentation Integrity SpecialistRemoteIdentifies need to clarify documentation in records and utilizes strong communication skills with physician, physician extender, nurse or other healthcare professionals, utilizing appropriate tools to capture needed documentation. Stays abreast of the latest developments, advancements, and trends in the field by attending seminars/workshops, reading professional journals, actively participating in professional organizations, and/or maintaining certification or licensure.
NewSenior Managing Director, Healthcare Disputes & Economics, Payer/Provider Ankura Consulting GroupSenior Managing Director, Healthcare Disputes & Economics, Payer/ProviderLexington, New YorkLead matters involving contract breaches, payment disputes, underpayment or overpayment claims, reimbursement methodology, fee schedules, DRG/APC/APG or other payment logic, risk corridors, value-based payment, capitation, shared savings, risk adjustment, denials, recoupments, and claims adjudication issues. Dispute focus : Deep experience in payer/provider commercial disputes, including underpayment, overpayment, contract interpretation, rate methodology, coding, claim adjudication, stop-loss, risk adjustment, value-based care, network adequacy, medical necessity, utilization, denial, recoupment, and reimbursement disputes.
Training Manager ExlService Holdings IncTraining ManagerNYRemote$100,000–$120,000 / yearEXL never requires or asks for fees/payments or credit card or bank details during any phase of the recruitment or hiring process and has not authorized any agencies or partners to collect any fee or payment from prospective candidates. The ideal candidate will bring strong people leadership capability, a proven ability to develop high-performing teams, and experience driving training strategy, operational execution, and learner outcomes.
Profee Coding Quality Specialist CorroHealthProfee Coding Quality SpecialistTexasRemoteMaintenance of professional coding credentials and knowledge of coding, reimbursement methodologies and compliance issues through education Monitor the on-going progress and success of each coder Maintain QA percentages within two internal quality goals; 1) overall minimum coder accuracy of 95% and 2) QA review percentages as close to 10% as possible Identify and resolve coding quality problems or issues in a timely manner. Prepare deliverables for the coders as required Report work time and work productions in a timely and accurate manner Communicates with coworkers in an open and respectful a manner which promotes teamwork and knowledge sharing.
Health Record & Information Tech l Sentara Healthcare IncHealth Record & Information Tech lSuffolk, VAAs a recognized accredited Primary Stroke Center, and Magnet hospital for nursing excellence, the hospital specializes in orthopedic and spine, heart and vascular, advanced imaging, gynecological and comprehensive breast services, behavioral health, maternity, weight loss surgery, and a heartburn treatment center. Sentara is one of the largest health systems in the U.S. Mid-Atlantic and Southeast, and among the top 20 largest not-for-profit integrated health systems in the country, with 30,000 employees, 12 hospitals in Virginia and Northeastern North Carolina, and the Sentara Health Plans division which serves more than 1 million members in Virginia and Florida.
Sr. Program Integrity Analyst HHAeXchangeSr. Program Integrity AnalystRemoteThis role sits at the intersection of investigative analysis, product development, and customer engagement — serving as the domain expert who grounds product development in operational and regulatory reality, ensuring that detection logic is clinically sound, investigatively credible, and directly actionable by the customers who rely on it to protect public funds and program integrity. The Sr Program Integrity Analyst is a key member of HHAeXchange’s growing Program Integrity function, responsible for identifying fraud, waste, and abuse patterns in Medicaid home and community-based care data and translating those findings into scalable detection capabilities embedded within the HHAeXchange platform.
Applied AI Engineer Sully.aiApplied AI EngineerSanta ClaraBuild closed-loop systems where clinician feedback and production traces drive targeted, evidence-grounded improvements to the specific components that need them — prompt quality that improves weekly, not quarterly. Just as importantly, you will help define how Sully does applied research at all — the harnesses, eval infrastructure, and feedback loops that make every future agent faster to build and safer to ship.
["Regulatory Services Auditor","Regulatory Services Auditor"] Physicians East["Regulatory Services Auditor","Regulatory Services Auditor"]GreenvilleRemoteWe are looking for an employee that can work in a fast-paced multispecialty physician group to conduct in-house audits, provider education, and provide coding related support to ensure coding accuracy and compliance. Physicians East, P.A.is a team of skilled healthcare professionals united to meet the challenge of delivering quality, cost-efficient, comprehensive healthcare to the people of Eastern North Carolina.
Pharmacy Retail Home Infusion Billing Analyst Sanford HealthPharmacy Retail Home Infusion Billing AnalystMNRemote$19–$30.50 / hourSanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America's heartland. Ensure that all pharmacy processes are completed in a timely manner and that projected incoming revenue is captured and reconciled against prescription records.
Coding Complex Specialist/Full Time/Remote Henry Ford HospitalCoding Complex Specialist/Full Time/RemoteDetroit, MIRemoteThe CBO Coding Complex Specialist accurately abstracts information from the electronic health record for compilation of a patient database, which supports medical research projects, patient care evaluation and administrative decision making related to patient care. GENERAL SUMMARY: Under established coding principles and procedures reviews, analyzes, and validates the diagnostic and/or procedural codes applied from front-end coding and clinical teams for reimbursement and billing purposes.
SIU Investigative Analyst III (ATL) The Intersect GroupSIU Investigative Analyst III (ATL)Los Angeles, CARemote$32–$41.99 / hourYou will act as a subject matter expert, overseeing reporting processes, analyzing fraud patterns, and collaborating with internal teams and regulatory agencies to strengthen program integrity. Our client supports large scale public healthcare programs and emphasizes compliance, accountability, and innovation to protect critical resources.