• Ensemble Health Partners, Inc. (Greenville, SC)
    …- St Francis - Eastside- in Greenville, SC The Senior Patient Access Specialist is responsible for performing admitting duties for all patients receiving services at ... Health Partners and all regulatory compliance requirements. The Senior Patient Access Specialist will work within the policies and processes that are being performed… more
    Upward (07/21/25)
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  • Ensemble Health Partners, Inc. (Philadelphia, PA)
    …PA Shift Hours: 3:00p-11:30p We are searching for the next Patient Access Specialist champion. This role is responsible for performing admitting duties for all ... and distributes patient education documents, such as Important Message from Medicare , Important Message from Tricare, Observation Forms, MOON form, Consent forms,… more
    Upward (07/23/25)
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  • Astrana Health, Inc. (Houston, TX)
    …Required Certification/Licensure: Must possess and maintain AAPC or AHIMA certification - Certified Coding Specialist (CCS-P), CCS, or CPC. 3-5+ years of ... Risk Adjustment Coding Specialist II (Houston, TX) Department: Quality - Risk...diagnostic data from medical records to verify that all Medicare Advantage, Affordable Care Act (ACO) and Commercial risk… more
    Upward (07/23/25)
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  • AdaptHealth LLC (Denver, CO)
    …experience. Exact job experience is considered any of the above tasks in a Medicare certified . AdaptHealth is an equal opportunity employer and does not ... click to apply, we would love to hear from you. Customer Service Specialist Customer Service Specialists are responsible for learning and understanding the entire… more
    Upward (06/27/25)
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  • Trinity Health (Howell, MI)
    …Certification/Licensure: Completion of certification and skills competencies such as the Certified Revenue Cycle Specialist Professional (CRCSP) through the ... American Association of Healthcare Administrative Management (AAHAM) and/or Certified Healthcare Access Associate (CHAA) through the National Association of… more
    Upward (07/05/25)
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  • UHS (Palmdale, CA)
    …a Registered Nurse in the State of California required. Current certification(s) for Certified Clinical Documentation Specialist (CCDS) or Certified Clinical ... Healthcare is seeking a Full-Time Remote RN Clinical Documentation Integrity Specialist . Duties include but not limited to: Providing clinically based concurrent… more
    Upward (07/23/25)
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  • Suvida (Pasadena, TX)
    …address the physical, behavioral, social, and cultural needs of an underserved Medicare -eligible Hispanic senior population. Our mission is to improve the quality of ... What You'll Do - Job Responsibilities Position Summary The Insurance Verification Specialist (Greeter) will be an integral part of the Suvida Healthcare team.… more
    Upward (07/20/25)
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  • Suvida (Houston, TX)
    …care models, accountable care organizations (ACOs) or management services organization (MSO Certified Provider Credentialing Specialist (CPCS) or Certified ... built to address the physical, behavioral, social, and cultural needs of Medicare -eligible Hispanic seniors. Celebrate diversity and inclusivity in a workplace that… more
    Upward (07/17/25)
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  • Astrana Health, Inc. (El Monte, CA)
    …professional and respectful manner Maintain strictest confidentiality at all times Specialist termination notifications sent to members Urgent Medicare ... coverage Provide authorization status for Hospital /CM Dept Self-Referral Request for Medicare Return Mail Track Mail Packages/ Certified mail status… more
    Upward (07/17/25)
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  • Gentell (Louisville, KY)
    …proper application and utilization of wound care products - Understanding Medicare documentation and reimbursement guidelines - Educating facility staff on ... the wound care products coverage guidelines Requirements The ideal Wound and Product Specialist : - Must possess a valid healthcare license (RN, LPN, PT, OTR-L, DPM… more
    Upward (07/10/25)
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  • AdaptHealth LLC (San Jose, CA)
    …required. Exact job experience is considered any of the above tasks in a Medicare certified HME environment that routinely bills insurance. AdaptHealth is an ... click to apply, we would love to hear from you. Respiratory Care Specialist This position is responsible for patient set ups and educational responsibilities to… more
    Upward (06/25/25)
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  • StateJobsNY (Bellerose, NY)
    …individuals in treatment for chemical dependency; or *Current credentials as a Certified Therapeutic Recreation Specialist (CTRS) issued by the National Council ... on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal...appointed, you may be required to become an enrolled Medicare provider; obtain and provide to your employer a… more
    Upward (07/07/25)
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  • AdventHealth (Altamonte Springs, FL)
    …care hospital RN - Registered Nurse - State Licensure and/or Compact State Licensure Certified Coding Specialist (CCS) Or Certified Inpatient Coder (CIC) ... with AHIMA Preferred Certified Professional Coder (CPC) Preferred Certified Clinical Documentation Specialist (CCDS) Preferred Previous CDI experience… more
    Upward (07/16/25)
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  • UTMB Health (Webster, TX)
    Minimum Qualifications: High school or equivalent. Three years experience. Certified or Registered Medical Assistant with a nationally recognized accreditation ... distributed and authorized deferments, Registration including eligibility, demographics and Medicare and third party coverage, communicates any obstacle to access… more
    Upward (07/16/25)
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  • CERiS (Fort Worth, TX)
    …Registered Health Information Administrator (RHIA) Registered Health Information Technician (RHIT) Certified Coding Specialist (CCS) Certified Inpatient ... Coder (CIC) Other relevant certifications (eg, Certified Clinical Documentation Specialist - CCDS) may be preferred. Experience: Minimum of 7-10 years of… more
    Upward (07/01/25)
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  • University Medical Center of Southern Nevada (Las Vegas, NV)
    …of Nevada to practice as a Registered Nurse,PLUS one of the following: Certified Clinical Documentation Specialist (CCDS) Certified Clinical Documentation ... Practitioner (CDIP)Option 2 & Option 3: Certification in one of the following: Certified Coding Specialist (CCS) issued by the AHIMARegistered Health Information… more
    Upward (07/24/25)
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  • Illinois Bone and Joint Institute LLC (Glenview, IL)
    …in weight management treatment options. Evaluates for and initiates specialist consults as deemed appropriate Utilizing appropriate physician collaboration provides ... accrediting bodies, such as The Joint Commission, Rural Health, and Center for Medicare Services. Works closely with physician supervisors as a critical member of… more
    Upward (07/07/25)
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  • Medicare /Medicaid Claims Editing…

    Commonwealth Care Alliance (Boston, MA)
    …This role will ensure that the applicable edits are compliant with applicable Medicare and Massachusetts Medicaid regulations. The role will also be responsible for ... necessary on all new and revised coding logic, related Medicare /Medicaid policies for review/approval through the Payment Integrity governance...all of the required certification OR willing to get certified within 1 year of employment - + … more
    Commonwealth Care Alliance (05/28/25)
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  • Clinical Documentation Integrity Specialist

    UCLA Health (Los Angeles, CA)
    Description As the Clinical Documentation Integrity Specialist - Medicare Advantage Risk Adjustment, you will be an expert in risk adjustment coding and ... individual with: + A Certified Professional Coder (CPC) certification or Certified Coding Specialist (CCS) certification, required + A Certified more
    UCLA Health (05/16/25)
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  • Coding Specialist - Medicare

    BlueCross BlueShield of North Carolina (NC)
    …school diploma or GED + 3+ years of experience in related field + Certified Professional Coder **Bonus Points** + Medicare coding and auditing experience **What ... patterns and reports relevant data to the Centers for Medicare and Medicaid Services (CMS). **What You'll Do** +...coding and reports relevant data to the Centers for Medicare and Medicaid Services (CMS). + Uses all resources… more
    BlueCross BlueShield of North Carolina (07/23/25)
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