• Stanford Health Care (Palo Alto, CA)
    …Days or + CCDS - Cert Clinical Document Spec required within 180 Days + RN - Registered Nurse - State Licensure And/Or Compact State Licensure required . ... is a Stanford Health Care job.** **A Brief Overview** Clinical Government Audit Analyst and Appeal Specialist II plays...Specialist required within 180 Days or + Certified Outpatient Coder - COC required within 180 Days or +… more
    DirectEmployers Association (10/10/25)
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  • Supervisor - Clinical Doc Improvement

    Baylor Scott & White Health (Dallas, TX)
    …Practitioner (CDIP) or Cert Professional Coder (CPC). & Reg Health Info Administrator (RHIA), Registered Nurse ( RN ): Registered Nurse ( RN ) ... and courteous manner. **KEY SUCCESS FACTORS** Must be a Registered Nurse ( RN ) or ...or Cert Doc Improv Practitioner (CDIP) or Cert Professional Coder (CPC) Clinical knowledge of disease process.… more
    Baylor Scott & White Health (10/18/25)
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  • Medical Claim Review Nurse ( RN )

    Molina Healthcare (Buffalo, NY)
    …Billing and coding experience. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Certified Clinical Coder , Certified Medical Audit Specialists, Certified Case ... state/federal regulations **REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:** Active, unrestricted State Registered Nursing ( RN ) license in good standing.… more
    Molina Healthcare (10/18/25)
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  • Payment Integrity Nurse Coder

    LA Care Health Plan (Los Angeles, CA)
    Payment Integrity Nurse Coder RN III Job Category: Clinical Department: Claims Integrity Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... to achieve that purpose. Job Summary The Payment Integrity Nurse Coder RN III is...Office suite, including Word, Excel and PowerPoint. Licenses/Certifications Required Registered Nurse ( RN ) - Active,… more
    LA Care Health Plan (10/23/25)
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  • Radiologic Technologist - Methodist Cath Lab

    Carle Health (Peoria, IL)
    …coding based on the procedures performed/completed Validates correct charges/codes with clinical cardiac coder to ensure accuracy when questions/issues arise ... Life Support (ACLS) within 1 year - American Heart Association (AHA); Registered in Radiography (R) - American Registry of Radiologic Technologists (ARRT),… more
    Carle Health (09/18/25)
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  • Clinical Documentation Specialist

    Community Health Systems (Bentonville, AR)
    …maintaining compliance with regulatory standards and corporate policies. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or ... or + Certified Clinical Documentation Specialist (CCDS) preferred + RHIT - Registered Health Information Technician preferred or + RHIA - Registered Health… more
    Community Health Systems (11/04/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Las Vegas, NV)
    …and efficiency recommendations. **Minimum Requirements:** + Requires current, active, unrestricted Registered Nurse license in applicable state(s). + Requires a ... **Diagnosis Related Group Clinical Validation Auditor- RN (CDI, MS-DRG, AP-DRG...are preferred: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Clinical more
    Elevance Health (10/31/25)
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  • RN Lead, DRG Coding/Validation Remote

    Molina Healthcare (Caldwell, ID)
    …medical claims review, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... JOB DESCRIPTION Job Summary The RN Lead, DRG Coding/Validation provides lead level support...(CCS), Certified Inpatient Coder (CIC), Certified Professional Coder (CPC), Registered Health Information Technician (RHIT)… more
    Molina Healthcare (11/02/25)
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  • Revenue Integrity Nurse Auditor

    Childrens Hospital of The King's Daughters (Chesapeake, VA)
    …duties as assigned. + LICENSES AND/OR CERTIFICATIONS + Current Virginia state license as a Registered Nurse or Registered Nurse holding a valid Compact ... + GENERAL SUMMARY + The Revenue Integrity Nurse Auditor is responsible for the auditing and...Nursing program required. + Minimum of 3 years of clinical experience as a Certified Professional Coder more
    Childrens Hospital of The King's Daughters (10/23/25)
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  • Risk Adjustment Analyst - HIM OP CDI

    UNC Health Care (Chapel Hill, NC)
    …) - ACDIS (Association of Clinical Documentation Improvement Specialists) certification - RN ( Registered Nurse ) license - LPN (Licensed Practical ... education tip sheets and tools for providers and other clinical and OP CDI staff such as the HCC/RAF...the HCC/RAF Pocket Guide, HCC Coding Tip Sheets by clinical conditions, and relevant information in the Clinical more
    UNC Health Care (10/30/25)
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  • RN Team Lead

    Hospice Of San Joaquin (Stockton, CA)
    …of everything we do. We are seeking a Dynamic, self-motivated Full - Time RN Team Lead who thrives in a fast-paced environment and supports our mission. POSITION ... PURPOSE/SUMMARY: Responsible for the management and delivery of clinical care to patients and families in the HSJ...laws. Directly supervises and schedules the assignments of the RN nursing staff. Under the direction of the Chief… more
    Hospice Of San Joaquin (08/29/25)
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  • RN Coding Liaison

    AdventHealth (Orlando, FL)
    …accepts responsibility for maintaining relationships that are equally respectful to all. The RN Coding Liaison reports to the HIM Coding Director to assist in ... and quality of the data reported is supported by provider clinical documentation to accurately reflect reimbursement and quality reporting. Maintains knowledge… more
    AdventHealth (08/07/25)
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  • Clinical Documentation Specialist, REMOTE

    Trinity Health (Athens, GA)
    …medical field such as NP/APN or PA. Must possess one of the below: Current Registered Nurse License in the State of practice, Registered Health Information ... Nurse (NP/APN) or completion of medical school. Certified Clinical Documentation Specialist (CCDS) or Certified Documentation Improvement Professional (CDIP)… more
    Trinity Health (10/23/25)
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  • Clinical Reviewer

    Independent Health (Buffalo, NY)
    …regulatory standards, clinical criteria, and member benefit contract. **Qualifications** + Registered Nurse ( RN ) with active, current, unrestricted NYS ... and a culture that fosters growth, innovation and collaboration. **Overview** The Clinical Reviewer will be responsible for the collection and review of medical… more
    Independent Health (10/07/25)
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  • Clinical Denials and Appeals-…

    Catholic Health (Buffalo, NY)
    …finance, business management, operational analysis, information systems or related field + Registered Nurse with a four (4) year degree and Unrestricted ... role of management and oversight of team Summary: The Clinical Denials and Appeals, Clinical Supervisor is...NYS RN license, preferred + Holds, or will obtain within… more
    Catholic Health (10/01/25)
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  • Clinical Documentation Improvement…

    MetroHealth (Cleveland, OH)
    …The MetroHealth System.** Qualifications: Qualifications: Required: Possesses one of the following: * RN - Registered Nurse licensure (BSN required if hired ... after April 2023). * RHIA - Registered Health Information Administrator. * RHIT - ...acute care environment as a clinician or hospital inpatient coder . Demonstrated knowledge and proficiency in using clinical more
    MetroHealth (10/31/25)
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  • Clinical Documentation Specialist

    Ascension Health (Elk Grove Village, IL)
    …Documentation ImprovementSpecialists obtained prior to hire date or job transfer date.* Registered Nurse credentialed from the Illinois Department of Financial ... Ensure the working DRG and other information are entered in the Clinical Documentation Improvement database. + Initiate and maintain extensive interactions with… more
    Ascension Health (09/26/25)
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  • CDI Specialist Lead

    Community Health Systems (Fort Wayne, IN)
    …professionalism, collaboration, and leadership in interdisciplinary environments **Licenses and Certifications** + RN - Registered Nurse - State Licensure ... or + Certified Clinical Documentation Specialist (CCDS) required + RHIA - Registered Health Information Administrator preferred or + RHIT - Registered Health… more
    Community Health Systems (10/10/25)
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  • Medical Records Technician ( Clinical

    Veterans Affairs, Veterans Health Administration (Fort Meade, SD)
    …AHIMA or AAPC and two years of experience in clinical documentation improvement; OR Clinical experience such as RN , MD, or DO and one year of experience in ... Summary MRTs ( Coder ) are skilled in classifying medical data from...Responsible for reviewing the overall quality and completeness of clinical documentation. Inpatient CDI focuses on the concurrent review… more
    Veterans Affairs, Veterans Health Administration (10/08/25)
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  • Government Programs Clinical Coordinator,…

    Blue KC (Kansas City, MO)
    …skills + Experience working for a health plan and/or within a provider office + Registered Nurse and/or medical licensure + Knowledge base of clinical ... use of plan tools, reports, and systems. + Review clinical data to identify chronic condition management opportunities with...least five years coding experience + Obtain Certified Risk Coder (CRC) within 1 year of hire **Preferred Qualifications**… more
    Blue KC (11/01/25)
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