• * Outpatient Complex Audit

    Henry Ford Health System (Grand Blanc, MI)
    …evaluation and assimilation of the medical record, the OP Audit - outpatient complex audit specialist will be responsible for utilizing knowledge ... Under the direction of the Outpatient Audit , Analytics & Technology Supervisor, in conjunction with OP Audit Analysts and Coordinators will utilize… more
    Henry Ford Health System (09/23/25)
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  • Outpatient Audit Specialist

    Datavant (Augusta, ME)
    …realize our bold vision for healthcare. **What We're Looking For:** As an Outpatient Auditing Specialist , you will be instrumental in addressing consulting and ... Observation and I&I** **What You Will Do:** + Performs Outpatient Facility coding audits of medical records and abstracts...SDS, ED, Observation and I&I** + 5+ years of outpatient facility coding experience and/or auditing + CCS (preferred),… more
    Datavant (09/13/25)
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  • Internal Audit Specialist - Hybrid

    Houston Methodist (Houston, TX)
    …and above strongly encouraged to apply.** At Houston Methodist, the Internal Audit Specialist is responsible for independently planning, coordinating, and ... to controls, manages and mitigates risks for presentation to department leadership. The Internal Audit Specialist is a role model to the audit team… more
    Houston Methodist (09/16/25)
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  • Coding Audit Response Specialist

    Novant Health (NC)
    Job Summary Why This Role Matters As a Coding Audit Response Specialist , you will have the ability to be an educational resource to a dynamic team of coders, ... Do + Respond to external and internal audits for outpatient services that include an assessment of ICD-10- CM/PCS,...for Novant Health Facilities as assigned by Corporate Coding Audit Response Lead. + Audits will include but will… more
    Novant Health (08/16/25)
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  • Certified Risk Adjustment Coding/ Audit

    Redeemer Health Home Care & Hospice (Huntingdon Valley, PA)
    …terminology necessary to correctly code diagnoses. The Certified Risk Adjustment Coding/ Audit Specialist analyzes and translates concurrent, prospective and ... We invite you to apply today. SUMMARY OF JOB The Certified Risk Adjustment Coding/ Audit Reviewer is a physician facing position and must have extensive knowledge in… more
    Redeemer Health Home Care & Hospice (08/13/25)
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  • Outpatient Coding Education Analyst

    University of Washington (Seattle, WA)
    …Enterprise Records and Health Information** has an outstanding opportunity for an ** OUTPATIENT CODING EDUCATION ANALYSTS.** **WORK SCHEDULE** + 100% FTE + Mondays - ... DRG, CPT and HCPCS), engage in the development and/or implementation of audit /monitoring plans, participate in the development and/or delivery of educational and… more
    University of Washington (08/20/25)
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  • Coding Audit & Education Coordinator

    St. Luke's University Health Network (Allentown, PA)
    …of a patient's ability to pay for health care. The Coding Audit & Education Coordinator will be responsible for performing internal, concurrent, prospective ... and retrospective coding audit activities. The incumbent will also review and validate...Auditor (CPMA); Certified Professional Coder (CPC); Certified); Certified Coding Specialist (CCS); In-depth knowledge of ICD CM, ICD PCS… more
    St. Luke's University Health Network (08/20/25)
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  • Certified Outpatient Coder 3

    Beth Israel Lahey Health (Charlestown, MA)
    …or other qualified health care provider services. Coding of inpatient and outpatient Evaluation and Management by assigning the appropriate CPT, ICD-10-CM and HCPCs ... accuracy standards must be met according to guidelines set by manager.** **Prospective audit of charges entered by providers as well as provide feedback to… more
    Beth Israel Lahey Health (07/18/25)
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  • Billing and Coding Specialist

    University of Colorado (Aurora, CO)
    **Billing and Coding Specialist ** **Description** **University of Colorado Anschutz Medical Campus** **Department: Neurosurgery** **Job Title** **Billing and Coding ... Specialist ** **Position** **- Requisition #: 37575** **Job Summary:** **Key...meetings with Office of Value Based Performance, Revenue Cycle, Audit /Compliance, and other related meetings as a representative for… more
    University of Colorado (09/07/25)
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  • Coding Specialist (40 hours/week on 1st…

    Penn Medicine (East Petersburg, PA)
    …Technician , RHIA Registered Health Information Administrator , CCS Certified Coding Specialist , COC-A Certified Outpatient Coder-Apprentice , COC Certified ... living your life's work? Summary: + Position Summary: + The Coding Specialist is responsible for supporting Penn Medicine Lancaster General Health Physicians LGHP… more
    Penn Medicine (09/23/25)
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  • Medicare Billing Specialist

    Insight Global (Pleasanton, CA)
    Job Description Insight Global is seeking a Medicare Billing Specialist to join their clients team. The Medicare Billing Specialist is responsible for the ... accurate preparation, submission, and reconciliation of Medicare claims for outpatient mental health services. This role ensures compliance with Medicare regulations… more
    Insight Global (10/03/25)
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  • Quality & Patient Safety Specialist

    Beth Israel Lahey Health (Cambridge, MA)
    …the Director of Quality & Patient Safety, the Quality and Patient Safety nurse specialist plays a role in reviewing publicly reported quality data by leading the ... optimizing performance on the key performance indicators and quality measures, the RN specialist also aims to foster a culture of safety by specifically focusing on… more
    Beth Israel Lahey Health (08/08/25)
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  • Referral Specialist III - Paragon…

    Elevance Health (Plano, TX)
    …pharmacies, our infusion centers, and the home setting. **Title** : Referral Specialist III - Paragon Healthcare **Location:** TX-PLANO, 3033 W PRESIDENT GEORGE BUSH ... unless an accommodation is granted as required by law._ The **Referral Specialist III** is responsible for issues involving the precertification and prior… more
    Elevance Health (10/01/25)
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  • Lead - CDI Specialist

    Mayo Clinic (Rochester, MN)
    …quality metrics and hospital ratings and rankings Reviews inpatient and/or outpatient medical records to ensure accurate representation of severity of illness. ... environment. May perform ICDI DRG Secondary Reviews as well as support audit and denial related activities. Performs special projects / Quality Improvement… more
    Mayo Clinic (09/05/25)
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  • Corporate Senior Government Reimbursement…

    Prime Healthcare (Ontario, CA)
    …Ontario, California. Prime Healthcare operates 45 hospitals and has more than 300 outpatient locations in 14 states providing more than 2.6 million patient visits ... reports and support their audits. The Corporate Senior Government Reimbursement Specialist is responsible for preparing and understanding the complexity of a… more
    Prime Healthcare (09/22/25)
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  • Pharmacy Inventory Control Specialist - HUP

    Penn Medicine (Philadelphia, PA)
    …day. Are you living your life's work? **Summary:** + The Inventory Control Specialist is a Pharmacy Technician III who is responsible for properly maintaining an ... enter products into one of our automated inventory systems. The Inventory Control Specialist will ensures that inventory cycle counts are completely regularly and in… more
    Penn Medicine (09/05/25)
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  • Specimen Receiving/Reference Laboratory…

    Stony Brook University (Stony Brook, NY)
    Specimen Receiving/Reference Laboratory Specialist **Position Summary** At Stony Brook Medicine, a **Specimen Receiving/Reference Laboratory Specialist ** in the ... back-up supervisory, phlebotomy, quality assurance, send-out testing processing and billing audit duties under the supervision of the Specimen Receiving and… more
    Stony Brook University (10/03/25)
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  • Reimbursement Auditing Specialist (Remote…

    Marshfield Clinic (Marshfield, WI)
    …the most exciting missions in the world!** **Job Title:** Reimbursement Auditing Specialist (Remote in Wisconsin) **Cost Center:** 101651059 Coding- Audit Appeals ... residents only eligible to apply**_** **JOB SUMMARY** The Reimbursement Auditing Specialist assists personnel in various areas of Revenue Integrity/Revenue Cycle as… more
    Marshfield Clinic (10/02/25)
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  • Coding Specialist Supervisor

    University of Washington (Seattle, WA)
    …**Faculty Practice Plan Services** has an outstanding opportunity for a **CODING SPECIALIST - SUPERVISOR.** The position reports to the Manager of Coding and ... performance on a continuous basis. + Evaluating staff's quality assurance audit results and work collaboratively with training department to identify and/or… more
    University of Washington (09/30/25)
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  • Clinical Appeals Specialist

    Dana-Farber Cancer Institute (Brookline, MA)
    …supervision of the Director of Patient Financial Services, the Clinical Appeals Specialist performs advanced level work related to clinical denial management. The ... a comprehensive review of relevant clinical documentation. The Clinical Appeals Specialist will write compelling arguments based on clinical documentation and payer… more
    Dana-Farber Cancer Institute (09/05/25)
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