• Non-Clinical Coding and OASIS Review…

    BAYADA Home Health Care (Orlando, FL)
    …around this requirement.** BAYADA Home Health Care is hiring a full time OASIS Review and Coding Manager . The OASIS and Coding Review Manager provides ... as it relates to the OASIS and ICD 10 coding while using the Medicare PDGM billing ...with a focus on documentation trends, star ratings and potential revenue impact. + Perform related duties, or as… more
    BAYADA Home Health Care (05/17/25)
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  • Clinical Coding and OASIS Review…

    BAYADA Home Health Care (Orlando, FL)
    …BAYADA Home Health Care has an immediate opening for a **Full Time,** OASIS and Coding Review Manager with OASIS and Coding certification to work remotely. ... as it relates to the OASIS and ICD 10 coding while using the Medicare PDGM billing ...with a focus on documentation trends, star ratings and potential revenue impact. + Perform related duties, or as… more
    BAYADA Home Health Care (05/17/25)
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  • Manager , DRG Coding & Validation…

    Molina Healthcare (Columbus, OH)
    **Job Description** **Job Summary** The Manager , Clinical DRG Coding & Validation must have an extensive background in either facility-based nursing and/or ... inpatient coding and has a high level of understanding in...staff including assistance in development and training. * Identify potential claims outside of the concept where additional opportunities… more
    Molina Healthcare (06/14/25)
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  • Manager - Medical Coding

    Trinity Health (Hartford, CT)
    **Employment Type:** Full time **Shift:** Day Shift **Description:** The Medical Coding and Audit Manager provides the management for the Trinity Health Of New ... auditing. 5 years management experience required. + **Skills:** Strong knowledge of billing , reimbursement, CPT-4 and ICD-10-CM coding ; strong written and verbal… more
    Trinity Health (06/05/25)
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  • Inpatient Coding Auditor

    HCA Healthcare (Nashville, TN)
    …and you have the opportunity to make a difference. We are looking for a dedicated Inpatient Coding Audit Manager like you to be a part of our team. Job Summary ... Team test work includes performing inpatient and outpatient coding / billing audits, Clinical Documentation Improvement (CDI) audits,...Improvement (CDI) audits, and special project reviews. The IP Coding Audit Manager position will work on… more
    HCA Healthcare (05/10/25)
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  • Sr Manager , Hospital Billing

    Emory Healthcare/Emory University (Atlanta, GA)
    …other relevant regulations. + Conduct regular audits to identify and address potential billing compliance issues. **4.Revenue Cycle Optimization:** + Analyze ... and leadership programs * And more **Work Location:** Atlanta, GA **Description** A Senior Manager of Hospital Billing oversees the entire hospital billing more
    Emory Healthcare/Emory University (04/05/25)
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  • Facility Outpatient Coding Editor

    HCA Healthcare (Myrtle Beach, SC)
    …invested over 156,000 hours volunteering in our communities. As a Facility Outpatient Coding Editor with Parallon you can be a part of an organization that ... vary by location._** Would you like to unlock your potential with a leading healthcare provider dedicated to the...organization. We are looking for an enthusiastic Facility Outpatient Coding Editor to help us reach our goals. Unlock… more
    HCA Healthcare (06/13/25)
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  • Research Billing & Compliance…

    Houston Methodist (Houston, TX)
    …process in electronic medical record. + Responsible for identifying process gaps and potential billing and coding inaccuracies and working with ... At Houston Methodist, the Manager of Research Billing Compliance position is responsible for managing the development and execution of the Houston Methodist… more
    Houston Methodist (04/04/25)
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  • Outpatient Coding Team Lead

    HCA Healthcare (San Antonio, TX)
    …Account Reimbursement Specialists (CARS), and/or CDI Liaisons with day-to-day operations + Assists Coding Manager in the review and improvement of processes and ... potential ! **Job Summary and Qualifications** As an Outpatient Coding Lead, you will perform as the daily contact...Tool [C-PART)) + Coordinates activities in conjunction with the Coding Manager and SSC Education staff related… more
    HCA Healthcare (06/05/25)
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  • DRG Coding Auditor

    Elevance Health (St. Louis, MO)
    …/payment systems provider billing guidelines, payer reimbursement policies, billing validation criteria and coding terminology preferred. + Knowledge ... **DRG CODING AUDITOR** **Location** : _This position will work...letter writing). + Identifies new claim types by identifying potential claims outside of the concept where additional recoveries… more
    Elevance Health (06/10/25)
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  • DRG Coding Auditor Principal

    Elevance Health (Norfolk, VA)
    …/payment systems provider billing guidelines, payer reimbursement policies, billing validation criteria and coding terminology strongly preferred Please ... **DRG Coding Auditor Principal** _Virtual: This role enables associates...level auditors. + Identifies new claim types by identifying potential claims outside of the concept where additional recoveries… more
    Elevance Health (06/05/25)
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  • REMOTE Team Leader, Facility and SCMG…

    South County Hospital (Wakefield, RI)
    …individual also provides individualized education as well as generalized education to the coding team. In collaboration with the HIM Manager , plans, coordinates ... guidelines and state/federal rules and regulations. Works with coding staff and audit partners to identify potential...to the Manager of HIM or the Manager of CDI. Minimum Qualifications: CCS Coding more
    South County Hospital (05/29/25)
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  • Insurance Billing Supervisor (FT- 1 FTE)…

    Bozeman Health (Bozeman, MT)
    …trends and communicates with PFS Manager for escalation + Ensures timely billing and proactively investigates and addresses potential billing process ... hospital executive team in collaboration with the Patient Financial Services (PFS) manager . Oversees and coordinates the insurance billing function for Bozeman… more
    Bozeman Health (04/02/25)
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  • Billing & Collections Representative…

    Rady Children's Hospital San Diego (San Diego, CA)
    …which is subject to to renwal on 04/30/2025.** JOB SUMMARY: Under the direction of the Manager , Professional Billing & Coding , the Billing & Collections ... and CCI edits flagging the charges routing to the billing system. They are expected to make updates and...to validate and accurately complete the claims identified with potential new payor plan coverage added to the patient's… more
    Rady Children's Hospital San Diego (05/12/25)
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  • Cah - Billing Clerk

    Claxton-Hepburn Medical Center (Carthage, NY)
    …account representation in compliance with state and federal regulations. REPORTS TO: Billing Office Manager EDUCATION: Required: + High School diploma/GED + ... Posting Dates: June 13, 2025-June 20, 2025 CAH-Patient Accounting- Billing Clerk - Full Time- Day Shift- 7a-4p-Req 8695...(explanation of benefits) + Knowledge of CPT and ICD10 coding + Skill in basic data entry; 10-key proficiency… more
    Claxton-Hepburn Medical Center (06/14/25)
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  • Manager , Itemized Bill Review

    Zelis (NJ)
    …to ensure the team is capturing all potential saving opportunities. The Manager , IBR will investigate areas of coding opportunities within the current ... Itemized Bill Review will collaborate closely with the Sr. Manager and Sr. Director of Clinical Coding ...denials as necessary + Conduct ongoing team education regarding coding and/or billing errors including development of… more
    Zelis (04/08/25)
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  • Field Reimbursement Manager , Oncology…

    J&J Family of Companies (Titusville, NJ)
    …relationship + Demonstrated expertise with both pharmacy and medical/buy & bill benefits, coding , and billing + Reimbursement or relevant managed care experience ... team is recruiting for a Network Account Field Reimbursement Manager for the Upstate New York territory which is...Advanced degree and/or relevant certifications in prior authorization and/or billing and coding + Strong market access… more
    J&J Family of Companies (06/11/25)
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  • Field Reimbursement Manager (Oncology)…

    J&J Family of Companies (Chicago, IL)
    …relationship . Demonstrated expertise with both pharmacy and medical/buy & bill benefits, coding , and billing . Reimbursement or relevant managed care experience ... team is recruiting for a Local Account Field Reimbursement Manager for the Great Plains territory which is a...Advanced degree and/or relevant certifications in prior authorization and/or billing and coding . Strong market access… more
    J&J Family of Companies (05/30/25)
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  • Field Reimbursement Manager , Dermatology…

    J&J Family of Companies (Fort Lauderdale, FL)
    …relationship + Demonstrated expertise with both pharmacy and medical/buy & bill benefits, coding , and billing + Reimbursement or relevant managed care experience ... Solutions (PECS) team is recruiting for a Field Reimbursement Manager which will be a field-based position. PECS is...Advanced degree and/or relevant certifications in prior authorization and/or billing and coding + Strong market access… more
    J&J Family of Companies (05/09/25)
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  • Senior Manager , Client Success

    R1 RCM (Chicago, IL)
    …Every day you will collaborate cross-functionally with internal teams-such as billing , coding , operations, and technology-to align solutions with client ... knowledge of revenue cycle management industry and processes, including patient access, billing , coding , collections, and compliance. **Here's what you will… more
    R1 RCM (05/08/25)
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