• Stanford Health Care (Palo Alto, CA)
    …**This is a Stanford Health Care job.** **A Brief Overview** The Coding Quality Specialist evaluates the adequacy and effectiveness of internal and operational ... controls designed to ensure that coding processes and practices lead to appropriate execution of...execution of regulatory requirements and guidelines related to facility coding including federal and state regulations and guidelines, CMS… more
    DirectEmployers Association (10/23/25)
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  • Stanford Health Care (Palo Alto, CA)
    …is a Stanford Health Care job.** **A Brief Overview** The Single Path Coding (SPC) Specialist-Level 2 is an advanced coder position responsible for reviewing ... group Ambulatory Payment Classifications (APCs) for billing, and process National Correct Coding Initiative (NCCI) and payer specific edits related to hospital and… more
    DirectEmployers Association (10/23/25)
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  • Tidelands Health (Myrtle Beach, SC)
    …and help people live better lives through better health!** **Supervisor Provider Coding Specialist** Are you passionate about quality and committed to excellence? ... life each day. **A Brief Overview** The Supervisor, Provider Coding Specialist under the general supervision of the ...Coding Specialist under the general supervision of the Coding Manager, is responsible for overseeing daily coding more
    DirectEmployers Association (10/01/25)
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  • Memorial Sloan-Kettering Cancer Center (New York, NY)
    …MSK and around the globe. Exciting Opportunity at MSK: **Senior Healthcare Coding & Billing Compliance Specialist (Auditor)** At Memorial Sloan Kettering (MSK), our ... of integrity and accountability across our institution. As a **Senior Healthcare Coding & Billing Compliance Specialist (Auditor)** , you'll help safeguard MSK by… more
    DirectEmployers Association (10/21/25)
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  • Alameda Health System (Oakland, CA)
    Supervisor, Hospital and Professional Fee Coding + Oakland, CA + Information Systems + Health Information Servcies + Full Time - Day + Management + $41.42 - $69.04 / ... + Posted:September 16, 2025 **Summary** **JOB SUMMARY:** Back up to the coding manager to cover daily management activities. Performs related duties as required.… more
    DirectEmployers Association (09/17/25)
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  • Children's Hospital Los Angeles (Los Angeles, CA)
    …Day Shift **Purpose Statement/Position Summary:** In conjunction with the Manager, HIM Coding & CDI, responsible for direct supervision of the HIM Coders to ... experience. Deep knowledge of ICD-10, CPT, HCPCS and other coding systems with hand-ons inpatient coding and/or auditing a must. Interpret coding trends,… more
    DirectEmployers Association (10/22/25)
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  • Emanate Health (Covina, CA)
    …**J** **ob Summary** Responsible for the oversight of HCC Program and STAR measures coding related functions. The coding specialist will work with the IPA ... and achieves or improves upon 4.0 STAR rating. The coding specialist is responsible for education to external physician...submitted for Medicare and Covered CA lines of business. Coding specialist will be responsible to review medical records… more
    DirectEmployers Association (10/17/25)
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  • Stanford Health Care (Palo Alto, CA)
    …acumen, a strong understanding and application of clinical documentation standards, coding , and regulatory requirements, as well as excellent analytical and ... Analyst and Appeals Specialist II will collaborate with clinical staff, coding professionals, and external stakeholders to ensure timely and accurate resolution… more
    DirectEmployers Association (10/10/25)
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  • Premera Blue Cross (Mountlake Terrace, WA)
    …claim audits to identify improper payments due to billing errors, coding discrepancies, and policy non-compliance. Audits include reviewing medical records, applying ... clinical and coding knowledge, analyzing provider billing patterns, and evaluating related...Unit and Payment Integrity Specialists. This role requires medical coding experience and solid written and oral communication. **This… more
    DirectEmployers Association (09/24/25)
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  • HP Inc. (Vancouver, WA)
    …**Pillars of software specialization:** Software Developer: + _Coding /Tools/Knowledge Areas:_ Coding / Tools: Java, Python, C++, React JS, Node JS, RESTful and ... industry standards for data privacy Data Science and Analytics: + _? Coding /Tools/Knowledge Areas:_ Python, Splunk, SQL, Data Structures, Data Analysis, Automation… more
    DirectEmployers Association (09/09/25)
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  • Rady Children's Hospital San Diego (San Diego, CA)
    …JOB SUMMARY: Under the general direction of the Supervisor, Professional Billing & Coding and Director, Professional Billing & Coding , this position operates ... from within the Revenue Cycle Center to address coding issues related to professional billing claims. The incumbent...while maintaining compliance with CCI & other payer specific coding Edits (McKesson). The incumbent is responsible for reviewing… more
    DirectEmployers Association (08/31/25)
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  • Alameda Health System (Oakland, CA)
    …the ICD-9-CM (International Classification of Diseases, 10th revision, Clinical Modification) coding conventions, official coding guidelines approved by the ... by the American Medical Association, and any other official coding rules and guidelines established for use with mandated...and ICD-10-CM resources and remains current on changes in coding and billing standards. 3. Strives for the optimal… more
    DirectEmployers Association (08/07/25)
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  • Sonora Quest Laboratories (Phoenix, AZ)
    …of identifying and communicating any pertinent updates to medical, contracting, and coding policy to fellow revenue staff that may potentially impact laboratory ... billing or in a healthcare setting. Comprehensive knowledge of ICD-10 coding , CPT coding , HCPCS coding , modifiers, and government and commercial payer… more
    Appcast IO CPA (10/14/25)
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  • Luke Staffing (Butner, NC)
    **MEDICAL BILLING CODING SPECIALIST** **We encourage Military Veterans and Military Spouses to apply** **SITE OF SERVICE:** DOJ (Department of Justice Prison) - ... (RHIA) . Registered Health Information Technician (RHIT) . Certified Coding Specialist (CCS) . Certified Coding Assistant.... Certified Coding Specialist (CCS) . Certified Coding Assistant (CCA) . Certified Professional Coder (CPC) **CORE… more
    DirectEmployers Association (08/04/25)
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  • MVP Health Care (Rochester, NY)
    …Analyst to join #TeamMVP. If you have a passion for managing audits, medical coding , and analytical thinking and this is the opportunity for you. What's in it ... equivalent combination of related experience may also be considered. Coding certification, such as AAPC CPC, CIC, COC, CCS...minimum of three (3) years' experience in a professional coding environment or three (3) years' experience in auditing… more
    Appcast IO CPA (10/17/25)
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  • Caris Life Sciences (Austin, TX)
    …ISO, etc.). **Required Qualifications** + High school diploma and completion of Medical Coding course. + 0-2 years of experience in medical coding . Completion ... certification are required. + Must hold an active medical coding certification through AAPC or AHIMA. + Must have...working with ICD-10 codes. + Experience working with different coding systems, including: Level 1 HCPCS and Level 2… more
    DirectEmployers Association (10/15/25)
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  • SR International, Inc. (Phoenix, AZ)
    …including assessment, planning, intervention, and evaluation *InterQual Criteria *CCI * Coding : CPT, HCPCS, ICD-9 *Medical Claims Review *Statistical analysis ... *Evaluate medical documentation for emergency criteria, medical necessity, correct CPT coding *Determine appropriate hospital levels of care and lengths of stay… more
    Upward (08/03/25)
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  • PharmaCord (Jeffersonville, IN)
    …###@pharmacord.com A typical day in the life of a Medical Billing and Coding Specialist will include the following: The responsibilities include, but are not limited ... Educate provider offices on local and regional payer coverage policies, issues, coding changes, and appropriate claims submission processes Educate offices about the… more
    Upward (08/03/25)
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  • Sun Pharmaceuticals, Inc (Syracuse, NY)
    …therapy for appropriate patients. Educational components include reimbursement (coverage, coding & payment), specialty pharmacy and distribution processes, provider ... understanding and educating on local health policy, reimbursement, billing / coding , and patient access issues. Field Reimbursement Managers will collaborate with… more
    DirectEmployers Association (10/16/25)
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  • Stanford Health Care (Palo Alto, CA)
    …existing tools to evaluate CDM requests with a focus on regulatory coding , compliance, and adherence to SHC internal guidelines regarding CDM maintenance, standard ... ease of communication with Clinical staff and faculty + Solid understanding of coding conventions and current third-party payer rules and regulations Knowledge of … more
    DirectEmployers Association (10/14/25)
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