• Senior Inpatient Medical

    Humana (Providence, RI)
    …a part of our caring community and help us put health first** The Senior Inpatient Medical Coding Professional extracts clinical information from a variety ... requires an in-depth evaluation of variable factors. **Responsibilities** The Senior Inpatient Medical Coding Professional confirms appropriate diagnosis… more
    Humana (06/26/25)
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  • Medical Coding Auditor

    Humana (Providence, RI)
    **Become a part of our caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical ... receives guidance where needed. Follows established guidelines/procedures. **Where you come in** The Medical Coding Auditor confirms correct CPT coding more
    Humana (07/24/25)
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  • Coding Auditor Educator

    Highmark Health (Providence, RI)
    …(Outpatient): Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or ... **GENERAL OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data… more
    Highmark Health (05/09/25)
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  • Medicare/Medicaid Claims Editing Specialist

    Commonwealth Care Alliance (Boston, MA)
    …Coder (CPC) + Certified Inpatient Coder (CIC) + Certified Professional Medical Auditor (CPMA) **Desired Education (nice to have):** + Masters Degree ... public health care programs and reimbursement methodologies (Medicaid and Medicare) + Medical Coding , Compliance, Payment Integrity and Analytics + Direct and… more
    Commonwealth Care Alliance (05/28/25)
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