• Medical Appeal & Coding

    University of Utah (Salt Lake City, UT)
    …Number** PRN43924B **Job Title** Medical Coders **Working Title** Medical Appeal & Coding Specialist **Career Progression Track** S00 **Track Level** ... processes and outbound communication with insurance companies. + Compose coding appeal letters and may collaborate with...or AAPC Certification required + Minimum 3 years of coding experience or medical billing + Ability… more
    University of Utah (12/29/25)
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  • Denial RN DRG Appeal Writer1 /…

    Hartford HealthCare (Farmington, CT)
    …Responsibility** *Denial Resolution* . Conduct a thorough review of medical records, coding and clinical documentation to validate or appeal payer denials. . ... coding guidelines. *_Working Relationships:_* *This Job Reports To:* Medical Director *_Requirements and Specifications:_* **Education** . Minimum: Associate of… more
    Hartford HealthCare (11/26/25)
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  • Medical Coder/ Coding

    Tidelands Health (Myrtle Beach, SC)
    …**Join Team Tidelands and help people live better lives through better health!** ** Medical Coder/ Coding Specialist II** Are you passionate about quality ... healing mission to life each day. **A Brief Overview** Medical Coder II is responsible for analyzing and assigning...American Academy of Professional Coders Required or + Certified Coding Specialist - American Health Information Management… more
    Tidelands Health (12/23/25)
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  • Clinical Denial Coding Review…

    HCA Healthcare (Ocala, FL)
    **Description** **Introduction** Do you have the career opportunities as a Clinical Denial Coding Review Specialist you want with your current employer? We have ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...Do you want to work as a Clinical Denial Coding Review Specialist where your passion for… more
    HCA Healthcare (12/17/25)
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  • RN Clinical Review Appeals Specialist (CDI/…

    St. Luke's University Health Network (Allentown, PA)
    …health care. The RN Clinical Review Appeals Specialist retrospectively reviews patient medical records, claims data and coding of all diagnosis and procedure ... Coding and CDMP Managers for education of the medical staff, clinical documentation professionals and the coding...auditors in retrospective reviews for DRG and documentation or coding -related issues. + Develop and apply appeal more
    St. Luke's University Health Network (10/28/25)
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  • Inpatient Coding Denials Specialist

    Fairview Health Services (St. Paul, MN)
    …Info Admin or Registered Health Info Tech or Certified Inpatient Coder (CIC)or Certified Coding Specialist **Preferred Qualifications** + BS/BA in HIM + 1 year ... **Job Overview** The Inpatient Coding Denials Specialist performs appropriate efforts...for services provided by the hospital/physician. Reviews and analyzes medical records and coding guidelines to formulate… more
    Fairview Health Services (11/29/25)
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  • Coding Appeals Specialist

    St. Luke's University Health Network (Allentown, PA)
    …we serve, regardless of a patient's ability to pay for health care. The Coding Appeals Specialist analyzes patient medical records, claims data and ... Coding and CDMP Managers for education of the medical staff, clinical documentation professionals and the coding... necessity issues as needed. + Develop and apply appeal arguments to defend the coding of… more
    St. Luke's University Health Network (10/07/25)
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  • Professional Coding Auditor and Educator…

    Tufts Medicine (Burlington, MA)
    …1. Associates degree in medical record technology. 2. Completion of Certified Medical Coding Program or two years of professional coding certification ... One of the following Certifications: Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Registered Health Information Administrator (RHIA) or… more
    Tufts Medicine (01/03/26)
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  • Inpatient DRG Coding Auditor

    Emory Healthcare/Emory University (Atlanta, GA)
    …and assists in formulating Appeal letters MINIMUM QUALIFICATIONS: + Certified Coding Specialist (CCS) certification. + RHIA/RHIT preferred. + Minimum five ... programs and more! **Description** We are seeking an experienced **Inpatient DRG Coding Auditor** to extract data from patient encounters ensuring the accuracy of… more
    Emory Healthcare/Emory University (12/05/25)
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  • Appeals Audit Specialist - McLaren Careers

    McLaren Health Care (Mount Pleasant, MI)
    …+ Certified Medical Coder, Certified in Healthcare Compliance, Certified Coding Specialist , or Certified Clinical Documentation Specialist certifications ... to write appeals demonstrating accuracy/proficiency in referencing support from the medical recorddocumentation and coding guidelineswith timely and successful… more
    McLaren Health Care (11/11/25)
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  • Patient Access Specialist

    Globus Medical, Inc. (Collegeville, PA)
    …of the HFX Access team and build cross-functional relationships. + Working knowledge of medical terminology + Knowledge of HCPCS Coding + Knowledge of ICD-10 ... At Globus Medical , we move with a sense of urgency...Reporting to the Supervisor, Patient Access, the Patient Access Specialist will focus on providing payer coverage support to… more
    Globus Medical, Inc. (01/01/26)
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  • Insurance Specialist I - Corporate Patient…

    Guthrie (Sayre, PA)
    …up with payers on unresponded claims. Works denied claims by following correct coding and payer guidelines resulting in appeal or charge correction. Teams ... school diploma required; CPC, CCA, RHIA, RHIT certification in medical billing and coding or Associates degree...submission issues. 2. Works closely with a Denial Resolution Specialist or Billing Specialist II mentor to… more
    Guthrie (12/10/25)
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  • Insurance Specialist II - Corporate Patient…

    Guthrie (Sayre, PA)
    …High school diploma or equivalency required. CPC, CCA, RHIA, RHIT certification in medical billing and coding or Associates degree preferred. Experience: Minimum ... Position Summary: Fulfills all requirements of Insurance Specialist I, as well as serving as a...to the team environment. Must maintain a knowledge of medical terminology, CPT and IC D‐10 Coding more
    Guthrie (11/19/25)
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  • Billing Specialist - Psychiatry…

    Mount Sinai Health System (New York, NY)
    …7. Posts all payments in IDX using approved methodologies. 8. May perform specialty coding for services and medical office visits and review physician coding ... **Job Description** The Billing Specialist is responsible for multiple components of the...is responsible for multiple components of the billing & coding process, including Accounts Receivable, Charge Entry, Edits and… more
    Mount Sinai Health System (11/14/25)
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  • Revenue Cycle Specialist III (Hhp Hamg…

    Cedars-Sinai (Torrance, CA)
    …and advances new services for appropriate pseudo-code creation. Identifies possible coding deficiencies through charge/ medical record review and coordinates ... employees. **What will I be doing in this role?** The Revenue Cycle Specialist III works under general supervision and following established practices, policies, and… more
    Cedars-Sinai (12/04/25)
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  • Revenue Integrity Specialist

    St. Bernard's Medical Center (Jonesboro, AR)
    …the reimbursement/denials process. Should have knowledge of ICD 10 & CPT coding and guidelines. Knowledge of reimbursement systems, Federal, State and payor-specific ... regulations pertaining to documentation and billing. Requires coding , billing (UB-04 requirements), possesses process management, leadership and interpersonal… more
    St. Bernard's Medical Center (12/13/25)
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  • Medical Accounts Receivable…

    Moses/Weitzman Health System (CT)
    …years' experience in a healthcare billing and collections office **OR** 2) Coding Certification/Billing Certificate Program (AAPC's CPC or AHIMA's CCA) with 2 years' ... Medicare and Medicaid billing rules. Insurance reimbursement methods, the claims appeal process, understanding of managed care contracts and capitation payments +… more
    Moses/Weitzman Health System (12/04/25)
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  • Financial Specialist III - Revenue…

    Fairfax County Sheriff's Office (Fairfax, VA)
    Financial Specialist III - Revenue Management Print (https://www.governmentjobs.com/careers/fairfaxcounty/jobs/newprint/5176654) Apply  Financial Specialist III ... revenue cycle, such as evaluating patients facing claims and medical billing functions to enhance revenue for each category....posting. Focuses on insurance denial processes and oversees the appeal process as appropriate to avoid delays in revenue… more
    Fairfax County Sheriff's Office (01/03/26)
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  • Revenue Cycle Specialist III

    East Boston Neighborhood Health Center (East Boston, MA)
    …to manage multiple tasks/projects simultaneously SKILLS/ABILITIES: + Proficiency level understanding of Medical Billing, ICD and CPT coding preferred. + Strong ... Patient Accounts All Locations: 151 Orleans Street Position Summary: Revenue Cycle Specialist performs a wide spectrum of billing functions to minimize accounts… more
    East Boston Neighborhood Health Center (12/28/25)
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  • Arbitration Specialist III - Remote

    US Anesthesia Partners (Dallas, TX)
    Overview The Arbitration Specialist III is responsible for the review, investigation, and reopening of closed out-of-network disputes utilizing the Federal ... with ability to prioritize. + Prior healthcare experience and/or appeal work is a plus. + Advanced level skill...Willing to learn new processes. + Knowledge of basic medical terminology and concepts preferred. + Knowledge of CPT,… more
    US Anesthesia Partners (01/03/26)
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