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Sr. Coding & Compliance Manager (Remote)
Remote - United States Rula logo Rula
CPC Coding compliance CMS guidelines Financial Operations Healthcare Regulations Medical Coding HCPCS ICD-10 Cross-functional Teams +21
Senior Full Time
USD 165K+
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Risk Adjustment Coder
Remote-FL, United States Centene Corporation logo Centene Corporation
HCC Outpatient CMS guidelines Abstracting ICD-10 codes Guidelines Risk Adjustment Medical Records ICD-10 +10
Mid Full Time
USD 77K+
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Clinical Consultant I
Remote, United States Cotiviti logo Cotiviti
Appeals management Coding validation Medical payment policy Payment policy MicroStrategy CMS guidelines Payment Claims Adjudication Clinical services +43
Mid Full Time
USD 75K+
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Customer Service Representative 4
REMOTE OPTIONS, PHOENIX State of Arizona logo State of Arizona
Eligibility Criteria Medical eligibility Interviewing techniques Medicaid programs Billing practices CMS guidelines Provider Enrollment Database Applications AMS +45
Entry Mid Full Time
USD 38K+
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Utilization Nurse Reviewer (Remote), Day Shift, Utilization Management
Support Center, United States Adventist HealthCare logo Adventist HealthCare
Typing 50+ WPM Clinical Chart Review Milliman Resource Utilization CMS guidelines InterQual Windows Environment Discharge planning Utilization Review +9
Mid Full Time
USD 77K+
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Payment Integrity Professional
Remote US, United States Humana logo Humana
Medicaid guidelines Code editing tools Medicare Guidelines CMS guidelines ICD Cost reduction Coding Guidelines Consumer Experiences HCPCS +42
Mid Full Time
USD 59K+
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Pro Fee Coding Educator
Work at Home - Ohio - Other, United States Ensemble Health Partners logo Ensemble Health Partners
Healthcare applications Coding and Billing Clinical documentation improvement CMS guidelines Coding Guidelines Color Report Writing Clinical Documentation Revenue Cycle Management +14
Mid Full Time
USD 62K+
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Clinical Coding and OASIS Review Manager
Austin, TX 78701 | 30.266876622 | -97.7441039 BAYADA Home Health Care logo BAYADA Home Health Care
Medicare pdgm billing PDGM OASIS CMS guidelines Home health care ICD-10 Coding Telephone Home Care Clinical Review +10
Mid Full Time
USD 74K+
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Clinical Coding and OASIS Review Manager
Orlando, FL 32801 | 28.543443342 | -81.375916213 BAYADA Home Health Care logo BAYADA Home Health Care
OASIS Medicare pdgm billing PDGM Home health coding CMS guidelines Home health care ICD-10 Coding Telephone Home Care +11
Mid Full Time
USD 74K+
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Non- Clinical Coding and OASIS Review Manager
Pennsauken, NJ 08109 | 39.950866919 | -75.048664024 BAYADA Home Health Care logo BAYADA Home Health Care
OASIS PDGM Home health coding Medicare pdgm billing CMS guidelines Home health care Home Care Telephone Utilization Review +11
Mid Full Time
USD 62K+
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Clinical Coding and OASIS Review Manager
Pennsauken, NJ 08109 | 39.950866919 | -75.048664024 BAYADA Home Health Care logo BAYADA Home Health Care
Coding review PDGM Home health coding OASIS Medicare pdgm billing CMS guidelines Home health care ICD-10 Coding Home Care +13
Mid Full Time
USD 74K+
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RN Telephonic Care Manager - Remote, WA
Work at Home - Washington, United States Humana logo Humana
Autonomous decision-making Telephonic care management Advanced Computer Multidisciplinary teamwork Computer navigation CMS guidelines MCG Home Care Clinical Nursing +54
Mid Full Time
USD 71K+
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Director, Grievances & Appeals
Remote US, United States Humana logo Humana
CMS guidelines Audit Preparation STARS Grievance and appeals Grievances Healthcare Regulations Control Appeals Analytic +59
Exec Senior Full Time
USD 126K+
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Senior Manager, Medicare Sales - North Houston
Remote TX HOUST AUST, United States Humana logo Humana
Medicare Sales CMS guidelines Prescription Annuity Rating Driver safety program Multilingual Mobile Consumer Experiences +45
Senior Full Time
USD 84K+
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