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Coding Guidelines Remote Jobs

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20 fresh jobs found
Clinical Ideation Product Specialist - Remote in US
Any city, TX, US, 99999 Gainwell Technologies logo Gainwell Technologies
Claims data analysis Audit and review criteria Claims recovery Program performance Healthcare payment methodologies Claims auditing Regulatory monitoring Policy Documentation Payment methodologies +46
Mid Full Time
USD 90K+
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Clinical Education Specialist - Remote in US
Any city, FL, US, 99999 Gainwell Technologies logo Gainwell Technologies
Clinical claims review Webinar delivery InterQual criteria DRG validation Medical record auditing Healthcare Policies Coding certification CCS Healthcare policy +39
Senior Full Time
USD 75K+
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Medical Coding Supervisor
Home Office: San Antonio, TX Guidehouse logo Guidehouse
Coding regulations Pcs Abstracting CPC ICD Physiology Coding Guidelines ICD-10-CM Cerner +24
Senior Mid Full Time
USD 57K+
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Clinical Denials and Appeals RN - Remote
Home Office: Birmingham, AL Guidehouse logo Guidehouse
Medical records assembly Evidence-based clinical guidelines Denial root-cause analysis Clinical appeals Medical Necessity Review Coding terminology Medical necessity reviews Clinical terminology Coding Guidelines +15
Senior Mid Full Time
USD 65K+
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DRG Nurse Quality Auditor, Sr. Specialist - Remote in US
Any city, OK, US, 99999 Gainwell Technologies logo Gainwell Technologies
CC Education content development DRG auditing MCC Coding reviews Payment methodologies DRG validation Training Initiatives APR-DRG +38
Senior Full Time
USD 64K+
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Individual & Family Plans (IFP) Quality and Review Analyst Manager - Remote - Cigna Healthcare
Tennessee Work at Home The Cigna Group logo The Cigna Group
Medical record administration Health information administration Provider education Audit Services Operational performance Quality review Coding Guidelines Staff management Risk Adjustment +31
Entry Mid Full Time
USD 86K+
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Outpatient Coder II - Remote Oncology
United States Tenet Healthcare logo Tenet Healthcare
Coding Quality Coding Productivity Encoder AHIMA Ethical Coding Medical record coding Anatomy and Physiology Outpatient coding Medical Record Review +21
Entry Mid Full Time
USD 61K+
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Outpatient Coding Auditor
Fully Remote UCLA Health logo UCLA Health
Outpatient coding 3M 360 Encompass Coding Audits State regulations Coding Guidelines Education and Training ICD-10-CM HCPCS Medical Coding +7
Mid Full Time
USD 141K+
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Associate Manager, Clinical Review Nurse (Remote)
Any city, TX, US, 99999 Gainwell Technologies logo Gainwell Technologies
Clinical review judgment APR-DRG MS-DRG CCS Quality Metrics DRG CPC Clinical Criteria RN license +36
Senior Mid Full Time
USD 69K+
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Clinical Documentation Integrity Peds Specialist
Fully Remote UCLA Health logo UCLA Health
Graphical analysis Medical information interpretation Database programs Coding clinic 3M 360 Encompass CAC 3M 360 Encompass Abstracting Medical record documentation Coding Guidelines +18
Senior Full Time
USD 92K+
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Emergency Department Charger/Coder
Fully Remote UCLA Health logo UCLA Health
Epic CareConnect ASAP Software Coding clinic APC Payment Methodologies CPT-4 CPT Assistant AHA Coding Clinic Physiology Coding Guidelines +9
Mid Full Time
USD 76K+
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Medical Claims Auditor I (Remote, USA)
Any city, TX, US, 99999 Gainwell Technologies logo Gainwell Technologies
RCM knowledge Document imaging Manual Dexterity Eligibility Medical claims CCS CPC CMS guidelines Coding Guidelines +38
Entry Mid Full Time
USD 50K+
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Clinical Documentation Integrity (CDI) Specialist- Remote
Home Office: Birmingham, AL Guidehouse logo Guidehouse
Health Records Query Process Patient Safety Indicators MS-DRG Assignment Hospital Acquired Conditions Documentation Requirements Clinical Validation ICD-10 Coding Physiology +25
Mid Full Time
USD 65K+
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QA I Coding Operations
Remote, United States Cotiviti logo Cotiviti
Data Storage Program Clinical Validation Medical record auditing HCC coding Anatomy and Physiology Internal Audits Coding accuracy Physiology Coding Guidelines +26
Entry Mid Full Time
USD 48K+
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QA I HCC/Risk Adjustment Coding (Seasonal)
Remote, United States Cotiviti logo Cotiviti
Risk Adjustment Coding Data Storage Program Clinical Validation Medical record auditing HCC coding Anatomy and Physiology Internal Audits Coding accuracy Physiology +26
Mid Full Time
USD 48K+
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Coding and Bill Audit Product Specialist - Remote in US
Any city, TX, US, 99999 Gainwell Technologies logo Gainwell Technologies
Audit criteria Posting Claims recovery Program performance Healthcare payment methodologies Payment methodologies Policy Documentation APC Regulatory monitoring +47
Mid Full Time
USD 69K+
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Coding Auditor (Remote in US)
Any city, AL, US, 99999 Gainwell Technologies logo Gainwell Technologies
AP-DRG Internet browsers Medical record coding CCS MS-DRG APC APR-DRG Medical record auditing Coding certification +46
Mid Full Time
USD 90K+
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Certified Coding Auditor (Remote in US)
Any city, AR, US, 99999 Gainwell Technologies logo Gainwell Technologies
CC MCC Coding reviews APC AP-DRG Asc Medical record coding Medical record auditing Internet browsers +53
Mid Full Time
USD 90K+
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Clinical DRG Auditor (Remote Nurse)
Any city, NC, US, 99999 Gainwell Technologies logo Gainwell Technologies
Clinical review judgment HMS proprietary systems DRG validation AP-DRG Internet browsers MS-DRG CCS Productivity standards Coding certification +49
Senior Mid Full Time
USD 84K+
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Nurse Reviewer, Appeals and Hearings (Remote)
Any city, KY, US, 99999 Gainwell Technologies logo Gainwell Technologies
Appeals process Clinical criteria guidelines MCG criteria InterQual criteria Medical record coding Cross-training CCS Coding certification InterQual +26
Mid Full Time
USD 64K+
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