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24 fresh jobs found

Regional Inpatient Coding Manager (Remote, Based in the US)
United States

Tenet Healthcare

Coding management Drg classification Computerized abstracting systems Encoder systems Anatomy and physiology Coding quality reviews Coding Education Disease Processes Inpatient Coding +28

USD 85K+

Configuration System Analyst II - Benefits Configuration
Mississippi WFH, United States

Configuration Analysis Use-Case Analysis ICD-CM Codes DRG reimbursement Reimbursement methods HCPCS codes HIPAA codes APC reimbursement Database relationships +48

USD 63K+

Payment Cycle Analyst III
Mississippi WFH, United States

Claims Payment Systems Claims operations Apc Payment methodologies Health Plan Operations Health Plan Experience Facets DRG Microsoft Visio +35

Senior Mid Full Time

USD 63K+

Acute Coding Appeals Specialist
Work at Home - Ohio - Other, United States

Ensemble Health Partners

ICD10CM ICD10PCS CMG Coding and Billing NCCI DRG Medical Coding Color HCPCS +12

USD 39K+

Configuration Analyst III - (SDET/Automation experience)
Dayton WFH, United States

ICD-CM Codes HCPCS codes DRG reimbursement HIPAA codes Reimbursement methods Apc Database relationships APC reimbursement Clinical editing +41

Senior Full Time

USD 81K+

Coding Supervisor, Cardiology
Work at Home - Florida - Other, United States

Ensemble Health Partners

Cardiology coding Keyboard proficiency Technical issue resolution Abstracting Technical resource DRG Performance Evaluation Electronic Medical Records Coding Guidelines +13

USD 51K+

Manager Audit Content (CCV)
Remote, United States

Operational intelligence Coding methodologies Billing guidelines Medicare reimbursement Audit concepts Claim adjudication Healthcare coding Concept Development Payment Integrity +63

Senior Mid Full Time

USD 110K+

PI Medical Coding Reviewer II (CPC or RHIT or RHIA required)
Dayton WFH, United States

Healthcare claim system configuration Diagnosis codes OPPS Reimbursement methodology Apc Anatomy and physiology Facets DRG Physiology +25

USD 53K+

Inpatient Hospital Coding Coordinator (Remote based in US)
United States

Tenet Healthcare

Prebill audit reviews Education and guidance Billing edits Audit reviews Denial letter analysis Appeal writing Report Analysis Coding reviews Health Information +15

USD 88K+

Senior Inpatient Medical Coding Auditor Professional
Remote US, United States

Health Record Security Team Engagement Inpatient medical coding Coding certification OneNote DRG ICD-10-CM ICD Medical Coding +52

Senior Full Time

USD 71K+

Configuration Systems Analyst III (Networx/Pricing)
PA WFH, United States

Reimbursement methods Clinical editing APC reimbursement Database relationships Regulatory Interpretation Configuration Software Health Plan Experience Facets DRG +30

Senior Full Time

USD 81K+

Medical Coding DRG Quality Auditor
Remote US, United States

DRG auditing Coding certification Quality Auditing Inpatient Coding Medical Record Review DRG Analyzing ICD-10-CM ICD +46

Senior Mid Full Time

USD 65K+

Inpatient Production Auditor (CCS Required)
Remote, NJ, United States

Workflow organization AHIMA standards Analytical expertise Meditech DRG Cerner EMR systems Microsoft Access Intelligent Automation +20

USD 46K+

Contract Technician I
Work at Home - Ohio - Other, United States

Ensemble Health Partners

Payer reimbursement Contract audits Contract build testing Peer audits Account review File balancing Contract management platform Insurance contract management DRG +8

USD 46K+

PI Medical Coding Reviewer III (CPC, RHIT or RHIA required)
Dayton WFH, United States

Anatomy and physiology Reimbursement methodology ICD10 Claims auditing Facets DRG CPT coding Medical Coding HCPCS +23

Senior Full Time

USD 61K+

Medical Review Manager Government Services
Remote, United States

Healthcare coding Claim adjudication Payment Integrity DRG Reimbursement methodologies Payment ICD-9 Adjudication ICD +35

Senior Mid Full Time

USD 100K+

Senior Product Director
Remote, United States

Coordination of benefits SAFe Agile Payment Integrity DRG Payment Contract Compliance Clinical services Sprint planning Exchange +65

Senior Full Time

USD 160K+

Provider Relations Specialist (Bill Review) - REMOTE - Any State
Phoenix, AZ, US

EK Health Services Inc.

DRG CPT codes Medical Billing Workers Compensation MS Word HIPAA Compliance MS Excel Medical terminology Word +4

USD 34K+

RN Clinical Documentation Specialist
Work at Home - Ohio - Other, United States

Ensemble Health Partners

CDE Software Clinical documentation improvement Healthcare provider education DRG Medical Record Review ICD-10-CM Coding Guidelines Color Medical Records +11

Senior Mid Full Time

USD 62K+

Denials & AR Lead
Remote, IL, United States

Contractual appeals Denied claims management Payment application Billing methodologies Client contract review Denials Payment methodologies DRG EOB +12

Senior Mid Full Time

USD 43K+

RN Clinical Auditor
Work at Home - Ohio - Other, United States

Ensemble Health Partners

Clinical auditing CMS rules Nursing practices Healthcare Standards DRG EMR systems Healthcare Regulations Electronic Medical Records Medical necessity +23

USD 56K+

Registered Nurse with Coding Certificate - Remote in US
Any city, MS, US, 99999

Gainwell Technologies

AP-DRG HMS Auditing Systems CC CMS Requirements DRG validation Coding certification Coding reviews HMS Internet browsers +61

Senior Mid Full Time

USD 59K+

Medical Director (Clinical Chart Validation Team)
Remote, United States

Decision support software Chart validation Provider Billing Milliman DRG ICD-9 Coding accuracy MCG InterQual +32

Exec Senior Full Time

USD 190K+

Nurse Coder (Product Specialist) - Remote in US
Any city, TX, US, 99999

Gainwell Technologies

Itemized bill review Clinical content development Healthcare payment methodologies DRG validation Audit and review criteria Regulatory monitoring Coding certification Claims recovery Policy Documentation +57

USD 69K+

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