Certified Professional Coder — Medical Claims Auditor
Hispanic Alliance for Career Enhancement
CVS Health is seeking a Certified Professional Coder to perform medical claim reviews for the Special Investigations Unit. You will audit medical records for CPT/HCPCS/ICD-10 compliance, prepare written findings, and communicate results to investigators and leadership. You will research CMS guidelines, identify billing irregularities, and maintain proper documentation. The role requires 3+ years of coding/auditing experience, CPC certification, and proficiency with Excel and Word. #J-18808-Ljbffr Hispanic Alliance for Career Enhancement
$43.89k - $93.57k
...something bigger - helping to simplify health care one person, one family and one community at a time. The Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a...MedicalClaimsHourly payFull timeTemporary workLocal area$20.5 - $23 per hour
...care that helps people truly thrive. Certified Professional Coder (CPC) is responsible for performing professional... ...Team, while following AMA and CMS medical coding guidelines. The primary... .... Code, prepare and submit clean claims to insurance companies via electronic...MedicalClaimsHourly payFull timeLocal areaRemote workMonday to Friday- ## Professional Coder IApplylocations: Weymouth, MAtime type: Full timeposted... .../she proactively works with medical leadership to address... ...Assists with coding queries for claims appeals and resolution. b -... ...Required Certifications**CPC - Certified Professional Coder **OR**CCS...MedicalClaimsHourly payFull timeWork experience placementLocal areaShift work
- Stony Brook Orthopaedic Associates seeks a Certified Coder to join its CPMP team in Stony Brook, NY. The role focuses on reviewing physicians... ...coding tasks, resolving discrepancies, processing rejected claims, and maintaining IDX/PK files. Requires CPC certification and...MedicalClaims
- CVS Health is seeking a Certified Professional Coder (CPC) to perform medical claim reviews for the Special Investigations Unit. The role focuses on ensuring correct coding, proper documentation, and compliance with state, federal, and company guidelines. Strong communication...MedicalClaims
$46.99k - $122.4k
...Summary The Program Integrity Auditor is responsible for the review of records for medical, behavioral, transportation,... ...of funds or rebilling of claims, and referral to state regulators... ...Must possess an active CPC (Certified Professional Coder), CCS (Certified Coding...MedicalClaimsHourly payFull timeTemporary workLocal areaMonday to FridayFlexible hours- ...services. Serves as a technical coder for all specialties. Assists... ...surgical services and/or professional services performed. Ability to... ...setting with proficiency in medical terminology is required. Minimum... ...Certification, Registration Certified Professional Coder OR...MedicalLocal areaRemote work
$26.25 - $35.5 per hour
...Certified Professional CoderSkip to main contentYou may choose to display a cookie banner on the external... ...Care For All.Certified Professional Coder page is loaded## Certified... ...emergency room records.* Reviews and analyzes medical records for document deficiencies. Accurately...MedicalHourly payFull timeWork experience placementWork at officeRemote workShift workDay shift- ...provider services for professional or facility billing. This... ...and record data from medical records and provides... ...and complex, suspended claims. Interprets and... ...the training of Level I Coders. Knowledge / Skills /... ...certification such as: Certified Coding Associate (CCA)...MedicalClaimsFull timeTemporary workWork at officeRemote workMonday to FridayShift work
$17 - $18 per hour
...accurate and timely processing of medical claims, supporting our commitment to efficient... .... We offer opportunities for professional growth, a collaborative work environment... ...setting. Certification such as Certified Professional Coder (CPC) or Certified Coding...MedicalClaimsFull timeTemporary workFlexible hours- ...and post-pay audits to ensure accurate claims payments and denials Ensure regulatory... ...experience with both Institutional and Professional claim payments Knowledge of automated claims... ...in the health insurance industry or medical health care delivery system Two (2) years...MedicalClaimsWork at office2 days per week3 days per week
- ...Full-time Description Full time position for medical office manager and medical biller and coder Should be able to manage vaccines, inventory, staff schedules, processing claims, office work flow etc.. Manage office meetings, RCM meetings Requirements...MedicalClaimsFull timeWork at office
- ...Full Time Job Summary The Coding Auditor performs coding audits to... ...bodies and insurance companies for medical record reviews and audits. Minimum... ...and/or Certification Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Registered Health Information...MedicalFull timeWork experience placementWork at office
- Position Title Professional Coding Specialist II Department Revenue Integrity Remote Eligibility... ...for a detail-oriented Professional Medical Coder to help streamline our charge review... ...telehealth coding rules as relevant to pro fee claims. Provide real-time guidance to peers...MedicalClaimsFull timeWork at officeRemote workFlexible hours
- ...1, 2026 at 6:00 AM POSITION SUMMARY: The Chart Auditor will be responsible for reviewing medical records for accuracy, quality assurance, and billing... ...training parameters. EDUCATION & EXPERIENCE: Certified Professional Coder (CPC) certification or Registered Nurse with...MedicalWork at officeRemote workMonday to Friday
$63k - $68k
...Athletic Trainer Certified Location US-NY-Jamaica... ...orders to respond to onsite medical emergencies Assist in managing... ...' Compensation cases through claim capture and follow-up Collaborate... ...Aid and CPR/AED for the Professional Rescuer. Basic Life Support for...MedicalClaimsFull timeTemporary workLocal areaImmediate startRelocation packageShift work$20 per hour
| Function: || The Certified Coding Specialist (CCS) is... ...capture review, claims support, and documentation... ...Participates in appropriate professional development programs... ...coding accuracy and medical necessity. Identify... ...Professional Medical Auditor (CPMA), Certified Coding...MedicalClaimsFull timeWork experience placementWork at officeImmediate startMonday to FridayShift workWeekend workDay shift- .... ** This position requires Medical Assistance certification **... ...pre-billing cycle to prepare claims for submission by billing company... ...with clients, health care professionals or patients’ homes Must be... ...and Experience: Must be a certified Medical Assistant Must have...MedicalClaimsHourly payFull timeWork at office
- ...Responsibilities Ensures accurate adjudication of claims, by translating medical policies, reimbursement policies, and clinical editing... ...experience, which would provide an equivalent background. Certified Professional Coder (CPC) or Registered Health Information Administrator...MedicalClaims
- UnitedHealth Group is seeking a Senior Inpatient Medical Coder/Acute Edits and Denials Claims Analyst to work remotely from anywhere in the U.S. You will correct CCIs, MUE Edits, and Medical Necessity Edits, and perform acute inpatient coding with accuracy. Responsibilities...MedicalClaimsRemote job
- Mindpath Health is seeking a Certified Professional Coder (CPC) to perform professional coding services for the RCM Team, ensuring accurate CPT,... ...customer service to providers and patients while maintaining HIPAA compliance. #J-18808-Ljbffr Mindpath Health Medical GroupMedicalRemote jobFull time
- Optum Insight is seeking a Clinical Claim Review RN to perform compliance reviews of medical and administrative documentation to identify fraud or wasteful practices... ..., desk audits, and collaboration with a team of auditors to document findings and input data into audit...MedicalClaimsRemote jobFull timeLocal area
- Job Summary: Certified Occupational Health Technicians provide specialized screening tests mandated... ...carrier in order to obtain authorization/claim status for treatment plan, test results,... ...of staff. Obtain basic history, and medical information, and take vital signs. Assess...MedicalClaimsWork at office
$46.95k - $65.73k
## Medical Billing AnalystApplylocations: 71 Prospect... ...response may require a professional narrative accompanied by... ...edits are the result of claims that have previously... ...website knowledge* CCS-Certified Coding Specialist Certified Inpatient Coder (CIC) or Certified Outpatient...MedicalClaimsWork at officeImmediate startShift work$53k - $57k
Medical Billing Specialist We are unable to offer... ...of academic and professional achievements and our... ...Diseases (ICD-10). Certified Professional Coder (CPC) certification,... ...Professional Medical Auditor (CPMA) certification... ...medical, vision, and CAPS claims in accordance with...MedicalClaimsFull timePart timeWork at officeMonday to Friday- ...assigned.) Review and assign accurate medical codes for diagnoses, procedures, and... ...assurance activities to minimize claim denials. Qualifications: To perform... ...Preferred: Certification as a CPC (Certified Professional Coder), COC (Certified Outpatient Coder), or...MedicalClaimsFull timeTemporary workWork at officeDay shiftWeekday work
$70.9k - $88.63k
...of the healthcare revenue cycle and medical coding teams to eliminate revenue leakage... ...and secures optimal, compliant clean claim rates. Additional responsibilities... ...related field required.* Active CPC (Certified Professional Coder), CCS (Certified Coding Specialist),...MedicalClaimsFlexible hours$66k - $106k
...analysis, investigation, and medical review to detect, prevent,... ...our SGS team of talented professionals. What you'll do: The... ...sound clinical judgment to claim payment decisions. Responsibilities... ...billed Have a CPC (Certified Professional Coder) certificate. Peraton Overview...MedicalClaimsContract workRemote workShift workNight shift- ...education, internal auditing, coder education, management of AR... ...problems, and liaison with external auditors for corporate audits. The... ...coding (Required)* Professional fee coding experience (Required... ...Family and Your Career****•** Medical, Dental, Vision plans• Adoption...MedicalTemporary workRemote workShift work
$19.5 - $21 per hour
...information and process prescriptions. If PTCB certified, assists with and coaches pharmacy... ...(corrects and resubmits) manual claims for third party program prescription services... ...maintaining good relationships with the local medical community, including physicians, nurses,...MedicalClaimsHourly payWork experience placementLocal areaImmediate startFlexible hoursAfternoon shift
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