We are looking for a Senior Security Code Reviewer to join our client’s team in support of a large cyber security program with their federal customer. In this role, you will be responsible for performing security activities associated with reviewing source code, both... 
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Shedd RS

Remote
12 days ago
 ...Job Summary: The Program Integrity Medical Coding Reviewer II is responsible for review of vendor audit activities, pended claim work queues, medical records work queues as well as claim reviews for provider pre-payment and post-payment functions. Experience with DRG... 
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CareSource

Remote
more than 2 months ago
 ...POSITION DESCRIPTION As a Coding Specialist, you will be responsible for accurate and complete review of professional charges processed for billing, insurance filing, and revenue reporting. You will code surgical visits and/or verify that clinic visits are properly coded... 
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Orthos

Remote
4 days ago
 ...WelbeHealth values, team culture, and mission. At the direction of the Coding Supervisor, the Coding Auditor and Educator focuses on ensuring...  ...~Conduct pre-visit chart preparations and post-visit chart reviews ~Oversee audits and participate in provider education programs... 
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WelbeHealth

Remote
4 days ago
 ...to provide exceptional experiences for both our customers and our employees. Job Title: Inpatient Facility Coder – Hospital Coding Immediate need, no contract, no temporary, full time regular position working for an award winning and one of the longest running... 
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Exela Technologies

Remote
14 days ago
 ...death of a loved one, depression/anxiety, and other traumatic events. This system flags about 1% of reflections for a thoughtful human review before sending out alerts to the concerned teachers, admins and counselors. We are looking to hire highly skilled, thoughtful and... 
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Sown To Grow

Remote
26 days ago
 ...Desktop Application Reviewer/Auditor About Us AdNet/AccountNet, Inc. is an 8(a), WOSB, LGBTE and WBE owned management consulting firm founded in 1990. We blend the best in people with the ongoing demands of the workplace by providing high quality staffing and executive... 
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AdNet AccountNet, Inc.

Remote
26 days ago
 ...Job Description :  GENERAL OVERVIEW: Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs... 
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Allegheny Health Network

Remote
14 days ago
 ...Job Description: Content Quality Reviews: Participate in first-level reviews of the produced content and ensure appropriateness of subject matter, language, writing style and other content elements Provide constructive feedback so as to improve the quality... 
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Acme Services Private Limited

Remote
24 days ago
Named 150 Top Places to Work in Healthcare 2023 - Becker's Healthcare Named One of America's Greatest Workplaces for Diversity 2023 - Newsweek Named One of America's Greatest Workplaces for Women 2023 - Newsweek SSM Health is a Catholic, not-for-profit health system...
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SSM Health

Remote
5 days ago
 .... Licensing: US any bar in good standing acceptable. Experience: A minimum of 6 months experience working on remote document reviews; experience with eDiscovery platform, relativity preferred. Experience with 1st level; (2nd level, Priv., QC preferred). Please... 
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Consilio - Enterprise Talent Solutions

Remote
1 day ago
 ...Location , Professional Area: Finance Department: 1344 HIM Coding-Finance Job Code: T98559 Schedule: Full Time Shift:...  ...APC Quality Audits, case mix analysis, and compliance software reviews on highly complex cases. Responsible for providing feedback... 
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Cleveland Clinic Indian River

Remote
25 days ago
 ...Location , Professional Area: Finance Department: 1344 HIM Coding-Finance Job Code: T98655 Schedule: Full Time Shift:...  ...coding changes to coding staff. Conducts coding reviews and training programs to assure coding quality. Develops all... 
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Cleveland Clinic Indian River

Remote
24 days ago
 ...Location , Professional Area: Finance Department: 1344 HIM Coding-Finance Job Code: T98777 Schedule: Full Time Shift:...  ...reimbursement resource.    • Conduct and help facilitate a review of failed claims pre- and post-billing.    • Provide information... 
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Cleveland Clinic Indian River

Remote
25 days ago
 ...Education Required three to five (3-5) years acute hospital based coding experience. An equivalent combination of education and...  ...Occurrence Codes, and other designated data.      # May be assigned to review accounts in the denials work queues and make recommendations to... 
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The University of Texas Southwestern Medical Center

Remote
19 days ago
 ...SUMMARY: The Revenue Cycle team has a new position available for a Coding Specialist II. The successful candidate will work under general...  ...on the team. This position is needed to work Urology charge review WQs, assign CPT, ICD, and modifiers. The team culture is based... 
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The University of Texas Southwestern Medical Center

Remote
1 day ago
 ...and the well-being of providers. Job Description The Coding and Billing Specialist (Care Center Biller) is responsible for...  ..., accurate and timely processing of all designated claims, reviewing and responding to daily correspondence from physician practices... 
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Local area
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Privia Health

Remote
3 days ago
 ...analytical candidate with good time management and reasoning skills who can work ad hoc as we have estate plan drafts that need to be reviewed and finalized for attorneys in our drafting program. The primary task for this position is reviewing, editing, and finalizing... 
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Legacy System

Remote
14 days ago
 ...St. Luke's Health System is seeking a Coding Qualiting Specialist to join our team.   Under limited supervision, the Coding Qualiting Specialist is responsible for reviewing applicable documentation and assigning appropriate procedure and diagnosis codes.   Must... 
Full time
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St. Luke's Health System

Remote
a month ago
 ...shaping our future together. Radial, the leader in omnichannel commerce technologies and operations has an exciting opening for a Fraud Review Analyst.  Radial’s omnichannel solutions use cutting-edge technology and analytics to optimize the e-commerce end to end processes... 
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Full time

Radial Inc.

Remote
12 days ago

$25.44 - $45.76 per hour

Health Care Fraud Review RN & CPC Location Remote in Woodland Hills, CA : You could be the one who changes everything for our 28 million...  ...activity.This position reviews entire patient records against codes utilized by providers on all types of claim forms. (i.e. CPT, ICD... 
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Monday to Friday

Health Net Federal Services (HNFS)

Remote
2 days ago
 ...scalable microservices ; Experience in secure and clean coding, SOLID principles, resilient architectures ; Are proficient...  ...processes such as Continuous Integration, Continuous Delivery, Code Review, and bug bashes; working as a team to solve common issues... 
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Freelance
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Flexible hours

Netguru

Remote
11 days ago
 ...At Houston Methodist, the Coding Charges & Denials Specialist is responsible for coordinating and monitoring the coding specific clinical...  ...appropriate medical records submission. ~ Performs timely review of medical records and remittances for denials in order to determine... 
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Local area

Houston Methodist

Remote
12 days ago
 ...general liability, cyber liability, professional liability, umbrella, and property policies. Strong skills in contract analysis and review are crucial. Candidates should be able to assess insurance requirements within contracts, identify potential risks, and suggest... 
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BSD Business Consulting

Remote
a month ago
Accreditation Reviewer and Educator Department: Care Management Services (130) Location: Remote, DC Major purpose of this job: Develops group and individual curricula and/or training plans covering accreditation processes, job responsibilities and identified... 
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URAC

Remote
a month ago
Solution Architect and Technology Review Lead Location Remote in Washington, DC : Location: Washington,DC,US Remote Work: Yes Job Number: R0186292 Solution Architect and Technology Review Lead Key Role: Maintain responsibility for guiding the health account and organization... 
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Booz Allen Hamilton

Remote
13 hours ago
 ...Target PR Range: 38-48/hr *Depending one experience Job Title: Sr. Manager, Medical Review What hours and days will this person be working: Flexible as long as all review activities are done on time; the team this person would support is split between US and... 
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Early shift

Planet Group

Remote
1 day ago
 ...Education Required three to five (3-5) years acute hospital based coding experience. An equivalent combination of education and...  ...is missing or incomplete and routes appropriately. c) Completes review and final coding when query and/or documentation is available.... 
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The University of Texas Southwestern Medical Center

Remote
a month ago
 ...Target PR Range: 29-39/hr *Depending on experience JOB SUMMARY: 1. Will electronically review promotional materials and other materials and will provide medical expertise and expert review as described above. Including discussing and collaborating with appropriate... 
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Planet Group

Remote
13 hours ago
 ...Remote Inpatient Coding Specialist Location: Remote (Work from Home) Are you an experienced Coding Integrity Specialist looking for...  ...Integrity Specialist III. where you will have the chance to review and evaluate hospital inpatient medical record documentation, assign... 
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Palm Bridge Solutions

Remote
9 days ago