Average salary: $79,950 /yearly

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  •  ...and abuse in the Medicaid program. As an analyst , you will play a crucial role in conducting...  ...by reviewing claims data and medical records, reviewing provider billing practices...  ...terms, common medical payment procedural codes used in Current Procedural Terminology Fourth... 
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    Immediate start
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    Idaho Division of Human Resources

    Idaho Falls, ID
    4 days ago
  •  ...s) Adhere to the department work quality audit and productivity expectations Requirements: Knowledge of medical billing, follow-up and medical coding. Must be able to work in a team-oriented environment Ability to communicate and work effectively with peers... 
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    Full time
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    Indiana University Health

    Indianapolis, IN
    17 days ago
  •  ...Senior Claims Research Analyst The Senior Claims Research Analyst provides senior-level...  ...QUALIFICATIONS: ~5+ years of experience in medical claims processing, research, or a related...  ...~ Advanced knowledge of medical billing codes and claims adjudication processes. ~... 
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    Molina Healthcare

    Long Beach, CA
    3 days ago
  • Position Summary We are seeking a Business Analyst to support our growing Payment Integrity (PI) operations. This role will work...  ...HBA, COB, IBR, or edit engine configuration. Knowledge of medical coding standards (ICD, CPT, HCPCS). Familiarity with payer SIU/... 
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    Med Review Inc

    United States
    14 hours ago
  •  ...Job Title: Business Analyst (BA) - Medical Billing Location: Remote Boston, MA Job Type: Contract Job Summary: We are seeking an experienced...  ...Analyst (BA) with expertise in Medical Billing and Coding, Java-based applications, SaaS platforms, and Agile... 
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    Saviance

    Boston, MA
    2 days ago
  • $49.93k - $97.36k

     ...federal regulatory policy resources including Centers for Medicare & Medicaid Services (CMS) and the Affordable Care Act (ACA). Medical Coding certification. To all current Molina employees: If you are interested in applying for this position, please apply through... 
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    Molina Healthcare

    United States
    21 hours ago
  •  ...healthcare provider in Richmond, VA is seeking a Remote Benefits Coding Analyst to maintain plan benefits and ensure compliance with state...  ...will have a CPC certification and 2+ years of experience in medical coding or billing. Responsibilities include developing benefit... 
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    Sentara Health Plans

    Richmond, VA
    4 days ago
  • $49.45k

    Internal Reference Number: R1049755 Summary The NCQA Analyst is responsible for leading accreditation...  ...conducted by external bodies. Develop special coding plans for HEDIS and accreditation initiatives. Review medical records to perform a variety of coding validations... 
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    Monday to Friday
    1 day per week

    BlueCross BlueShield of South Carolina

    New York, NY
    1 day ago
  • $29.21 - $36.51 per hour

     ...Description Position Summary Under the direction of the LHRPG Coding Manager, the Risk Adjustment Coder is responsible for encursing...  ...outpatient coding experience, 3 years’ experience with medical office health care reimbursement and compliance. Knowledge of ICD... 
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    Lakeland Regional Health-Florida

    Lakeland, FL
    11 days ago
  • Generative AI Analyst page is loaded## Generative AI Analystlocations: California (Bay Area): Home Office (Michigan): Home office...  ..., Journalism, or relevant domain knowledge (e.g., Law, Medical, Math, Coding).* Strong understanding of large language models and reinforcement... 
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    Welocalize, Inc

    Lansing, MI
    2 days ago
  • $106.2k - $125k

    Title: Revenue Cycle Analyst, Regulatory & Specialty Services - Pathology (REMOTE) Location: Remote Org Unit: Engagement and...  ...Weill Cornell Medicine. This role applies deep knowledge of medical specialties coding, billing workflows, laboratory reimbursement rules, and... 
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    Weill Cornell Medicine

    New York, NY
    3 days ago
  • A healthcare solutions company is seeking a Medical Coding Appeals Analyst to review medical records, policies, and coding rules. Candidates should have a BA/BS degree, at least 2 years of relevant experience, and certifications in coding or health information management... 
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    Elevance Health

    Richmond, VA
    14 hours ago
  • $44.6k - $55.77k

    Medical Coding Analyst I or II - Must have a NM Residence UNM Medical Group, Inc. is hiring for a Medical Coding Analyst I or II to join our Coding Department. This opportunity is a REMOTE, full-time and day shift opening located in New Mexico. *This is a work from home... 
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    UNM Medical Group, Inc.

    Albuquerque, NM
    14 hours ago
  •  ...benefited Vitalief employee to serve as a Medicare Coverage Analyst in a fully remote capacity, supporting a leading academic clinical...  ...Bachelor’s degree in Healthcare Administration, Medical Coding, Auditing, Finance, Accounting, Nursing, or a related field.... 
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    Vitalief

    Chicago, IL
    1 day ago
  • A healthcare organization in New Mexico is hiring for Medical Coding Analyst positions, focusing on coding inpatient and outpatient services for reimbursement and compliance. The roles require relevant certifications and experience, with opportunities for remote work.... 
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    UNM Medical Group, Inc.

    Albuquerque, NM
    14 hours ago
  • A healthcare company is seeking a Medical Coding Appeals Analyst to work virtually with required in-person training. The role demands a BA/BS degree and strong coding experience, including CPT and ICD-10. This position entails reviewing medical records, analyzing reimbursement... 
    Remote job

    Elevance Health

    Tampa, FL
    14 hours ago
  • $106.2k - $125k

    A leading medical college is seeking a Revenue Cycle Analyst for a fully remote position to enhance revenue cycle performance. You will work with clinical and...  ...of relevant experience. Strong knowledge in medical coding and tools like EPIC is preferred. This role promises... 
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    Weill Cornell Medical College

    New York, NY
    14 hours ago
  • A leading health services company is seeking an Analyst SIU Certified Coder to perform medical claim reviews for compliance with coding practices. The role includes comprehensive medical record audits, documenting findings, and ensuring adherence to regulations. Candidates... 
    Remote job
    Full time

    CVS Health Corporation

    Hartford, CT
    1 day ago
  • $79.17k - $110.83k

     ...prepay and postpay claim reviews to identify incorrect payments, coding errors, billing anomalies, and potential fraud, waste, or abuse...  ...Ensure PI activities comply with DHCS, CMS, DMHC, MediCal, Medicare Advantage, and GCHP policies. Support internal and external... 
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    Gold Coast Health Plan

    California, MO
    2 days ago
  • A national healthcare company is looking for a Medical Coding Appeals Analyst to review medical documentation and ensure compliance with coding practices. This role offers the flexibility of virtual work with occasional in-person trainings. Candidates must hold a BA/BS... 
    Remote job

    Elevance Health

    Atlanta, GA
    3 days ago
  • $64.83k - $85.09k

    A health insurance company is hiring a Senior Analyst for their Payment Integrity team. This remote role requires expertise in claims processing and medical coding, with responsibilities including improving processes and resolving issues. Candidates should have a bachelor... 
    Remote job

    Oscar Health Insurance

    Atlanta, GA
    14 hours ago
  • Benefits Coding Analyst page is loaded## Benefits Coding Analystremote type: Remotelocations: Richmond, VAtime type: Full timeposted on:...  ...limited to Claims, Compliance, Program, IT, and Health Services/Medical Management to ensure benefits are compliant with state and... 
    Temporary work
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    Sentara Health Plans

    Richmond, VA
    4 days ago
  • A healthcare organization is hiring a Medical Coding Analyst I or II to work remotely from New Mexico. The role involves coding inpatient and outpatient charges using ICD and CPT systems and requires a high school diploma along with relevant certifications. Candidates... 
    Remote job
    Relocation package

    UNM Medical Group, Inc.

    Albuquerque, NM
    14 hours ago
  • $64.83k - $85.09k

    Hi, we're Oscar. We're hiring a Senior Analyst to join our Payment Integrity team. Oscar...  ...policies and edits. Research industry standard coding rules, summarize and provide input into...  ...operations. 3+ years experience in medical coding within payment integrity. Medical... 
    Full time
    Contract work
    Work at office
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    Oscar Health Insurance

    Atlanta, GA
    14 hours ago
  • $50k

     ...experience so that patients can access and adhere to critical medications. Backed by proven industry expertise, a deep commitment to patient...  ...working in healthcare, whether it be medical billing, coding, administration, etc. is preferred Have experience building... 
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    Valeris

    Jeffersonville, IN
    14 hours ago
  • $5,425.33 - $8,886.16 per month

     ...at HHS webpage. Functional Title: Nurse Analyst Job Title: Nurse III Agency: Health & Human Services Comm Department: Medical Directors Off 75-25 Posting Number: 15155...  ...01 W GUADALUPE ST Other Locations: MOS Codes: 290X,46AX,46FX,46NX,46PX,46SX,46YX,66B,66... 
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    Texas Health and Human Services Commission

    Austin, TX
    3 days ago
  •  ...states. Join the #1 hospital in Wisconsin! We are seeking a Coding Quality Analyst - Professional Billing to: Develop and implement an...  ...advancement. Qualifications High School Diploma or equivalent and Medical Coding Program Graduate Required Graduate of a Health... 
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    Flexible hours
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    UW Health

    Madison, WI
    4 days ago
  • $74.5k - $94.9k

    A leading medical institution seeks a Medical Coding Specialist to serve as an expert in multi-specialty documentation and coding. The successful candidate will perform medical coding audits, provide education to clinicians, and support coding accuracy across practices... 
    Remote job

    Medical College of Wisconsin

    Kansas City, MO
    3 days ago
  •  ...across the country, one patient at a time. The Risk Adjustment Coding Specialist will play a pivotal role in supporting accurate and...  ...appropriately as per government and insurance regulations Complying with medical coding guidelines and policies Reviewing patients’ charts and... 
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    Gather Health Gather Health Primary Care, Inc.

    Boston, MA
    1 day ago
  • $54.35 - $62.35 per hour

    A prominent healthcare institution in New York City is seeking a Senior Medical Data Analyst to perform complex diagnostic coding and collaborate with healthcare professionals. The ideal candidate will have 3-5 years of medical record experience in an acute care environment... 
    Remote job
    Hourly pay

    New York-Presbyterian Hospital

    New York, NY
    4 days ago