• Payment Integrity Nurse

    LA Care Health Plan (Los Angeles, CA)
    Payment Integrity Nurse Coder RN III Job Category: Clinical Department: Managed Care Services Location: Los Angeles, CA, US, 90017 Position Type: Full ... to support the safety net required to achieve that purpose. Job Summary The Payment Integrity Nurse Coder RN III is responsible for investigating,… more
    LA Care Health Plan (04/11/25)
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  • Registered Nurse - Diagnosis Related Group…

    Elevance Health (Wallingford, CT)
    Nurse - Diagnosis Related Group Coding Auditor Principal - Carelon Payment Integrity ** **Location:** Alternate locations may be considered. This position ... of one of our Elevance Health PulsePoint locations. **Carelon Payment Integrity ** is a proud member of...a Certified Coding Specialist, CIC as a Certified Inpatient Coder , or Certified Clinical Documentation Specialist (CCDS). + Requires… more
    Elevance Health (04/10/25)
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  • Payment Integrity Clinician…

    Highmark Health (Harrisburg, PA)
    …and member satisfaction. The incumbent is responsible for the implementation of effective Payment Integrity strategies on a pre- payment and retrospective ... with established industry and corporate standards and are within the Payment Integrity Clinician's professional discipline.Effectively function in accordance… more
    Highmark Health (03/19/25)
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  • Payment Accuracy Concept Consultant

    Lyric (Frankfort, KY)
    …for overall customer satisfaction and A+ likelihood to recommend in their October 2023 Payment Integrity and Accuracy Report. Discover more at Lyric.ai . The ... Payment Accuracy Concept Consultant identifies overpayment areas using established...+ 5+ years relevant healthcare experience as a medical coder , medical claims adjuster, medical claims processor medical auditor,… more
    Lyric (03/21/25)
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  • Senior CVIR Revenue Integrity Coding…

    HCA Healthcare (Macon, GA)
    …include scheduling, registration, insurance verification, hospital billing, revenue integrity , collections, payment compliance, credentialing, health information ... organization that invests in you as a Senior Revenue Integrity Coding Specialist for Cath Lab and Interventional Radiology?...coded correctly. This position is a specialized senior medical coder in the Cath Lab, IR, and EP service… more
    HCA Healthcare (03/22/25)
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  • Compliance Auditor, Associate

    UPMC (Pittsburgh, PA)
    …Auditor, Associate** to join our team. This role is crucial in maintaining the integrity of our coding and billing processes, ensuring they meet state and federal ... to hear from you! Apply now and join a team that values precision, integrity , and strategic thinking. + High School Diploma or equivalent required. + Associate's… more
    UPMC (04/11/25)
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  • Compliance Auditor, Intermediate (Cemc, CPC,…

    UPMC (Pittsburgh, PA)
    …will play a crucial role in upholding our standards and ensuring the highest level of integrity in our operations. Join us and be part of a team that values your ... + Knowledge of coding/classification systems appropriate for inpatient /outpatient, DRG prospective payment system or office setting E/M codes. + Experience in an… more
    UPMC (04/11/25)
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  • Compliance Auditor, Senior I (Cemc, CPC, or Cpma)

    UPMC (Pittsburgh, PA)
    …will play a crucial role in upholding our standards and ensuring the highest level of integrity in our operations. Join us and be part of a team that values your ... + Knowledge of coding/classification systems appropriate for inpatient /outpatient, DRG prospective payment system or office setting E/M codes. + Experience in an… more
    UPMC (04/11/25)
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  • Revenue Cycle Manager

    Access Dubuque (Dubuque, IA)
    …client, agency, or insurance company or send data information electronically for payment . Ensures proper protocols are followed for submission of billable services ... entire revenue cycle process from client registration to final payment . + Develop and implement policies and procedures to...that encourages teamwork and professional growth. + Ensure data integrity and security with revenue cycle systems. + Other… more
    Access Dubuque (04/16/25)
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