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Behavioral Health Clinical Reviewer- LADC/BCBA Certification

Remote

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Today

Greetings from Javen Technologies Inc., Title: Behavioral Health Clinical Reviewer- (LADC/BCBA Certification) Location: Eagan, MN 100% Remote Duration: 6 months (Possible CTH) How Is This Role Important to Our Work? This job implements effective utilization management strategies including review of appropriateness of pre and post service health care services, application of criteria to ensure appropriate resource utilization, identification of referrals to a Health Coach/case management, and ide

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Contract

Depends on Experience

Healthcare 837 EDI Specialist

Montebello, California

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Today

RESPONSIBILITIES: Kforce has a client in Montebello, CA that is in need of a Healthcare 837 EDI Specialist. Responsibilities: * Interpret ASC X12 837 files (837P and 837I), identifying loops and segments * The Healthcare 837 EDI Specialist will manage EDI claims submission, exchange, and reconciliation * Process related files: 837D, 277CA, 999, and TA1 * Respond to EDI acknowledgments and error reports, identifying accepted vs. rejected claims * Write and modify intermediate-level SQL queries f

Full-time

$82,000 - $110,000 annually

Medical Bill Coder- Fulltime-Remote

Remote

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Today

Job Title : Medical Bill Coder Location : Remote Type : Full-time Position SummaryWe are seeking a detail-oriented and knowledgeable Medical Bill Coder who can review, validate, and apply appropriate coding to medical bills in compliance with state-specific regulations and industry standards. The ideal candidate will ensure billing accuracy, improve claims efficiency, and reduce compliance risk. Key ResponsibilitiesReview incoming medical bills for completeness and accuracy.Assign proper CPT, I

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Full-time

$40,000 - $60,000

Clinical Editing Coding Analyst | Remote | Contract

Remote

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3d ago

Clinical Editing Coding Analyst |Remote |Contract Walker Healthforce is seeking a Clinical Editing Coding Analyst with 1-5+ years of experience.. This is a 6-month contract opportunity. CORE REQUIREMENTS: Certified Professional Codercertification (e.g., CPC, CCS, CCS-P, or RHIT) 1-5 years experience - in billing/coding (preferably in a comprehensive surgical center or facility) or Claims resolution (including adjudication, coding, thorough analysis and problem-solving) Ability to analyze, inves

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Contract

Depends on Experience

Medical Coding Supervisor

Remote

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Today

Job Title: Facility Coding Supervisor Job Type: Permanent (Direct Hire) Job Location: 100% Remote (Must reside in approved states: AK, AL, AR, AZ, FL, ID, KS, LA, MO, MS, MT, ND, NE, NM, NV, OK, SD, TX, UT, WY) MUST be able to obtain a static IP Reporting To: Manager of the coding group Team Size: ~10 members (Inpatient, Same Day Surgery, Observation Coding) Assessment: Required for consideration POSITION SUMMARY Responsible for supervising and coordinating the timely and accurate coding and abs

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Full-time

$25 - $30

Medical Claims Auditor I (Remote, USA)

Remote or Dallas, Texas

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Today

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. Summary We are seeking a talented individual for a Medical Claims Auditor I who is responsible for processing all casualty or estate fu

Full-time

USD 20.00 - 25.00 per hour

Medical Claims Auditor I (Remote, USA)

Remote or Houston, Texas

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Today

Full-time

USD 20.00 - 25.00 per hour

Medical Claims Auditor I (Remote, USA)

Remote or Austin, Texas

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Today

Full-time

USD 20.00 - 25.00 per hour

Senior Analyst, Medical Economics - REMOTE

Remote or Everett, Washington

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Today

JOB DESCRIPTION Job Summary The Senior Analyst, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key business issues related to cost, utilization and revenue for multiple Molina Healthcare products. Designs and develops reports to monitor health plan performance and identify the root causes of medical cost trends. With those root causes identified, drives innovation by creating tools to monitor trend drivers and provide recommendations to

Full-time