cpt jobs

Medicaid (MMIS) CPT/HCPCS and ICD-10 translation Business Analyst

Hybrid in Columbia, South Carolina

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Yesterday

REQUIRED SKILLS (RANK IN ORDER OF IMPORTANCE): 5+ years in healthcare insurance; medical review, program integrity, or appeals. 5+ years working with IT developers/programmers in a payor environment. 5+ years Medical Coding in payer environment. 3+ years clinical experience in a healthcare environment (strong clinical assessment and critical thinking skills.) 5+ years knowledge of ICD/CPT/HCPCS translation and coding methodologies. 5+ years knowledge of anatomy, physiology, pharmacology, and med

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Contract

Depends on Experience

Billing Analyst (MUST LIVE IN PHILADELPHIA) ( NO 3rd parties)

Hybrid in Philadelphia, Pennsylvania

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4d ago

Experience: 3 years or more of experience in medical claims processing and adjusting or healthcare administration.Experience working with health systems in the billing revenue space working with health system provider data, and medical claims administration.Technical Skills: Knowledge of medical billing codes (ICD-10, CPT, HCPCS), claims processing software. Ability to summarize large amounts of data and pivot data in multiple waysAnalytical Skills: Ability to assess claim data in detail and ide

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Full-time

80,000+

Clinical Analyst & Coding Specialist

Columbia, South Carolina

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4d ago

Job Summary: - On-site position; applicants must be local. - Requires BSN or ADN degree. - Must have an active, non-restricted South Carolina RN license. - Must hold current CPC or CCS certification (or obtain within one year); ICD-10 proficiency required. - Minimum 5 years experience in healthcare insurance (medical review, program integrity, or appeals). - At least 5 years working with IT developers/programmers in a payer environment. - At least 5 years experience with medical coding

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Contract, Third Party

$55 - $60

Senior Data Analyst

Remote

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16d ago

Role Summary We are looking for a Senior Data Analyst with 10+ years of experience at the intersection of SQL, medical coding (CPT-4, ICD-10), and healthcare revenue cycle operations. This is a senior individual contributor role requiring deep technical expertise, strong domain knowledge, and a proven record of translating healthcare data into measurable financial and clinical impact. Key Responsibilities Develop and maintain MySQL/MSSQL stored procedures, batch-scripted reporting systems, and

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Full-time

85000 - 95000

Medical Coder

Remote

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4d ago

Job Title:Medicaid (MMIS) CPT/HCPCS and ICD-10 translation Business Analyst Location:REMOTE Local to South Carolina Only Mode:Go to office 2 or 3 days a week Duration:12 months Contract (with possible extension) Visas:or or EAD Interview:1 round, Virtual/Online Job Description: This position requires an individual with strong analytical skills and experience in: Managing multiple work efforts simultaneously Medical Coding Nursing Time management skills CPT/HCPCS and ICD-10 translation Ab

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Contract

Utilization Management Specialist

Remote

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Yesterday

This role will require candidates to cover weekends as well. So must be ready to work around 4 hours per each weekend Sat & Sunday. However, the total number of hours will be 40 hours / week. Must have at least 1 year of Medical Management Experience (MMC) Must have off-entry and processing experience. Must have 3+ years of previous Utilization Management experience. Must have 2+ years experience in CPT and diagnosis codes. Will be handling and processing Utilization and authorization request v

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Contract

Depends on Experience

Medical Coder Reviewer

Hybrid in Columbia, South Carolina

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5d ago

Job Title: Medical Coder/ReviewerDuration: 12 Months (With possible extension)Location: 100% Remote Responsibilities: Initiates annual (and quarterly) updates from CMS of all ICD-10, CPT/HCPCS coding changes. Performs initial review of codes to determine scope of changes. Prepares listings of codes changes to Reference Administration staff and Medicaid Program staff for review and analysis. Conducts meetings with Agency personnel, stakeholders, and process owners. (Future) Participates in DASH (

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Contract

$60 - $75

Looking for Clinical Analyst & Coding Specialist- W2 Only (SC Resident) - 100% Remote

Columbia, South Carolina

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4d ago

Below are the job details for your reference: Title: Clinical Analyst & Coding Specialist W2 Location: 100% Remote Duration: 12+ Months from projected start date Hrs./Wk.:40 Note: Candidate MUST be a SC resident. No relocation allowed. Scope: This resource will assist with the CPT/HCPCS and ICD-10 code maintenance. An RN is required for the medical coding reviews. However, there is actual NO coding, but more review of coding data received, either by CMS or for internal initi

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Contract, Third Party

Depends on Experience

Clinical Analyst

Remote or Columbia, South Carolina

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Today

We are seeking an Advanced Business Analyst / Clinical Analyst & Coding Specialist for a long-term contract role. This is a unique opportunity for a Registered Nurse (RN) with strong medical coding expertise to act as a Subject Matter Expert (SME), bridging the gap between clinical policy and IT systems. Note: There is NO actual medical billing or coding in this role. You will be researching code data changes (CMS/ICD-10/CPT) and translating them into business rules and system requirements. Lo

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Contract

Business Analyst

Remote

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9d ago

Position: Business Analyst Location Remote Employment Type Full-Time MMIS Financial Business Analyst (AR/AP & Fiscal Management) Role Summary The MMIS Financial Business Analyst is responsible for analyzing, configuring, and supporting financial modules within Medicaid Management Information Systems (MMIS), including Accounts Receivable (AR), Accounts Payable (AP), and Fiscal Management functions. The role involves working closely with clients, stakeholders, and technical teams to define require

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Full-time

$60,000 - $80,000

Utilization Management Coordinator

Remote

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Yesterday

Company Description Lumen SolutionsGroupInc. is a technology consulting Services company based inFlorida. Weprovidea wide array of experienced business and IT professionals supporting clients from solution design to implementation and support.We specialize in professional IT consulting services, IT Staffing, Business/IT Strategy, Business Process Blueprints, Enterprise Architecture, and EnterpriseTransformation. Role: Utilization Management Coordinator Location: Remote Job Type: Contract Job S

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Contract

Depends on Experience

Senior Talent Acquisition - US Hiring

Remote

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25d ago

Job Title: Senior Talent Acquisition US HiringLocation: Remote (Must be based in the USA)Preferred Locations: New York, New Jersey, San Jose (CA), Atlanta (GA)Experience: 4+ Years Work Authorisation (Must Have): Candidates must have active US work authorisation. Also open to candidates with independent work authorisation. No sponsorship or employer-dependent visas. About InfoBeans:InfoBeans is a global digital transformation and product engineering company helping enterprises achieve competitive

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Full-time

$20,000 - $50,000

Geotechnical Engineer

Elko, Nevada

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Today

This company is a growing geotechnical contractor with operations across the country. This role will be in beautiful northeastern Nevada and will provide relocation assistance! This Jobot Job is hosted by: Alex Dickinson Are you a fit? Easy Apply now by clicking the "Apply Now" button and sending us your resume. Salary: $75,000 - $125,000 per year A bit about us: This is a growing geotechnical and engineering consulting firm that focuses on various projects across the country, including minin

Full-time

USD 75,000.00 - 125,000.00 per year

IT Healthcare Consultant - Business Analyst - Advanced - Clinical Analyst & Coding Specialist

Columbia, South Carolina

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3d ago

Please ensure you attach the SC Cover Sheet (attached), a valid Right to Represent, and the candidate''s resume with full legal first name, and last name. Withdrawn candidates will not be permitted to be replaced. If you would like to use a sub vendor, only 1 level deep, please submit the Sub Vendor usage form. The State of South Carolina is looking for an IT Healthcare Consultant - Business Analyst - Advanced - Clinical Analyst & Coding Specialist Why is this position open: New position - this

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Contract

Depends on Experience

Business Analyst (RN)

Remote

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5d ago

DUTIES AND RESPONSIBILITES: Responsible for elicitation, analysis, and documentation of business requirements. Research and exploration of user requirements, costs, and benefits in support of documentation required for the demand management process. Responsible for analyzing the business needs to identify new processes and process improvements that will meet those needs. Documents current business processes and models to define requirements and/or gaps. Analyze detailed system factors inclu

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Contract

Depends on Experience

CDM Analyst/ Revenue Integrity Analyst

Remote

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8d ago

Bachelors degree in healthcare or related field (or equivalent experience) 35+ years in healthcare finance, revenue cycle, or CDM maintenance (7 years may substitute for degree) Coding certification required (CPC, CCS, or equivalent) Experience with EPIC and Craneware required Strong knowledge of CPT/HCPCS, revenue codes, and billing systems Familiarity with reimbursement systems (e.g., IPPS, OPPS) and charge auditing

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Contract

Data Quality Analyst - W2/1099 - Applicant Must Be Current Residen of Decatur, GA Within 30 Miles

Decatur, Georgia

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24d ago

NOTE: MUST BE ON OUR W2 OR 1099. NOT ACCEPTING SUB-VENDORS. Role: Data Quality Analyst Location: Decatur, GA Onsite Duration: 6+ Months Interview: In Person Note: *MUST be local to Metro Atlanta* **ONSITE REQUIRED* Description: Data Quality Analyst, responsible for accurate retrieval, analysis, and correction of data in MyInsight Elec. Health Record system. Needs advanced knowledge of SQL, strong understanding of clinical worklfows to identify and resolve data integrity issues. Key Respons

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Contract

Depends on Experience

Engineer Diver

Trenton, New Jersey

•

Today

Job Description Johnson, Mirmiran & Thompson is a dynamic, 100% employee-owned consulting firm with more than 2,800 professionals, providing a full range of multidisciplinary engineering, architecture, information technology, and related services to public agencies and private clients throughout the United States. JMT is currently ranked #45 on Engineering News-Record's list of the Top 500 Design Firms. Position Summary: JMT's Trenton, NJ Underwater Inspection team is seeking an Engineer Diver

Full-time

USD 55.00 - 65.00 per hour

Electrical Engineer - Entry Level

Baltimore, Maryland

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Today

At Whitman, Requardt & Associates, LLP, we are "People Focused and Project Driven". We have been in business for more than 110 years and we are known for our quality work and quality employees. This is your chance to join our team - help us to design the infrastructure and buildings that improve the world! We are currently seeking an entry level Electrical Engineer to join our Building Design team in our Baltimore, MD office. The Electrical Engineer, under direct supervision of senior staff, wi

Full-time

USD 72,000.00 - 97,000.00 per year

Technical Training Specialist

Memphis, Tennessee

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4d ago

Vaco is actively seeking a Technical Training Specialist for a direct-hire role supporting a nationally respected, technically focused, and rapidly growing organization in Memphis. Position Summary This role blends technical fluency with adult learning and instructional design capabilities to create high-impact technical training collateral. The Trainer will design, build, and deliver practical learning experiences including application development, tool utilization, Cloud platforms, DevOps pra

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Full-time

$90000

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