hcpcs Jobs

1 - 20 of 122 Jobs

Behavioral Health Clinical Reviewer- LADC/BCBA CertificationJob Title - Behavioral Health Clinical Reviewer- LADC/BCBA Certification

Javen Technologies, IncCompany Name - Javen Technologies, Inc

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Remote

Contract

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

Senior Healthcare Research Analyst - Hybrid (PA/NJ/DE)Job Title - Senior Healthcare Research Analyst - Hybrid (PA/NJ/DE)

Independence Blue Cross, LLCCompany Name - Independence Blue Cross, LLC

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Philadelphia, Pennsylvania, USA

Full-time

Our organization is looking for individuals who love working with data and using analytics while using their skills to help our members. If this describes you, we want to speak with you! Independence (IBX) is looking for an experienced and analytically minded individual to support analytical requests for clinical initiatives and evaluations. This Senior Research Analyst position will report to the Director, Reporting and Analytics within the Informatics Department, supporting advanced analytics

Clinical Editing Coding Analyst | Remote | ContractJob Title - Clinical Editing Coding Analyst | Remote | Contract

Walker HealthforceCompany Name - Walker Healthforce

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Remote

Contract

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

Healthcare 837 EDI SpecialistJob Title - Healthcare 837 EDI Specialist

Kforce Technology StaffingCompany Name - Kforce Technology Staffing

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Montebello, California, USA

Full-time

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

Medical Coding SupervisorJob Title - Medical Coding Supervisor

Saicon Consultants Inc.Company Name - Saicon Consultants Inc.

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Remote

Full-time

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

Medical Claims Auditor I (Remote, USA)Job Title - Medical Claims Auditor I (Remote, USA)

Gainwell Technologies LLCCompany Name - Gainwell Technologies LLC

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Remote or Houston, Texas, USA

Full-time

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

Medical Claims Auditor I (Remote, USA)Job Title - Medical Claims Auditor I (Remote, USA)

Gainwell Technologies LLCCompany Name - Gainwell Technologies LLC

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Remote or Austin, Texas, USA

Full-time

Medical Claims Auditor I (Remote, USA)Job Title - Medical Claims Auditor I (Remote, USA)

Gainwell Technologies LLCCompany Name - Gainwell Technologies LLC

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Remote or Dallas, Texas, USA

Full-time

Data Manager - HealthcareJob Title - Data Manager - Healthcare

Benchmark IT- Technology TalentCompany Name - Benchmark IT- Technology Talent

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Boston, Massachusetts, USA

Full-time

Data Manager Healthcare: Overview: Our direct client, a fast-growing healthcare and data analytics firm based in the Boston area is seeking to bring on an experienced Data Analyst Manager to lead a dynamic, multinational data team. This role offers the opportunity to provide leadership, strategic insight, and hands-on expertise in healthcare data analysis while helping shape the future of data-driven solutions in the healthcare industry. The ideal candidate will bring not only strong technical s

Medical Bill Coder- Fulltime-RemoteJob Title - Medical Bill Coder- Fulltime-Remote

Pegasus Knowledge SolutionsCompany Name - Pegasus Knowledge Solutions

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Remote

Full-time

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

Senior Analyst, Medical Economics - REMOTEJob Title - Senior Analyst, Medical Economics - REMOTE

Molina HealthcareCompany Name - Molina Healthcare

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Remote or Augusta, Georgia, USA

Full-time

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