Medical records jobs in campbell, ca

Remote

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Today

Role: Medical Coder Location: Remote Type: Contract Job description: Function Asks: We are seeking dedicated and detail-oriented specialists who possess a coding certificate and have a strong understanding of records review. They will be responsible for handling appeals for Medicare members, specifically working on NCD/LCD denials, Duplicate denials, and MUE denials. The role involves reviewing medical records, comparing findings to CMS guidelines, and determining if conditions of coverage exist

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Full-time

Depends on Experience

EMR Workflow Assessment & Optimization Consultant

Remote

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Today

EMR Workflow Assessment & Optimization Consultant Our client, a non-profit healthcare and hospice provider in the Wilmington, NC area, is seeking an experienced EMR Workflow Assessment & Optimization Consultant to support the organization in preparing for a new Electronic Medical Record (EMR) implementation. This consultant will conduct a comprehensive assessment of current operational and clinical workflows, perform detailed process analysis, identify opportunities for improvement, and develop

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Contract

60 - 80

Senior Software Engineer, Rejections & Denials

Mountain View, California

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Today

At Commure, we're building the AI Operating System for healthcare, the foundation that defines how care is delivered, documented, and financed. Our platform spans the full care journey: Ambient AI and Dictation eliminating documentation burden at the point of care, intelligent Agents automating patient and revenue workflows, and autonomous RCM processing billions in claims, all on a single AI-native platform integrated with 60+ EHRs. Healthcare carries a $1 trillion administrative burden and we

Full-time

USD 180,000.00 - 230,000.00 per year

Oncology Data Analyst I

Pleasanton, California

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Today

Job Summary: Facilitates cancer registry data collection, maintenance, and accuracy by independently reviewing moderately complex cancer registry data, evaluating simple data elements, validating and processing follow-up, and determining recurrence data. Facilitates report generation and data analysis by gathering, analyzing, and summarizing simple data for reports, and providing simple Cancer Registry data to support various needs. Facilitates regulatory compliance and accreditation by coordin

Full-time

USD 88,700.00 - 114,730.00 per year

Sr Mgr, Project Management- AI Clinical Research

Pleasanton, California

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Today

Job Summary: We are seeking an Executive Director to serve as the senior operational and strategic leader for a large, multi-center, multi-year AI initiative focused on one of the largest and most robust evaluations of agentic AI solutions ever conducted. The program is funded by the U.S. Government and involves Kaiser Permanente health system leadership, external vendors, and federal stakeholders with a specific focus on optimization heart failure care at scale within a real world, integrated

Full-time

USD 178,200.00 - 230,560.00 per year

Data Scientist IV

Pleasanton, California

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Today

Job Summary: This individual contributor is primarily responsible for designing and developing data pipelines and automation for data acquisition and ingestion of raw data from multiple data sources and data formats by transforming, cleansing, and storing data for consumption. This role is also responsible for developing detailed problem statements outlining hypotheses and their effect on target clients/customers, analyzing and investigating complex data sets and summarizing key characteristics

Full-time

USD 169,800.00 - 219,670.00 per year

Epic Analyst

Remote or Chantilly, Virginia

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4d ago

Contract Type-W2 Location-Remote Job Description The Clinical Informatics Epic Analyst plays a vital role in coordinating, optimizing, and maintaining Electronic Health Record (EHR) systems, with a primary focus on Epic. This role works closely with clinical and administrative teams to ensure EHR systems effectively support providers and improve patient care. The analyst applies expertise in Epic applications, workflow analysis, and problem-solving to deliver successful implementations and cont

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Contract

CDI Specialist

Remote

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Today

Job Title: Clinical Documentation Specialist (CDS) Hourly/Salary Compensation Range: 60-70/hr based on experience and education Location: Fully remote - candidates must reside in:AZ, AR, CA, CO, FL, GA, ID, IL, LA, MI, MN, MO, MT, NV, NJ, NC, OH, OR, PA, SC, TN, TX, UT, VA, WA Hours: Full-time, remote (standard business hours - 8-5 PST) Start Date: 7/20/26 Client Overview: Healthcare organization requiring experienced CDS professionals to support accurate documentation, DRG assignment, and

Contract

$60.00 - $70.00

Medical Record Audit Specialist - Behavioral Health

Remote

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4d ago

Certified Medical Coder/Medical Record Audit Specialist - Behavioral HealthLocation: Fully Remote, with occasional travel to Downtown Indianapolis, IN (expenses covered)Job Summary:We are seeking a Certified Medical Coder/Medical Record Audit Specialist with strong Behavioral Health coding experience to support a state Medicaid program engagement. This role focuses on auditing medical records and claims documentation for coding accuracy and compliance, identifying billing and documentation issue

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Contract

Depends on Experience

Risk Adjustment Coding Auditor - (CRC)

Remote

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Today

JOB SUMMARY Risk Adjustment Coding Auditor JOB DESCRIPTION Potential for conversion The Impact you will have The Risk Adjustment Coding Auditor ensures the accuracy and completeness of coded clinical data to support compliant reporting and appropriate reimbursement across risk adjustment programs. The role strengthens organizational performance by identifying coding and documentation gaps, mitigating financial and regulatory risk, and improving data integrity. It provides subject matter expert

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Contract

Depends on Experience

RN Clinical Auditor - Behavioral Health

Remote

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4d ago

RN Clinical Auditor - Behavioral HealthLocation: Fully Remote, with occasional travel to Downtown Indianapolis, IN (expenses covered)Job Summary:We are seeking a Registered Nurse Clinical Auditor with extensive Behavioral Health experience to support medical record reviews and billing compliance audits for the Indiana Health Coverage Programs (IHCP). This role evaluates quality of care, reviews medical records and program policies, identifies compliance issues, prepares audit documentation and r

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Contract

Depends on Experience

FACETS Developer

Remote or Hybrid

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Today

Remote position Required Skills 5+ years of experience in FACETS development or healthcare payer application development. Strong hands-on experience with Cognizant TriZetto FACETS. Strong knowledge of healthcare insurance/payer processes. Experience with Claims, Membership, Enrollment, Benefits, Billing, and Provider modules. Strong Oracle/SQL development skills. Experience with FACETS configuration, customization, and integrations. Experience with Java/J2EE or related application development t

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Third Party

EHR Workflow Analyst

Remote or Greenville, South Carolina

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Today

Description We are looking for an EHR Workflow Analyst to support healthcare operations through detailed workflow evaluation, process documentation, and automation-focused analysis in Greenville, South Carolina. This Long-term Contract position will work closely with clinical, administrative, and business teams to uncover improvement opportunities and convert operational needs into clearly defined automation requirements. The role is well suited for someone who understands healthcare workflows a

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Contract

USD 35.00 - 40.00 per hour

AI Engineer | Agentic Systems

Remote

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Today

Machinify is a leading healthcare intelligence company with expertise across the payment continuum, delivering unmatched value, transparency, and efficiency to health plan clients across the country. Deployed by over 85 health plans, including many of the top 20, and representing more than 270 million lives, Machinify brings together a fully configurable and content-rich, AI-powered platform along with best-in-class expertise. We're constantly reimagining what's possible in our industry, creatin

Full-time

USD 130,000.00 - 200,000.00 per year

Software Architect

Remote

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Today

Full-time

USD 230,000.00 - 280,000.00 per year

Data Governance Analyst

Remote

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Today

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and

Full-time

USD 100,000.00 - 120,000.00 per year

Senior Principal Machine Learning Engineer

Remote

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Today

Overview We are looking for a Senior Principal Machine Learning Engineer to lead the design and delivery of end-to-end ML/AI systems that turn vast volumes of claims, clinical, and member data into measurable performance and reduced waste. You will define technical strategy, drive cross-functional alignment, and own systems that directly shape payment accuracy, risk adjustment, and quality outcomes for the payers we serve. This role sits at the intersection of applied research and production en

Full-time

USD 250,000.00 - 280,000.00 per year

Data Scientist III

Remote

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Today

Working at Moffitt is both a career and a mission: to contribute to the prevention and cure of cancer. As the only National Cancer Institute-designated Comprehensive Cancer Center based in Florida, Moffitt employs some of the best and brightest minds from around the world. Join a dedicated team of nearly 11,000 who are shaping the future we envision. Moffitt has been recognized as a Best and Brightest Company to Work For in the Nation and is continually named one of the Tampa Bay Times' Top Wor

Full-time

USD 108,492.80 - 165,422.40 per year

Founding CTO (New Healthcare Startup)

Remote

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Today

About Us Red Cell Partners is an incubation firm building and investing in rapidly scalable technology-led companies that are bringing revolutionary advancements to market in three distinct practice areas: healthcare, cyber, and national security. United by a shared sense of duty and deep belief in the power of innovation, Red Cell is developing powerful tools and solutions to address our Nation's most pressing problems. About MyPattern MyPattern is a venture-backed women's health technology

Full-time

USD 200,000.00 - 300,000.00 per year

Senior Generative AI Scientist I

Remote

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Today

Overview The Sr Gen AI Data Scientist I - Generative AI will apply knowledge and experience to real world problems and seek to utilize their skills reduce the cost of healthcare and improve health quality and outcomes. With access to dedicated on premise and cloud based big data solutions, the team can work with a vast amount of structured and unstructured data including claims, membership, physician demographics, medical records and others to begin to solve some of the most pressing healthcare

Full-time

USD 130,000.00 - 156,000.00 per year

Medical records jobs in Campbell, CA, USA