• Appeals Audit Specialist - McLaren Careers

    McLaren Health Care (Mount Pleasant, MI)
    …and directed. **Qualifications:** **_Required:_** + Registered Health Information Technician (RHIT), Licensed Practical Nurse ( LPN ), hospital biller, ... the clinical team. 3. Collaborates with the Denials Appeals RN to ensure payer appeal/filing deadlines are met and...related field + ACMA or ACDIS memberships + Certified Medical Coder , Certified in Healthcare Compliance, Certified… more
    McLaren Health Care (11/11/25)
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  • RN or LPN - Utilization Manager

    Northeast Alabama Regional Medical Center (Anniston, AL)
    …Exam. Must be licensed in the State of Alabama, or MSL, as an RN or LPN . Three years of clinical experience required. Leadership experience preferred. CM or ... for retrospective reviews by outside agencies. Reviews the patients' medical record for documentation issues as they relate to...relate to the working DRG developed by the Case Manager/ Coder . Assists with special projects as directed or requested… more
    Northeast Alabama Regional Medical Center (11/15/25)
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  • Ambulatory CDI Specialist - Coding

    Hawaii Pacific Health (Honolulu, HI)
    …for Hawai'i State licensing. Current Hawai'i Registered Nurse ( RN ) or Licensed Practical Nurse ( LPN ) license. Current Basic Life Support for ... a not-for-profit health care network with over 70 locations statewide including medical centers, clinics, physicians and other caregivers serving Hawai'i and the… more
    Hawaii Pacific Health (11/26/25)
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  • DRG Denials Auditor

    Community Health Systems (Franklin, TN)
    …information. + Strong communication and organizational skills. **Licenses and Certifications** + CRNP, LPN , RN , MD, PA, or DO preferred + CCS-Certified Coding ... references for CHS hospitals via scanned, electronic and hybrid medical records. Based on review findings, writes appeal letters...Appeals. + Partners with peers and Director to develop coder education based on findings. + Performs other duties… more
    Community Health Systems (12/09/25)
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  • Senior Risk Adjustment Coding Compliance Analyst…

    Centene Corporation (Jefferson City, MO)
    …+ Experience in Managed care preferred **Licenses/Certifications:** + LVN, LPN or RN required and + Certified Professional Coder (CPC) or Certified Coding ... Adjustment activities, including monitoring, auditing, and supports Line 1 oversight. Reviews medical records to assess proper extraction of medical diagnoses… more
    Centene Corporation (10/29/25)
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