• Special Investigation Unit Manager Clinical…

    CVS Health (Columbus, OH)
    …in researching information and identifying information resources AAPC Coding certification - Certified Professional Coder (CPC) Strong leadership and team ... make health care more personal, convenient and affordable. The Special Investigations Unit is seeking a Manager to lead...Bachelor, Associates Degree or work equivalent Certification as a Certified Professional Coder (CPC) **Pay… more
    CVS Health (12/25/24)
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  • Medical Claim Review Nurse (RN)

    Molina Healthcare (Akron, OH)
    Certified Clinical Coder , Certified Medical Audit Specialists, Certified Case Manager , Certified Professional Healthcare Management, ... and support to clinical peers. + Identifies and refers members with special needs to the appropriate Molina Healthcare program per policy/protocol. **JOB… more
    Molina Healthcare (01/25/25)
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  • Medical Record Retrieval Specialist

    Medical Mutual of Ohio (OH)
    …as a Medical Record Retrieval Specialist.** ** Professional Certification(s):** **.** ** Certified Professional Coder (CPC) preferred.** **Technical Skills ... to, provider Electronic Medical Record (EMR) systems (ie EPIC). Maintains professional relationships with providers to ensure successful and timely chart retrieval… more
    Medical Mutual of Ohio (12/10/24)
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  • Sr Appeals Specialist

    Medical Mutual of Ohio (Brooklyn, OH)
    …service, billing or related operations preferred. ** Professional Certification(s):** . Certified Professional Coder (CPC) preferred **Technical Skills ... Follows up with written correspondence. . Attends meetings and/or participates in special projects as needed. . Monitors inventory and manages work distribution. .… more
    Medical Mutual of Ohio (11/14/24)
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  • Nurse and CPC - Clinical Fraud Investigator II…

    Elevance Health (Mason, OH)
    …Requirements:** + Requires an Associate Degree in Nursing and/or current certification as a Certified Professional Coder (AAPC or AHIMA) and minimum of 4 ... necessary to aid in investigations. + Collaborates with the Special Investigation Unit and other internal areas on matters...our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors… more
    Elevance Health (12/31/24)
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