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JobsJobs in OklahomaJobs in Norman, OKHealthcare Jobs in Norman, OKMedical Billing and Coding Jobs in Norman, OKCoding Jobs in Norman, OK
71 Results for

Coding Jobs in Norman, OK

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    Inpatient Coding Auditor OU Medicine, Inc.

    Inpatient Coding Auditor
    Virtual, OK
    • Full time

    Ensures accurate, quality, and compliant Inpatient facility coding through prebill and retrospective audits of coder work and providing targeted education to improve consistency and documentation quality. · Performs all functions of coding quality reviews (routine monthly, focus pre-bill, CDI Reconciliations, second-level review work queues) for inpatient coding across OUH.

    30+ days ago

    Professional Coding Specialist III OU Medicine, Inc.

    Professional Coding Specialist III
    Virtual, OK
    • Full time

    We are looking for a detail-oriented Professional Medical Coder to help streamline our charge review coding workflow for Adult and Pediatric Evaluation and Management services and Minor Procedures, resolve denials and work with leadership to put processes in place to reduce denials. Code and resolve the most complex, high‑risk professional encounters including specialty‑specific procedures, high‑dollar services, complex modifier scenarios, and telehealth exceptions.

    30 days ago

    Professional Coding Specialist II OU Medicine, Inc.

    Professional Coding Specialist II
    Virtual, OK
    • Full time

    We are looking for a detail-oriented Professional Medical Coder to help streamline our charge review coding workflow for Adult and Pediatric Evaluation and Management services and Minor Procedures, resolve denials and work with leadership to put processes in place to reduce denials. Independently performs complex professional coding across multiple specialties and settings, including office/clinic, hospital outpatient, ED/urgent care, ASC, SNF/nursing home, and telehealth.

    30 days ago

    Neuro Interventional Radiology Professional Coding Specialist II OU Medicine, Inc.

    Neuro Interventional Radiology Professional Coding Specialist II
    Virtual, OK
    Remote
    • Full time

    Independently performs complex professional coding across multiple specialties and settings, including office/clinic, hospital outpatient, ED/urgent care, ASC, SNF/nursing home, and telehealth. Resolve coding-related edits and denials by identifying root cause, coordinating documentation clarification, and supporting rebilling actions as applicable.

    22 days ago
    United Surgical Partners International Inc (USPI) logo

    Coding Support Specialist - Healthcare Partners Investments United Surgical Partners International Inc (USPI)

    Coding Support Specialist - Healthcare Partners Investments
    Oklahoma City, OK
    • Full time

    Duties include, but not limited to, maintaining and coordinating physician coding logs, inputting charges from coded charge tickets, data entry as needed, coordinates retrieval of dictation reports on outstanding accounts, ensures all records completed for month end and tracks all outstanding accounts pending completion of the coding process. * Contacts physician offices if need procedures dictated, entry of insurance information, cases built, authorizations noted, encounter numbers created or other information necessary to complete charge entry.

    30+ days ago

    HB Coding Denials Integrity Specialist Advocate Health and Hospitals Corporation

    HB Coding Denials Integrity Specialist
    Oklahoma
    Remote

    Works collaboratively with coding leadership per their direction in reviewing records with focused diagnosis and procedure codes, including specific APCs, DRGs and OIG work plan targets to assure compliance in all areas of coding, which may give visibility into documentation that is driving codes. Expert knowledge and experience in ICD-10-CM/PCS and CPT coding systems, G-codes, HCPCS codes, Current Procedural Terminology (CPT), modifiers, and Ambulatory Patient Categories (APC), MS-DRGs (Diagnosis related groups).

    30+ days ago

    Certified Coding Specialist Sr - Surgical Coding Integris Health Inc

    Certified Coding Specialist Sr - Surgical Coding
    Oklahoma City, OK

    Completes analysis of documentation, abstracting and code assignment by body system, organ, etiology and morphology according to the American Hospital Association Official ICD-10 Coding Guidelines (Coding Clinic), CPT4/HCPCS Coding Guidelines, ASC groups, UHDDS Guidelines, HCFA methodology guidelines for coding, state and federal guidelines and hospital abstracting guidelines. The Certified Coding Specialist Sr analyzes relevant clinical and demographic information from the Health Information record, assigns appropriate ICD-10 and CPT codes following appropriate guidelines and ascertains that the above are compliant with CMS, state and other regulatory agencies.

    30+ days ago

    Inpatient Coding Auditor OU Health

    Inpatient Coding Auditor
    Oklahoma

    Ensures accurate, quality, and compliant Inpatient facility coding through prebill and retrospective audits of coder work and providing targeted education to improve consistency and documentation quality. · Performs all functions of coding quality reviews (routine monthly, focus pre-bill, CDI Reconciliations, second-level review work queues) for inpatient coding across OUH.

    30+ days ago

    Medical Coding - Team Lead New Ultimate Billing, LLC

    Medical Coding - Team Lead
    Oklahoma City, OK
    Remote
    • Full time

    An Emergency Medicine Coding Team Lead manages a team of medical coders, ensuring accurate, compliant coding (ICD-10, CPT) of medical records, acting as a liaison for complex issues, conducting audits, providing training/mentorship, monitoring performance, and collaborating with providers for documentation clarity, driving quality and efficiency while staying updated on regulations. Process Improvement: Identify trends in denials or errors, implement process improvements, and stay current with coding changes.

    30+ days ago

    Medical Coding - Team Lead Harris Computer Systems

    Medical Coding - Team Lead
    OK
    Remote

    An Emergency Medicine Coding Team Lead manages a team of medical coders, ensuring accurate, compliant coding (ICD-10, CPT) of medical records, acting as a liaison for complex issues, conducting audits, providing training/mentorship, monitoring performance, and collaborating with providers for documentation clarity, driving quality and efficiency while staying updated on regulations. Process Improvement: Identify trends in denials or errors, implement process improvements, and stay current with coding changes.

    30+ days ago

    Professional Coding Specialist II OU Health

    Professional Coding Specialist II
    Oklahoma

    We are looking for a detail-oriented Professional Medical Coder to help streamline our charge review coding workflow for Adult and Pediatric Evaluation and Management services and Minor Procedures, resolve denials and work with leadership to put processes in place to reduce denials. Independently performs complex professional coding across multiple specialties and settings, including office/clinic, hospital outpatient, ED/urgent care, ASC, SNF/nursing home, and telehealth.

    25 days ago

    Certified Coding Specialist Integris Health Inc

    Certified Coding Specialist
    Oklahoma City, OK

    The Certified Coding Specialist responsibilities include, but are not limited to, the following: Completes analysis of documentation, abstracting and code assignment by body system, organ, etiology and morphology according to the American Hospital Association Official ICD-10 Coding Guidelines (Coding Clinic), ICD-10-CM, CPT4/HCPCS Coding Guidelines, ASC groups, UHDDS Guidelines, HCFA methodology guidelines for coding, state and federal guidelines and hospital abstracting guidelines. LICENSE/CERTIFICATIONS: CCA (Certified Coding Associate) OR CDIP (Certified Documentation Improvement Specialist) OR RHIA (Registered Health Information Administrator) OR RHIT (Registered Health Information Technician) OR CCS (Certified Coding Specialist) OR CPC (Certified Professional Coder) OR CPC-A (Certified Professional Coder Apprentice).

    30+ days ago

    Epic Resolute Application Developer (Charge Router and Coding Skills) - 6260321 Accenture Plc

    Epic Resolute Application Developer (Charge Router and Coding Skills) - 6260321
    Oklahoma City, OK

    In addition to delivering innovative solutions for Accenture's clients, you will work with a highly skilled, diverse network of people across Accenture businesses who are using the latest emerging technologies to address today's biggest business challenges. Dropping orders using chart review-> creating new patient encounter -> dropping an order and signing the order/Unite charge entry ->creating new encounter.

    30+ days ago

    CDI Coding Educator - Days Integris Health Inc

    CDI Coding Educator - Days
    Oklahoma City, OK

    If our mission of partnering with people to live healthier lives speaks to you, apply today and learn more about our recently enhanced benefits package for all eligible caregivers such as, front loaded PTO, 100% INTEGRIS Health paid short term disability, increased retirement match, and paid family leave. The CDI Coding Educator responsibilities include, but are not limited to, the following: Delivery of curriculums for current and newly hired physicians/healthcare providers, coders, and clinical documentation specialists.

    30+ days ago
    Mercy logo

    Sr Inpatient Coding Specialist (Full Time) Days Mercy

    Sr Inpatient Coding Specialist (Full Time) Days
    Oklahoma City, OK

    Position Details: Education: High school diploma Licensure: Experience: Prior coding experience in ICD-10-CM diagnoses/procedure coding and HCPCS/CPT procedure coding in the acute care inpatient, outpatient hospital or professional services setting. Certifications: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Professional Coder (CPC) or Certified Interventional Radiology Cardiovascular Coder (CIRCC) to be completed within 6 months of employment.

    17 days ago

    Coding Clerk State of Oklahoma

    Coding Clerk
    Oklahoma City, OK

    Must possess ability to learn and differentiate among various types of insurance information to assist the consumers with their concerns; to organize time effectively; to establish and maintain effective relationships with others; to understand the basic functions of other divisions within the department; to handle routine business decisions; and to deal tactfully with the public. EDUCATION AND EXPERIENCE: High School Diploma or GED required and a minimum of 1 year of insurance-related experience is required, or an equivalent combination of education and experience.

    14 days ago
    PricewaterhouseCoopers LLP logo

    Managed Services - Revenue Cycle Coding - Senior Manager PricewaterhouseCoopers LLP

    Managed Services - Revenue Cycle Coding - Senior Manager
    OK
    • $124,000–$280,000 / year

    PwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy. As a Senior Manager, you will leverage your skills and influence to deliver quality results, motivate and coach teams to solve complex problems, and apply sound judgment to recognize when to take action or escalate issues.

    30+ days ago
    LHC Group Inc logo

    Coding Educator LHC Group Inc

    Coding Educator
    Oklahoma City, OK

    Responsible for the coordination and execution of coding educational programs and works with operation leaders, preceptors, and the entire coding team to identify and meet training needs, evaluate training effectiveness, promote coding excellence, and provide training opportunities that contribute to coding accuracy and overall understanding of coding guidelines. Responsibilities Works in collaboration with coding management team and operational leaders to identify training needs, Develop training plans specifically designed to meet identified needs, and ensures understanding and application of relevant training.

    30+ days ago
    New

    Remote SRE & AI Trainer - Coding & Android Dev DataAnnotation

    Remote SRE & AI Trainer - Coding & Android Dev
    Oklahoma City, OK
    Remote

    Ideal candidates are fluent in English, have programming experience in languages such as Kotlin and JavaScript, and possess a bachelor's degree. Join a growing community and influence the future of AI technologies while working at your own pace.#J-18808-Ljbffr.

    3 days ago
    New

    Medical Billing Coder I (69479) Variety Care LLC

    Medical Billing Coder I (69479)
    Oklahoma City, OK

    Minimum two (2) years of experience in medical billing, coding, accounts receivable, denial resolution, or related healthcare revenue cycle functions; OR One (1) year of experience AND a Coding Certification (CPB - Certified Professional Biller, CPC-A - Certified Professional Coder-Apprentice, CBCS - Certified Billing and Coding Specialist, RHIT - Registered Health Information Technician). This role collaborates with providers, claim resolution specialists, insurance representatives, and clinic staff to resolve coding issues, improve documentation quality, and support timely reimbursement.

    4 days ago

    Senior Billing Compliance Analyst Saint Francis Hospital

    Senior Billing Compliance Analyst
    Oklahoma

    Knowledge, Skills, and Abilities: Advanced knowledge of 10th Revision of the International Classification of Diseases (ICD-10-CM), Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding Systems (HCPCS) coding systems, guidelines, and federal/state billing regulations. The senior analyst leads audit initiatives, identifies systemic risk areas, supports investigations, develops training content, advises on regulatory changes, and recommends process improvements that enhance compliant billing practices across the organization.

    26 days ago

    Senior Billing Compliance Analyst Saint Francis Health System

    Senior Billing Compliance Analyst
    OK

    Knowledge, Skills, and Abilities: Advanced knowledge of 10th Revision of the International Classification of Diseases (ICD-10-CM), Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding Systems (HCPCS) coding systems, guidelines, and federal/state billing regulations. The senior analyst leads audit initiatives, identifies systemic risk areas, supports investigations, develops training content, advises on regulatory changes, and recommends process improvements that enhance compliant billing practices across the organization.

    24 days ago
    CVS Health Corp logo

    Investigator, Special Investigations Unit (Aetna SIU) - Must reside in Oklahoma CVS Health Corp

    Investigator, Special Investigations Unit (Aetna SIU) - Must reside in Oklahoma
    OK
    • $43,888–$76,500 / year

    The Special Investigations Unit (SIU) Investigator is responsible for thoroughly investigating any allegations of Medicaid healthcare fraud, waste, or abuse in accordance with federal and state regulation. Experience with using fraud, waste, and abuse (FWA) detection tools and enterprise databases to support data mining, analysis, and information gathering.

    22 days ago
    United Surgical Partners International Inc logo

    Facility Appeals Denial Management Specialist United Surgical Partners International Inc

    Facility Appeals Denial Management Specialist
    Oklahoma City, OK

    Expected to stay informed of the latest developments, advancements and trends in the field of medical collections, appeals and denials by utilizing available resources such as on-line information, reading information provided by payors and attending seminars/workshops as approved by management. Responsibilities include, but are not limited to, claim denials, underpayments, coding denials, filing of appeals, zero payments and other claim issues that result in incorrect reimbursement towards outstanding claims.

    30+ days ago

    Prospective Payment System Coordinator - PRN Integris Health Inc

    Prospective Payment System Coordinator - PRN
    Oklahoma City, OK

    The Inpatient Rehabilitation Facility Patient Assessment Instrument ( IRF-PAI) Coordinator/ PPS Coordinator is a finance-related position requiring clinical skills to coordinate the process of providing accurate and timely data to the appropriate entities involved in the Prospective Payment System for inpatient rehabilitation patients. If our mission of partnering with people to live healthier lives speaks to you, apply today and learn more about our recently enhanced benefits package for all eligible caregivers such as, front loaded PTO, 100% INTEGRIS Health paid short term disability, increased retirement match, and paid family leave.

    30+ days ago

    Medical Records Technician (Coder) US Department of Health and Human Services

    Medical Records Technician (Coder)
    OK
    • $50,460–$72,644 / year

    Required as applicable for the purposes of specific eligibility and appointment claim(s), and position requirements: Indian Preference Applicants: If claiming Indian preference, applicants must provide a completed copy of the Form BIA-4432, "Verification of Indian Preference for Employment in the BIA and IHS Only." Refer to BIA-4432 link: Verification of Indian Preference for Employment in the BIA and IHS When an Indian Preference candidate possesses Veterans preference the rules regarding Veterans preference apply under ESEP and the applicant must provide documentation in order to receive preference.

    30+ days ago

    Hospital Revenue Integrity Specialist Oklahoma Heart Hospital

    Hospital Revenue Integrity Specialist
    Oklahoma City, OK

    Utilize EMR and clearinghouse to manage claim edits to preserve revenue and ensure all charges are added correctly based on clinical documentation. The Hospital Revenue Integrity Specialist is responsible for evaluating charges for hospital claims against clinical documentation to identify missing, incorrect, or late charges.

    24 days ago

    Claims Recoup & Collect Anlyst TriWest Healthcare Alliance

    Claims Recoup & Collect Anlyst
    Oklahoma City, OK
    Remote
    • Full time

    Under limited supervision, manages and performs claims department activities related to recoupments and collections, including validation of recoupment setup, conducting collections calls with providers, establishing payment arrangements, tracking and trending outstanding recoupments, establishing payment arrangements, and coordinating collections activities with other departments. Proficient with claim and coding tools such as Supercoder, Clinical Decision Support Tool, Current Procedural Terminology, Health Care Financing Administration Common Procedure Coding System, and American Dental coding.

    30+ days ago

    Revenue Integrity Analyst Saint Francis Hospital

    Revenue Integrity Analyst
    Oklahoma

    Working knowledge of Current Procedural Terminology (CPT), Healthcare Common Procedure Coding Systems (HCPCS), revenue codes, Ambulatory Payment Classification (APC)/Diagnosis-Related Group (DRG) concepts, and payer billing rules. Certified Revenue Cycle Representative (CRCR) from Healthcare Financial Management Association (HFMA) and Epic Certifications (Resolute Hospital Billing, Resolute Professional Billing, Revenue Integrity), preferred.

    26 days ago

    Revenue Integrity Analyst Saint Francis Health System

    Revenue Integrity Analyst
    OK

    Working knowledge of Current Procedural Terminology (CPT), Healthcare Common Procedure Coding Systems (HCPCS), revenue codes, Ambulatory Payment Classification (APC)/Diagnosis-Related Group (DRG) concepts, and payer billing rules. Certified Revenue Cycle Representative (CRCR) from Healthcare Financial Management Association (HFMA) and Epic Certifications (Resolute Hospital Billing, Resolute Professional Billing, Revenue Integrity), preferred.

    24 days ago

    Professional Billing & Insurance Follow up Specialist Legacy Health System

    Professional Billing & Insurance Follow up Specialist
    Northwest, OK
    • $22.97–$32.84 / hour

    In this position, you'll use your advanced knowledge of multi-payer systems, specialty billing procedures, and contracts to research incomplete bills, interpret codes, and resolve patient inquiries. • Performs medical billing functions for complex (specialty) accounts requiring advanced knowledge of multi-payor system and all specialty billing procedures and contracts.

    30+ days ago
    New

    Revenue Integrity Analyst III Integris Health Inc

    Revenue Integrity Analyst III
    Oklahoma City, OK

    EXPERIENCE: Seven (7) years of progressive experience in revenue cycle, billing compliance, healthcare reimbursement, or financial analysis and one of the certifications listed below OR Ten (10) years of progressive experience in revenue cycle, billing compliance, healthcare reimbursement, or healthcare financial analysis in lieu of education and certification. The Analyst III mentors junior analysts, partners with cross-functional leaders, and drives enterprise-wide initiatives that ensure accurate billing, regulatory compliance, and optimized net revenue performance.

    3 days ago
    New

    Clinical Documentation Specialist Integris Health Inc

    Clinical Documentation Specialist
    Oklahoma City, OK

    The Clinical Documentation Specialist responsibilities include, but are not limited to, the following: Performs concurrent review process for all selected admissions to facilitate comprehensive complete medical record documentation to accurately reflect the diagnoses, clinical treatment, and severity of illness of the patient. Works in partnership with physicians, coders, and other healthcare professionals to ensure medical records accurately reflect patient acuity for quality reporting and Medicare Severity- Diagnosis Related Group (MS-DRG) assignment.

    4 days ago

    NP for Local Clinic Triad Mso

    NP for Local Clinic
    Norman, Oklahoma

    Step 2 : For the first 12 months, we will employ you and manage all aspects of the practice, including: your team, billing and coding, supervising physician, malpractice insurance, EMR, payroll, advertising, financials, and overall business operations. You have the autonomy to shape your practice in a way that aligns with your commitment to patient care, all while having the necessary resources to foster meaningful relationships and ensure the best outcomes for your patients.

    30 days ago

    Physician Associate for local Clinic Triad Mso

    Physician Associate for local Clinic
    Oklahoma

    Step 2 : For the first 12 months, we will employ you and manage all aspects of the practice, including: your team, billing and coding, supervising physician, malpractice insurance, EMR, payroll, advertising, financials, and overall business operations. You have the autonomy to shape your practice in a way that aligns with your commitment to patient care, all while having the necessary resources to foster meaningful relationships and ensure the best outcomes for your patients.

    30 days ago
    New

    Senior Medical Audit Specialist Oklahoma Watch

    Senior Medical Audit Specialist
    Oklahoma City, OK

    This role demands strategic problem-solving and organizational skills to manage multiple tasks and resolve complex issues.**\*\*To be considered for this position your application must include a resume/CV with complete work and education history.\*\*****Education and/or Experience:*** Current professional license as a Registered Nurse (RN), Dental Hygienist (RDH), Behavioral Health practitioner and 5 years of professional experience AND* General understanding of coding principles (CPT, HCPCS, ICD-10 and /or DRG)* There is no substitution for licensure.**Preference If a reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact the Civil Rights Coordinator at 405-522-7335.**Notice to applicants:**Please add OHCAHR@okhca.org to the address book or "safe-senders" list in your email.

    2 days ago

    Supervisor, Claims Admin TriWest Healthcare Alliance

    Supervisor, Claims Admin
    Oklahoma City, OK
    Remote
    • Full time

    The Supervisor, Claims Administration interacts and collaborates frequently with beneficiaries, Veterans, providers, sub-contractors, the Government, and internal business partners to resolve issues, respond to inquiries, and improve processes. Organizational Skills: Ability to organize people or tasks, adjusts to priorities, learns systems within time constraints and with available resources; detail-oriented.

    30+ days ago

    Trauma Program Registrar Integris Health Inc

    Trauma Program Registrar
    Oklahoma City, OK
    Remote

    The Trauma Registrar is responsible for collecting, reviewing, and analyzing data within the medical record and trauma care reports reflecting health care provided to patients to ensure comprehensive quality care and identification of performance gaps. Has working knowledge of the American College of Surgeons and Oklahoma State Department of Health inclusion criteria and ability to review reports and/or charts for possible candidates and select qualifying patients.

    30+ days ago

    Revenue Integrity A/R Representative New Ultimate Billing, LLC

    Revenue Integrity A/R Representative
    Oklahoma City, OK
    Remote
    • Full time

    As a wholly owned subsidiary of Constellation Software Inc. (“CSI”, symbol CSU on the TSX), Harris has become the cornerstone for CSI’s investment in utility, local government, school districts, public safety, and healthcare software verticals. The Revenue Integrity/Accounts Receivable Representative is responsible for supporting the financial performance of the physician practice by ensuring accurate charge capture, compliant billing, and timely reimbursement.

    30+ days ago
    PricewaterhouseCoopers LLP logo

    Applied AI Health Data System Engineer-Senior Manager PricewaterhouseCoopers LLP

    Applied AI Health Data System Engineer-Senior Manager
    OK
    • $124,000–$280,000 / year

    Managing development teams in building healthcare AI and GenAI solutions, including analytical modeling, prompt engineering, Python-based development, testing, communication of results to clinical and operational stakeholders, front-end and back-end integration, and iterative use case development with health system clients; Documenting and analyzing healthcare business processes - across clinical operations, and population health programs - to identify AI and GenAI opportunities, gather requirements, define initial hypotheses, and develop solution approaches tailored to health system workflows; Collaborating with health system client teams - including clinical informatics, population health, and IT leaders - to understand their business and clinical problems and select the appropriate models, LLMs, and approaches for AI/GenAI use cases; Designing and solutioning AI/GenAI architectures for health system clients, including RAG-based clinical knowledge retrieval systems, agentic AI workflows for care management and revenue cycle automation, and custom LLM application builds with appropriate PHI safeguards; Managing teams to process healthcare unstructured and structured data - including clinical notes, discharge summaries, claims records, EHR data, and ADT feeds - for use as LLM context, including embedding of large clinical text corpora, generative SQL query development, and building connectors to EHR back-end databases; Managing daily operations of a global healthcare data science team on client engagements, reviewing developed models, providing feedback, and assisting in analysis of clinical and operational outcomes; Directing data engineers and other data scientists to deliver efficient, HIPAA-compliant solutions that meet health system client requirements for clinical, financial, and operational AI use cases; Leading and contributing to development of proof of concepts, pilots, and production use cases for health system clients - spanning clinical decision support, prior authorization automation, patient risk scoring, workforce optimization, and throughput modeling - while working in cross-functional teams; Facilitating and conducting executive-level presentations to health system leadership showcasing GenAI and ML solution capabilities, use case development progress, model performance, and recommended next steps; Structuring, writing, communicating, and facilitating client presentations that translate complex AI and ML concepts into clear clinical and business value narratives for health system audiences; and, Managing associates and senior associates through coaching, providing feedback, and guiding work performance, with an emphasis on developing healthcare domain knowledge alongside technical AI and ML capabilities. You will architect and build production-grade RAG pipelines, MCP connections, agentic AI workflows, and MLOps frameworks, managing daily operations across global delivery teams while engaging health system leaders at the executive level to ensure measurable clinical and operational impact.

    30+ days ago
    CVS Health Corp logo

    Medical Director MPO CVS Health Corp

    Medical Director MPO
    OK
    • $174,070–$374,920 / year

    In this role as Medical Director MPO (Medical Policy & Operations) you will be responsible for providing clinical expertise to promote the delivery of high quality, constituent focused medical care with a focus on clinical and payment policy. Additional responsibilities may include: Participate on work groups as a clinical subject matter expert to identify and promote opportunities to improve the quality and efficiency of health care services.

    29 days ago
    UnitedHealth Group Inc logo

    Home Infusion RN - Part Time UnitedHealth Group Inc

    Home Infusion RN - Part Time
    Oklahoma City, OK

    Complete all required clinical documentation thoroughly and timely including nursing plans of care POC plans of treatment POT visit notes clinical summaries medication profiles discharge summaries and any updates provided to members of the patients care team as well as obtaining patient and/or caregiver signatures on relevant consents and required forms. Clinical › Corporate and business operations › Customer and support services › Early careers › Sales and account management › Technology and data › Physicians › Advanced practice clinicians › Pharmacy › Behavioral health › Nursing › Medical coding › Clinical support › U.S. › Ireland & UK › India › Philippines › Culture of Belonging › Employee Benefits › Blog.

    30+ days ago
    CVS Health Corp logo

    Fraud Waste and Abuse - Sr. Analyst CVS Health Corp

    Fraud Waste and Abuse - Sr. Analyst
    OK
    • $46,988–$112,200 / year

    Activities include reviewing billing activity for state agency referrals, assisting in the investigation and triage of FWA complaints, coordination with other departments and assist in prevention activities including training of internal staff and internal departments. Analyst, Fraud, Waste, and Abuse (FWA) will assist in detecting, investigating, remediating and referring to state regulatory agencies incidents of FWA arising in connection with medical, behavioral, transportation, and other healthcare services.

    30+ days ago

    Claims Reviewer TriWest Healthcare Alliance

    Claims Reviewer
    Oklahoma City, OK
    Remote
    • Full time

    Proficient with claim and coding tools and resources, Clinical Decision Support Tool, Current Procedural Terminology, Health Care Financing Administration Common Procedure Coding System, and American Dental coding. Provides clinical and coding-related information to medical director, providers, peer reviewers, Claims Administration, Program Integrity, Quality Management, and/or the Claims Subcontractor as needed.

    30+ days ago

    Sr Claims Reviewer TriWest Healthcare Alliance

    Sr Claims Reviewer
    Oklahoma City, OK
    Remote
    • Full time

    Proficient with claim and coding tools such as Supercoder, Clinical Decision Support Tool, Current Procedural Terminology, Health Care Financing Administration Common Procedure Coding System, and American Dental coding. This role will serve as a SME and will collaborate with Claims leadership, Training, the Claims Content Specialist, and internal business partners to ensure procedures and training materials are accurate and complete.

    30+ days ago
    New

    Patient Relations Representative Advocate Health and Hospitals Corporation

    Patient Relations Representative
    Oklahoma

    Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care.

    3 days ago
    Vertex Pharmaceuticals Inc logo

    Field Reimbursement Manager - Kidney (Central Southwest - AZ, NM, TX, OK) Vertex Pharmaceuticals Inc

    Field Reimbursement Manager - Kidney (Central Southwest - AZ, NM, TX, OK)
    OK
    • $136,000–$204,000 / year

    Key Duties and Responsibilities: Compliantly establish strong connections with key nephrology office personnel, including members of the care team and administrative staff responsible for prior authorizations and patient access to specialty medications, to support patient access to prescribed medications. At Vertex, our Total Rewards offerings also include inclusive market-leading benefits to meet our employees wherever they are in their career, financial, family and wellbeing journey while providing flexibility and resources to support their growth and aspirations.

    30+ days ago

    Utilization Clinical Reviewer TriWest Healthcare Alliance

    Utilization Clinical Reviewer
    Oklahoma City, OK
    Remote
    • Full time

    Applies clinical knowledge to make determinations for preauthorization, inpatient and continued stay reviews for Behavioral Health and Medical/Surgical requests to establish medical necessity, benefit coverage, appropriateness of quality of care, and length of stay or care plan. The Utilization Management Clinical Review nurse reviews and makes decisions about the appropriateness and level of beneficiary care being provided in an effort to provide cost effective care and ensure proper utilization of resources.

    30+ days ago
    United Surgical Partners International Inc logo

    Charge Correction Specialist/Floater - Healthcare Partners Investments United Surgical Partners International Inc

    Charge Correction Specialist/Floater - Healthcare Partners Investments
    Oklahoma City, OK

    These duties include, but not limited to, adding of new information per requests received, updating new addresses and other information as it changes, maintenance of NDC numbers, maintenance of TSPID numbers and the addition of new charge/procedure/CPT codes. The Charge Correction Specialist/Floater is responsible for reviewing, logging and correcting all charge errors and claim submission errors related to professional accounts.

    30+ days ago
    New

    Facility Clinical Documentation Specialist RN Norman Regional Health System

    Facility Clinical Documentation Specialist RN
    Norman, OK
    • $31.31–$51.14 / hour

    Benefits include medical, dental, vision, short-term disability, long-term disability, life insurance, paid time off (PTO), paid holidays, tuition reimbursement, scholarship opportunities, retirement plans, free parking, and opportunities for advancement. Professional certification in Clinical Documentation, CCDS, CCDS-O or CDIP preferred and/or Professional coding certification, RHIA, RHIT, CCS, CCS-P, COC or CRC preferred.

    3 days ago
    12

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