Certified Professional Coder Jobs

Certified Professional Coder, Special Investigations Unit (Aetna SIU) — 48 Locations. Apply via Workday.

Become a part of our caring community The Medical Coding Educator 2 identifies opportunities to improve provider documentation and creates an education plan tailored to each assigned provider. You will report to the Manager, Medicare Risk Adjustment. As the Medical Coding Educator 2 you will Arrange educational sessions with assigned providers aimed at quality of care and documentation improvements. Identify educational needs based on reports Prepare comprehensive reports and presentations on coding quality trends, risk areas, and educational outcomes using data visualization techniques. Provider onsite education Collaboration with other market provider facing role Use data analytics tools to assess coding quality, identify error patterns, and monitor compliance with internal and external standards. Analyze coding audit results and other relevant data to develop data-driven educational materials and interventions. Work with teams to improve documentation, data integrity, and workflow processes Use your skills to make an impact Required Qualifications AHIMA or AAPC CPC (Certified Professional Coder) Certification 3 or more years of medical coding education or auditing in a healthcare setting experience Proficiency with data analytics tools (such as Excel, Power BI, or similar) and experience interpreting large data sets Demonstrated knowledge of healthcare risk adjustment, including HCC coding and CMS-HCC model version 28. Experience speaking with leadership, webinars public speaking or presentation skills with healthcare providers Live in NC, SC, GA, VA or TN Preferred Qualifications Bachelor's Degree Value-based care Primary care Medicare Risk Adjustment kn

Job Summary: We are seeking an experienced and highly analytical professional to join our Internal Audit team. This role is critical in providing independent assurance, enhancing the control environment, and leveraging data analytics to identify anomalies, control gaps, and potential fraud risks. The ideal candidate will have a strong background in internal audit, forensic investigations, and data analytics with extensive exposure to fintech or large service-based organizations. Key Responsibilities:  Lead and execute risk-based internal audits, including operational, financial, and compliance reviews.  Design and implement data analytics frameworks and continuous auditing techniques to enhance audit efficiency and coverage.  Conduct forensic reviews and investigations into suspected fraud, misconduct, or control failures.  Collaborate with cross-functional teams to understand key business processes and identify risks and controls.  Develop automated dashboards and data-driven tools to monitor key risk indicators and red flags.  Report audit findings to senior management and stakeholders with actionable recommendations.  Oversee documentation of working papers, audit procedures, and evidence in line with professional standards.  Mentor junior audit staff and build analytics capability within the team.  Liaise with external auditors, regulators (as needed) on investigations or audits.  Monitor regulatory and industry developments to ensure audit approaches are up to date. Required Qualifications ; Skills:  Chartered Accountant (CA), Certified Internal Auditor (CIA), or Certified Fraud Examiner (CFE) preferred.  2–7 years of relevant experience in internal audit, forensic investigations, or risk advisory in a fintech, BFSI, or large service industry setup.  Strong command of data analytics tools (e.g., SQL, ACL, IDEA, Power BI, Python, R).  Proficient in audit management systems and GRC platforms.  Exceptional analytical, investigative, and report-w

About Mixpanel Mixpanel is the leading product intelligence and analytics platform, trusted by more than 29,000 companies to help understand how people use the products they build. By combining powerful analytics with AI that knows your business, Mixpanel helps teams see what’s working, diagnose what’s not, and decide what to build next. Learn more at mixpanel.com . About the Team The Partnerships team at Mixpanel is responsible for acquiring, activating, and growing a global ecosystem of Certified, Sales, Reseller, Agency, Consulting, System Integrator, and Technology Partners. We help extend Mixpanel’s reach by building partner motions that create new pipeline, accelerate deal cycles, improve customer outcomes, and allow Mixpanel’s go-to-market teams to scale more effectively. Our goal is to make Mixpanel the go-to product intelligence platform for partners and customers across APAC and globally. This is a highly cross-functional team that works closely with Sales, Marketing, Solutions Engineering, Customer Success, Professional Services, Enablement, Deal Desk, and regional leadership to turn partner relationships into measurable business impact. About the Role Mixpanel is in a stage of high growth, and partnerships are a critical lever in how we multiply pipeline, expand regional coverage, and scale revenue across APAC. This is not a passive partner management role — it is a commercial, builder’s position at the centre of that motion. As Partner Sales Manager, Australia, you will report directly to the Senior Manager, Channel & Alliances, APAC, and will own and grow our Solution Partner and Channel ecosystem across Australia and New Zealand. You will be responsible for recruiting the right organisations, enabling their teams, driving account alignment, creating joint go-to-market plans, and generating partner-sourced and partner-influenced pipeline. You will work closely with regional Account Executives and Sales leadership to embed partners into target accou

About Mixpanel Mixpanel is the leading product intelligence and analytics platform, trusted by more than 29,000 companies to help understand how people use the products they build. By combining powerful analytics with AI that knows your business, Mixpanel helps teams see what’s working, diagnose what’s not, and decide what to build next. Learn more at mixpanel.com . About the Team The Partnerships team at Mixpanel is responsible for acquiring, activating, and growing a global ecosystem of Certified, Sales, Reseller, Agency, Consulting, System Integrator, and Technology Partners. We help extend Mixpanel’s reach by building partner motions that create new pipeline, accelerate deal cycles, improve customer outcomes, and allow Mixpanel’s go-to-market teams to scale more effectively. Our goal is to make Mixpanel the go-to product intelligence platform for partners and customers across APAC and globally. This is a highly cross-functional team that works closely with Sales, Marketing, Solutions Engineering, Customer Success, Professional Services, Enablement, Deal Desk, and regional leadership to turn partner relationships into measurable business impact. About the Role Mixpanel is in a stage of high growth, and partnerships are a critical lever in how we multiply pipeline, expand regional coverage, and scale revenue across APAC. This is not a passive partner management role — it is a commercial, builder’s position at the centre of that motion. As Partner Sales Manager, SEA and India, you will report directly to the Senior Manager, Channel & Alliances, APAC, and will own and grow our Solution Partner and Channel ecosystem across South East Asia and India. You will be responsible for recruiting the right organisations, enabling their teams, driving account alignment, creating joint go-to-market plans, and generating partner-sourced and partner-influenced pipeline. You will work closely with regional Account Executives and Sales leadership to embed partners into target a

About Mixpanel Mixpanel is the leading product intelligence and analytics platform, trusted by more than 29,000 companies to help understand how people use the products they build. By combining powerful analytics with AI that knows your business, Mixpanel helps teams see what’s working, diagnose what’s not, and decide what to build next. Learn more at mixpanel.com . About the Team The Partnerships team at Mixpanel is responsible for acquiring, activating, and growing a global ecosystem of Certified, Sales, Reseller, Agency, Consulting, System Integrator, and Technology Partners. We help extend Mixpanel’s reach by building partner motions that create new pipeline, accelerate deal cycles, improve customer outcomes, and allow Mixpanel’s go-to-market teams to scale more effectively. Our goal is to make Mixpanel the go-to product intelligence platform for partners and customers across APAC and globally. This is a highly cross-functional team that works closely with Sales, Marketing, Solutions Engineering, Customer Success, Professional Services, Enablement, Deal Desk, and regional leadership to turn partner relationships into measurable business impact. About the Role Mixpanel is in a stage of high growth, and partnerships are a critical lever in how we multiply pipeline, expand regional coverage, and scale revenue across APAC. This is not a passive partner management role — it is a commercial, builder’s position at the centre of that motion. As Partner Sales Manager, Japan and South Korea, you will report directly to the Senior Manager, Channel & Alliances, APAC, and will own and grow our Solution Partner and Channel ecosystem across Japan and Korea. You will be responsible for recruiting the right organisations, enabling their teams, driving account alignment, creating joint go-to-market plans, and generating partner-sourced and partner-influenced pipeline. You will work closely with regional Account Executives and Sales leadership to embed partners into target acc

Who Are We? Postman is the world’s leading API platform, used by more than 45 million+ developers and 500,000 organizations, including 98% of the Fortune 500. Postman is helping developers and professionals across the globe build the API-first world by simplifying each step of the API lifecycle and streamlining collaboration—enabling users to create better APIs, faster. The company is headquartered in San Francisco and has offices in Boston, New York, Austin, Tokyo, London, and Bangalore - where Postman was founded. Postman is privately held, with funding from Battery Ventures, BOND, Coatue, CRV, Insight Partners, and Nexus Venture Partners. Learn more at postman.com or connect with Postman on X via @getpostman. P.S: We highly recommend reading The "API-First World" graphic novel to understand the bigger picture and our vision at Postman. What You’ll Do Regional & Executive Leadership Own the overall Americas Channel Sales strategy, operating model, and results across Enterprise West, Enterprise East, LATAM, and Federal/SLED. Build, lead, and scale the Americas channel team hiring, developing, and retaining 4-5 regional channel ICs plus evolving Americas-wide scope. Establish clear priorities, coverage models, KPIs, and operating rhythms aligned to global Postman objectives. Act as the senior leader and voice for Americas Channel within Postman. Partner Ecosystem Strategy Define and execute the Americas partner strategy across SIs, resellers, distributors, and technology alliances. Build a scalable, services-capable partner ecosystem (WWT, SHI, CDW, Insight, SoftwareONE, Carahsoft, plus FSIs BAH, Deloitte Federal, Accenture Federal Services, Leidos, SAIC, CGI Federal, GDIT, CACI plus LATAM partners including Caylent, Mission Cloud, and regional SIs). Ensure partners are enabled, certified, and accountable for sourcing, selling, and delivering Postman Enterprise. Revenue & Pipeline Ownership Own partner-sourced and partner-influenced pipeline and revenue acro

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary The Waste & Error Certified Coding Manager is responsible for leading the Certified Coding Analyst and W&E Team Lead roles that conduct medical claim reviews and coding audits to identify billing errors, waste, abuse, fraud, and payment integrity opportunities. The Manager provides direct people leadership, establishes operational priorities, ensures consistent application of coding and billing requirements, and is accountable for team productivity, quality, service levels, compliance, and employee development. This role partners closely with the W&E team lead, who provides day-to-day technical guidance and subject matter support to the coding team. The Manager retains accountability for staffing, performance management, workload oversight, escalations, audit readiness, process improvement, and delivery of business outcomes. The position also represents the team in discussions with senior leadership, Medical Directors, Legal, Compliance, Analytics, Operations, and other Payment Integrity partners. Primary Responsibilities People Leadership & Team Development Lead, coach, and develop a team of Certified Coding Analysts and Senior Certified Coding Analysts. Establish clear role expectations, performance goals, productivity standards, quality requirements, and accountability measures. Conduct regular perfor

Responsibility Partner with Product / Business / Tech owners and Design & Operation Leaders in understanding long-term capabilities / initiatives that need to be managed in-line with the Organizational strategic choices Review the business case and Own E2E (starting with solutioning till go-live) execution of one or more top level key strategic initiatives on need basis partnering with senior leadership team Besides managing and executing Strategic Programs, need to drive the Strategy Setting & Review exercises like OKR Finalisation, Quarterly/Monthly OKR Reviews Skills/Competencies required Education - B.Tech/B.E, MBA , PMP Certified Understanding of eCommerce industry and hands-on experience in driving complex strategic initiatives 7-10 Years of seasoned experience professional in project/ program management, preferable in supply chain, e-commerce business domains. Strong people skills: ability to influence people, negotiate and be unflustered in crucial conversations Strong affinity for data-based decision-making; adept at designing useful measurements Ability to thrive in an evolving/ambiguous environment and ability to deal with lack of clarity and vagueness Experience in partnering with Senior Leadership & driving Strategic Initiatives Good understanding of SDLC methodologies, in particular Agile methodologies and a know-how in adapting them

About the team Program Management is a sub-function under Strategy function and is responsible to drive large, complex, multi-phased, multi-year Strategic Initiatives that helps to deliver Product/Tech. and Business Operations Capabilities that are identified by Myntra Leadership as part of Quarterly OKR process. Strategic Program Management acts as an enabler by playing a critical role in initiation of programs(defining, structuring and building a deliverable based plan) & leading cross-functional teams to focus on outcomes that meet strategic objectives. Team receives broad guidance from top management and requires a high level of problem solving ability in an ambiguous environment with-in Myntra & Flipkart Group companies (Fk, CLeartrip, Health+, Externalization etc.) Responsibility Partner with Product / Business / Tech owners and Design & Operation Leaders in understanding long-term capabilities / initiatives that need to be managed in-line with the Organizational strategic choices Review the business case and Own E2E (starting with solutioning till go-live) execution of one or more top level key strategic initiatives on need basis partnering with senior leadership team Besides managing and executing Strategic Programs, need to drive the Strategy Setting & Review exercises like OKR Finalisation, Quarterly/Monthly OKR Reviews Skills/Competencies required Education - B.Tech/B.E, MBA , PMP Certified Understanding of eCommerce industry and hands-on experience in driving complex strategic initiatives 7-10 Years of seasoned experience professional in project/ program management, preferable in supply chain, e-commerce business domains. Strong people skills: ability to influence people, negotiate and be unflustered in crucial conversations Strong affinity for data-based decision-making; adept at designing useful measurements Ability to thrive in an evolving/ambiguous environment and ability to deal with lac

Responsibility Partner with Product / Business / Tech owners and Design & Operation Leaders in understanding long-term capabilities / initiatives that need to be managed in-line with the Organizational strategic choices Review the business case and Own E2E (starting with solutioning till go-live) execution of one or more top level key strategic initiatives on need basis partnering with senior leadership team Besides managing and executing Strategic Programs, need to drive the Strategy Setting & Review exercises like OKR Finalisation, Quarterly/Monthly OKR Reviews Skills/Competencies required Education - B.Tech/B.E, MBA , PMP Certified Understanding of eCommerce industry and hands-on experience in driving complex strategic initiatives 7-10 Years of seasoned experience professional in project/ program management, preferable in supply chain, e-commerce business domains. Strong people skills: ability to influence people, negotiate and be unflustered in crucial conversations Strong affinity for data-based decision-making; adept at designing useful measurements Ability to thrive in an evolving/ambiguous environment and ability to deal with lack of clarity and vagueness Experience in partnering with Senior Leadership & driving Strategic Initiatives Good understanding of SDLC methodologies, in particular Agile methodologies and a know-how in adapting them

Responsibility Partner with Product / Business / Tech owners and Design & Operation Leaders in understanding long-term capabilities / initiatives that need to be managed in-line with the Organizational strategic choices Review the business case and Own E2E (starting with solutioning till go-live) execution of one or more top level key strategic initiatives on need basis partnering with senior leadership team Besides managing and executing Strategic Programs, need to drive the Strategy Setting & Review exercises like OKR Finalisation, Quarterly/Monthly OKR Reviews Skills/Competencies required Education - B.Tech/B.E, MBA , PMP Certified Understanding of eCommerce industry and hands-on experience in driving complex strategic initiatives 7-10 Years of seasoned experience professional in project/ program management, preferable in supply chain, e-commerce business domains. Strong people skills: ability to influence people, negotiate and be unflustered in crucial conversations Strong affinity for data-based decision-making; adept at designing useful measurements Ability to thrive in an evolving/ambiguous environment and ability to deal with lack of clarity and vagueness Experience in partnering with Senior Leadership & driving Strategic Initiatives Good understanding of SDLC methodologies, in particular Agile methodologies and a know-how in adapting them

Responsibility Partner with Product / Business / Tech owners and Design & Operation Leaders in understanding long-term capabilities / initiatives that need to be managed in-line with the Organizational strategic choices Review the business case and Own E2E (starting with solutioning till go-live) execution of one or more top level key strategic initiatives on need basis partnering with senior leadership team Besides managing and executing Strategic Programs, need to drive the Strategy Setting & Review exercises like OKR Finalisation, Quarterly/Monthly OKR Reviews Skills/Competencies required Education - B.Tech/B.E, MBA , PMP Certified Understanding of eCommerce industry and hands-on experience in driving complex strategic initiatives 7-10 Years of seasoned experience professional in project/ program management, preferable in supply chain, e-commerce business domains. Strong people skills: ability to influence people, negotiate and be unflustered in crucial conversations Strong affinity for data-based decision-making; adept at designing useful measurements Ability to thrive in an evolving/ambiguous environment and ability to deal with lack of clarity and vagueness Experience in partnering with Senior Leadership & driving Strategic Initiatives Good understanding of SDLC methodologies, in particular Agile methodologies and a know-how in adapting them

Responsibility Partner with Product / Business / Tech owners and Design & Operation Leaders in understanding long-term capabilities / initiatives that need to be managed in-line with the Organizational strategic choices Review the business case and Own E2E (starting with solutioning till go-live) execution of one or more top level key strategic initiatives on need basis partnering with senior leadership team Besides managing and executing Strategic Programs, need to drive the Strategy Setting & Review exercises like OKR Finalisation, Quarterly/Monthly OKR Reviews Skills/Competencies required Education - B.Tech/B.E, MBA , PMP Certified Understanding of eCommerce industry and hands-on experience in driving complex strategic initiatives 7-10 Years of seasoned experience professional in project/ program management, preferable in supply chain, e-commerce business domains. Strong people skills: ability to influence people, negotiate and be unflustered in crucial conversations Strong affinity for data-based decision-making; adept at designing useful measurements Ability to thrive in an evolving/ambiguous environment and ability to deal with lack of clarity and vagueness Experience in partnering with Senior Leadership & driving Strategic Initiatives Good understanding of SDLC methodologies, in particular Agile methodologies and a know-how in adapting them

About Artefact Artefact is a next-generation data and AI consulting firm dedicated to accelerating the adoption of data and AI to create measurable business impact across the full enterprise value chain. We sit at the intersection of consulting, data science, AI technologies, data engineering, and digital transformation. We do not just advise — we build, implement, and deliver results our clients can measure. Our teams bring together consultants, data scientists, data engineers, AI engineers, analysts, and digital experts to solve complex business challenges with pragmatic, production-ready solutions. As Artefact continues to grow globally, we are building a team of entrepreneurial data and AI talent who can help clients move beyond experimentation and into scalable, governed, value-generating AI adoption. The Role Artefact is looking for a Senior Deployed AI Engineer specialized in Gemini Enterprise and the Google AI stack: an engineer who works embedded with our clients and takes AI products from idea to production. You will design and build the interfaces, services, and agentic systems at the heart of our client work, such as conversational applications over enterprise data, multi-step agents that automate business workflows, and the retrieval and data pipelines that support them. You will own your components end to end: the front end, the service behind it, the data and retrieval pipelines feeding it, the deployment, and the evaluations proving it works. This role combines deep, certified expertise in Google's enterprise AI stack (Gemini models, Vertex AI, and the Gemini Enterprise agent platform) with the ability to deliver end to end. Beyond your platform specialization, you will be expected to work confidently across the full delivery lifecycle — full-stack development, data engineering, cloud infrastructure, evaluation, and client communication. You will work closely with our clients, with direct exposure from the start, and you will support the professional