• Associate Medical Director…

    Sumitomo Pharma (Austin, TX)
    …seeking a dynamic, highly motivated, and experienced individual for the position of ** Associate Medical Director .** The Associate Medical Director ... products. + Conduct safety surveillance over product life cycle, reviewing clinical trial and post-marketing Individual Case Safety Reports (ICSRs), including… more
    Sumitomo Pharma (08/15/25)
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  • Medical Director - Southeast Region

    Humana (Austin, TX)
    …these may require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and ... community and help us put health first** The Medical Director relies on medical background and reviews health claims....is assisted by diverse resources, which may include national clinical guidelines, CMS policies and determinations, clinical … more
    Humana (09/10/25)
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  • Medical Director -Payment Integrity

    Humana (Austin, TX)
    …discussions with an external provider. Some roles include an overview of coding practices and clinical documentation, dispute/grievance and appeals processes, ... of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations… more
    Humana (09/26/25)
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  • Medical Director - Claims Management

    Humana (Austin, TX)
    …may require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, dispute, grievance, and appeals processes, ... Lead Medical Director , depending on the line of business. The Medical Director conducts Utilization Management or clinical validation of the care received by… more
    Humana (09/17/25)
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  • Associate Billing and Collections…

    Covenant Health (Lubbock, TX)
    **Description** Under the direction of the Central Business Office Director and the direct supervision of the Manager and/or Supervisor, the Associate Billing ... and Collections Representative is responsible for ensuring correct coding initiatives are met for clean claim submission and correction of claim billed and collected… more
    Covenant Health (09/24/25)
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  • PRN - Medical Coder/Records Clerk

    Dallas Behavioral Healthcare Hospital (Desoto, TX)
    …consistent with the industry-standard guidelines for CPT, ICD-9 and ICD-10. + Answer coding questions + Review clinical documentation to ensure it meets the ... ethics and customer service standards. Requirements + Education: Certificate or associate 's degree in medical coding /CPC. These additional certifications are… more
    Dallas Behavioral Healthcare Hospital (08/08/25)
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  • Patient Service Coordinator Home Health

    CenterWell (Graham, TX)
    …calls from the field staff and assisting with weekly case conferences. Refers clinical questions to Branch Director as necessary. + Maintains the client ... productivity / geographic issues and forwards schedule to Branch Director for approval prior to distribution to staff. +...internal transfer of patients between branch offices. + If clinical , receives lab reports and assesses for normality, fax… more
    CenterWell (09/04/25)
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  • Primary Care Physician

    CenterWell (San Antonio, TX)
    …expertise with the care team through daily huddles. + Helps Regional Medical Director and Center Administrator in setting a tone of cooperation in practice by ... manner working with a quality- based coder to optimize coding specificity. + Follows policy and protocol defined by... specificity. + Follows policy and protocol defined by Clinical Leadership. + Meets with RMD about quality of… more
    CenterWell (09/29/25)
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  • Primary Care Physician

    CenterWell (San Antonio, TX)
    …expertise with the care team through daily huddles. + Helps Regional Medical Director and Center Administrator in setting a tone of cooperation in practice by ... manner working with a quality- based coder to optimize coding specificity. + Follows policy and protocol defined by... specificity. + Follows policy and protocol defined by Clinical Leadership. + Meets with RMD about quality of… more
    CenterWell (09/26/25)
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  • Nurse Practitioner/Physician Assistant

    CenterWell (Arlington, TX)
    …professional and personal lives. We promote lifelong well-being by giving our associate fresh perspective, new insights, and exciting opportunities to grow their ... care team through daily huddles. . Helps Regional Medical Director (RMD), Physician and Center Administrator in setting a...manner working with a quality- based coder to optimize coding specificity. . Follows policy and protocol defined by… more
    CenterWell (08/15/25)
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