• Manager, Fraud and Waste

    Humana (Austin, TX)
    …Qualifications** + Certifications (BA, MBA, JD, MSN, Clinical Certifications, CPC, CCS , CFE, AHFI) + Understanding of healthcare industry, claims processing and ... internal investigative process development + Experience in a corporate environment and understanding of business operations **Additional Information - How we Value You** + Benefits starting day 1 of employment + Competitive 401k match + Generous Paid Time Off… more
    Humana (09/24/25)
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  • Inpatient Medical Coding Auditor

    Humana (Austin, TX)
    …needs. **Required Qualifications | What it takes to Succeed** * RHIA, RHIT or CCS Certification (should have held at least one of these qualifications for 4 years) ... * MS-DRG coding/auditing experience * Experience reading and interpreting claims * Experience in performing inpatient coding reviews/ audits in health insurance and/or hospital settings * Working knowledge of Microsoft Office Programs Word, PowerPoint, and… more
    Humana (09/24/25)
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  • Coder 2 MMG - OB/GYN Coder

    Methodist Health System (Dallas, TX)
    …Core coding certification credential from AAPC or AHIMA: CPC, CCS -P required; COBGC preferred **Skills, Credentials, Professional Qualifications** High school ... diploma or equivalent; Associate degree is an asset A minimum of two years of professional coding experience **or** one year of professional coding experience and two years of HCC experience; demonstrated experience in procedural/surgical coding Strong… more
    Methodist Health System (09/24/25)
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  • Inpatient Medical Coding Auditor

    Cognizant (Austin, TX)
    …be clear about role expectations. **What you need to have to be considered** + CCS , RHIT or RHIA (AHIMA) certification + APR DRG experience + Minimum of five years ... of facility-based auditing experience with an additional two years of coding experience or ten years of coding experience + Knowledge of Federal, state and payer regulations + Capable of interpreting medical records reports and chart entries + Able to work… more
    Cognizant (09/23/25)
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  • Cardiovascular Data Abstractor

    HCA Healthcare (San Antonio, TX)
    …of a certified coding or nursing program strongly preferred + RHIT, RHIA, CCS certification strongly preferred + LVN or RN preferred + Undergraduate degree in ... a healthcare related field required. Extensive experience (5 years or more) may be considered in lieu of formal education. **Parallon** provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services… more
    HCA Healthcare (09/23/25)
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  • Clinical Documentation Specialist

    University of Texas Rio Grande Valley (Harlingen, TX)
    …American Academy Professional Coders ( AAPC ), Certified Coding Specialist - P ( CCS - P) from the American Health Information Management Association ( AHIMA ), ... Registered Health Information Technician ( RHIT ) from the American Health Information Management Association ( AHIMA ), Registered Health Information Administrator ( RHIA ) from the American Health Information Management Association ( AHIMA ), or Current… more
    University of Texas Rio Grande Valley (09/23/25)
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  • Education & Quality Coding Analyst- Remote Days

    Texas Health Resources (Arlington, TX)
    …or RHIT - Registered Health Information Technician 12 months **REQUIRED** or CCS - Certified Coding Specialist 12 months **REQUIRED** COC (Certified Outpatient ... Coder) 12 months **REQUIRED** **Skills** Proficient in software applications (Excel, Word, Optum CAC, EPIC). Thorough knowledge of ICD-10-CM, PCS and CPT-4. Expert in coding convention/automated encoder (knowledge management of NCCI/OCE billing edits).… more
    Texas Health Resources (09/20/25)
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  • Supervisor, HCC Risk Adjustment Coding - Remote

    Datavant (Austin, TX)
    …**What you will bring to the table:** + AHIMA certified credentials (RHIA, RHIT, CCS ) or AAPC certified credentials (CPC, CPC-H, COC, CIC, CRC) + Extensive knowledge ... of ICD -9/10 + 2 years coding experience, required. + People Leader experience managing a team of employees. + Familiarity with HCC coding. + A strong knowledge base of medical terminology, medical abbreviations, pharmacology and disease processes. + Ability… more
    Datavant (09/20/25)
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  • Coding Auditor Educator-Inpatient

    Highmark Health (Austin, TX)
    …Outpatient): Registered Health Information Technician (RHIT), Certified Coding Specialist ( CCS ) + AAPC Credentials (Outpatient): Certified Professional Coder (CPC), ... Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or physician coding and/or auditing, as well as, education techniques and methods. (Internal transfer and promotion candidates may have a minimum of 3 years… more
    Highmark Health (09/20/25)
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  • Director of Revenue Integrity

    UTMB Health (Galveston, TX)
    …+ Advanced certification including butnotlimited to: Certified Coding Specialist ( CCS ), Certified Coding Associate (CCA), Registered Health Information Technician ... (RHIT), Registered Health Information Administrator (RHIA). **Preferred Qualifications:** + Master's Degree in Business, Finance, Accounting, and or Health Care Administration. + Experience in billing/coding, collections, claims, and quality and integrity… more
    UTMB Health (09/19/25)
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