• Clinical Fraud Investigator II

    Elevance Health (Grand Prairie, TX)
    …Requirements:** + Requires an Associate Degree in Nursing and/or current certification as a Certified Professional Coder (AAPC or AHIMA) and minimum of 4 years ... ** Clinical Fraud Investigator II** **Location** : _Hybrid1:_ This...and adaptable workplace. Alternate locations may be considered. The ** Clinical Fraud Investigator II** is responsible for identifying issues… more
    Elevance Health (06/24/25)
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  • Clinical Quality LPN

    Adecco US, Inc. (San Antonio, TX)
    …. Two or more years of experience with data analysis/quality chart reviews. . Certified Professional Coder is preferred **Why work for Adecco?** Weekly Pay ... Adecco Healthcare & Life Sciences is hiring a Clinical Quality LPN in San Antonio, Texas! This...**Pay:** $32.50 to $34.50 an hour **Responsibilities of the Clinical Quality LPN** . Receive medical records directly to… more
    Adecco US, Inc. (05/09/25)
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  • Facility Coding Inpatient DRG Quality

    Banner Health (TX)
    …responsible coding experience required. Requires Certified Coding Specialist (CCS) or Certified Inpatient Coder (CIC) or Certified Professional Coder ... (CPC) or Certified Outpatient Coder (COC) or Certified Coding Specialist-Physician (CCS-P) or Registered Health Information Technologist (RHIT) or Registered… more
    Banner Health (06/15/25)
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  • Senior Compliance Coding Analyst - Audit…

    Houston Methodist (Houston, TX)
    …in teaching environment preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + CPC - Certified Professional Coder (AAPC) **OR** + RHIA - Registered Health ... Coding Specialist Physician-based (AHIMA) **OR** + CPC-H - Certified Professional Coder - Hospital (AAPC) **OR**...Group enables physicians to maintain autonomy with respect to clinical practice while growing their practice within an academic… more
    Houston Methodist (05/30/25)
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  • Regional Coding Operations Manager WFH

    HCA Healthcare (Dallas, TX)
    …Health Information Management Association) or AAPC's (American Academy of Professional Coders) Certified Professional Coder (CPC(R)) credential or Certified ... Professional Coder - Hospital (CPC-H(R)) or Certified Risk Adjustment Coder (CRC) EXPERIENCE: + Experience with Cerner and eClinicalWorks (eCW) is strongly… more
    HCA Healthcare (06/21/25)
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  • Coding Auditor Educator

    Highmark Health (Austin, TX)
    …Technician (RHIT), Certified Coding Specialist (CCS) + AAPC Credentials (Outpatient): Certified Professional Coder (CPC), Certified Outpatient Coder ... and disease processes as it relates to the DRG/APC and other clinical data quality management factors. With technical direction and assistance from management,… more
    Highmark Health (05/09/25)
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  • Coding Quality Auditor

    Houston Methodist (Houston, TX)
    …Specialist Physician-based (AHIMA) -- For professional fee coding **OR** + CPC - Certified Professional Coder (AAPC) -- For professional fee coding **LICENSES ... good feedback during coding section meetings, coding education in-services, and coder /CDMP meetings. Takes initiative to assist others and shares knowledge with… more
    Houston Methodist (04/12/25)
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  • HCC Coding Compliance Assistant

    Kelsey-Seybold Clinic (Pearland, TX)
    …HEDIS experience **License(s)** Required: CCS-P ( Certified Coding Specialist-Physician) or CPC ( Certified Professional Coder ) or CPC-A or CRC ( Certified ... providing quality patient care by adding to our team of clinical and non- clinical professionals that work together in a convenient, coordinated, and… more
    Kelsey-Seybold Clinic (04/23/25)
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  • Coding Charges & Denials Specialist - (Telecommute…

    Houston Methodist (Houston, TX)
    …receivable follow up experience preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + CPC - Certified Professional Coder (AAPC) **OR** + CCS - Certified ... & Denials Specialist is responsible for coordinating and monitoring the coding-specific clinical charges and denial management and appeals process in a collaborative… more
    Houston Methodist (06/13/25)
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  • Manager, DRG Coding & Validation (RN) Remote

    Molina Healthcare (Fort Worth, TX)
    …Registered Nurse (RN) license and Certified Coding Specialist (CCS), (CIC), Certified Professional Coder (CPC) License in good standing and certification ... **Job Description** **Job Summary** The Manager, Clinical DRG Coding & Validation must have an...Certification, Association** Active, unrestricted State Registered Nursing (RN) and Certified Coding Specialist (CCS) or (CIC) License in good… more
    Molina Healthcare (06/14/25)
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