• Medical Claim Review Nurse (RN)

    Molina Healthcare (San Antonio, TX)
    …Nursing. Billing and coding experience. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Certified Clinical Coder , Certified Medical Audit Specialists, ... necessity and appropriate level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding regulations, and Molina policies; validates the medical… more
    Molina Healthcare (09/06/25)
    - Related Jobs

  • Clinical Documentation Specialist

    University of Texas Rio Grande Valley (Harlingen, TX)
    …an accredited University. Preferred Education None. Licenses/Certifications One of the following: Certified Professional Coder ( CPC ) from American Academy ... rendered to patients. * Conducts complex reviews of physician/provider billing compliance activities in accordance with applicable laws, regulations,...Professional Coders ( AAPC ), Certified Coding Specialist - P ( CCS - P)… more
    University of Texas Rio Grande Valley (09/23/25)
    - Related Jobs

  • Supervisor, Coding

    Baylor Scott & White Health (Austin, TX)
    …(CCS), or + Certified Coding Specialist-Physician Based (CCS-P), or + Certified Professional Coder (CPC), or + Reg Health Info Administrator (RHIA), ... to meet daily un-coded accounts receivable. + Is a resource for resolving billing edits using the National Correct Coding Initiative and Local and National Coverage… more
    Baylor Scott & White Health (09/10/25)
    - Related Jobs

  • Medical Coding Auditor

    Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
    …CPC (CertifiedProfessional Coder ), CCS ( Certified Coding Specialist), or CBCS ( Certified Billing and Coding Specialist) **Does this position work in a ... Auditor Manager + Participate in the development of coding and billing strategies, evaluating processes related to Revenue Cycle andmaking recommendations while… more
    Texas Tech University Health Sciences Center - El Paso (10/01/25)
    - Related Jobs

  • 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 ... FUNCTIONS** + Provides education to revenue cycle team and attends monthly billing staff meetings as appropriate. + Pursues ongoing professional growth and… more
    Houston Methodist (09/12/25)
    - Related Jobs

  • Education & Quality Coding Analyst- Remote Days

    Texas Health Resources (Arlington, TX)
    …or CCS - Certified Coding Specialist 12 months **REQUIRED** COC ( Certified Outpatient Coder ) 12 months **REQUIRED** **Skills** Proficient in software ... CPT-4. Expert in coding convention/automated encoder (knowledge management of NCCI/OCE billing edits). Knowledgeable in APC and DRG methodologies and all… more
    Texas Health Resources (09/20/25)
    - Related Jobs

  • Coding Educator FT-Katy CC (Hybrid)

    Houston Methodist (Houston, TX)
    …CPC from AAPC is required **LICENSES AND CERTIFICATIONS - PREFERRED** + CPC-I - Certified Professional Coder Instructor (AAPC) -- (CBO Coders only) **OR** + CPMA ... pre-billed claim edits to ensure complaint coding, charting and billing . **GROWTH/INNOVATION ESSENTIAL FUNCTIONS** + Designs, implements, and monitors...- Certified Professional Medical Auditor (AAPC) -- (CBO Coders only)… more
    Houston Methodist (07/23/25)
    - Related Jobs

  • Senior Analyst, Encounters

    Molina Healthcare (Austin, TX)
    …management throughout multiple organizations **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION** : + Certified Professional Coder (CPC) To all current Molina ... GED **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : + 5-7 years of experience in billing , claims, encounters, and data analysis + 5 years or more of managed… more
    Molina Healthcare (09/24/25)
    - Related Jobs