• Clinical Coding and OASIS Review Manager

    BAYADA Home Health Care (Austin, TX)
    …OASIS Review, Utilization Review, Quality Assurance, Remote, Home Health Coding, Coder , Medicare **As an accredited, regulated, certified , and licensed ... and ICD 10 coding while using the Medicare PDGM billing model and CMS guidelines. + Review and communicate...customer service/education and act as a resource to Medicare Certified Offices with regards to CMS guidelines, Home Care… more
    BAYADA Home Health Care (05/17/25)
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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 ... FUNCTIONS** + Provides education to revenue cycle team and attends monthly billing staff meetings as appropriate. + Pursues ongoing professional growth and… more
    Houston Methodist (06/13/25)
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  • Director Coding - Revenue Cycle - (Museum…

    Houston Methodist (Houston, TX)
    …RHIT - Certified Health Information Technician (AHIMA) **OR** + CPC - Certified Professional Coder (AAPC) -- when in the Ambulatory setting **KNOWLEDGE, ... coding and abstracting meets the established timeframes for hospital billing needs and data collection. **GROWTH/INNOVATION ESSENTIAL FUNCTIONS** + Identifies… more
    Houston Methodist (05/13/25)
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  • Revenue Integrity Analyst II

    Intermountain Health (Austin, TX)
    **Job Description:** This position is responsible for billing , follow-up, and resolving issues that delay or prevent payment of the patient's account within ... years of prior experience leading others or leading project or programs. Certified Revenue Cycle Representative (CRCR) Certification completed within 3 months of… more
    Intermountain Health (06/27/25)
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  • 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 (06/19/25)
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  • 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 ... identified providers as warranted. + Examines claims for compliance with relevant billing and processing guidelines and to identify opportunities for fraud and abuse… more
    Elevance Health (06/24/25)
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