• Health Plan Operations, Payment Integrity Program…

    Molina Healthcare (Dallas, TX)
    …of business. + PMP, Certified Business Analysis Professional (CBAP), or Certified Coding Specialist (CCS) certification. + Project Management Experience. ... payment integrity. + Strong working knowledge of managed care claims coding (Current Procedural Terminology (CPT), International Classification of Diseases (ICD),… more
    Molina Healthcare (08/14/25)
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  • Lead Analyst, Payment Integrity

    Molina Healthcare (Fort Worth, TX)
    …lines of business. + Certified Business Analysis Professional (CBAP), or Certified Coding Specialist (CCS) certification. + Project Management Experience ... payment integrity. + Strong working knowledge of managed care claims coding (Current Procedural Terminology (CPT), International Classification of Diseases (ICD),… more
    Molina Healthcare (08/14/25)
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  • Manager, Clinical Documentation Integrity (CDI)…

    Ascension Health (Austin, TX)
    …/ Certification / Registration: + One or more of the following required: + Certified Coding Specialist (CCS) credentialed from the American Health ... **Details** + **Department: Coding Documentation** + **Schedule: M-F** + **Hospital: Seton...prior to hire date or job transfer date. + Certified Professional Coder (CPC) credentialed from the American Academy… more
    Ascension Health (08/15/25)
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  • RN Home Health Auditor (Remote)

    Elara Caring (Dallas, TX)
    …Nurse in Home Health and/or Hospice with coding experience is preferred + Certified Homecare Coding Specialist (HCS-D) and/or Certified OASIS ... focus for audits will include, but are not limited to eligibility, billing, coding , and clinical documentation. Duties of the Billing Compliance Auditor include but… more
    Elara Caring (08/01/25)
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  • Manager, Risk Adjustment Coding Support

    Evolent (Austin, TX)
    …for the mission. Stay for the culture. **What You'll Be Doing:** **Manager, Coding Support Specialist ** Evolent Care Partners is seeking a Risk Adjustment ... healthcare administration, or a related field. + **Certification in medical coding (CRC- Certified Risk Adjustment Coder) or demonstrated ability.** + 5+ years… more
    Evolent (08/14/25)
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  • Guidehouse Medical Coding Team

    Guidehouse (San Antonio, TX)
    …listed among the 2024 Military Spouse-Friendly Employers and we're Great Places to Work certified . At Guidehouse, coding is more than charts and claims - it's ... **Job Family** **:** General Coding - GMS **Travel Required** **:** None **Clearance...Surgical + ENT (Ear, Nose & Throat) + CDI Specialist roles **We offer:** + Competitive compensation and comprehensive… more
    Guidehouse (08/08/25)
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  • Billing Specialist

    Community Health Systems (Corsicana, TX)
    …+ CPB- Certified Medical Biller issued by AAPC preferred or + Certified Medical Insurance Specialist (CMIS) issued by PMI preferred Equal Employment ... **Job Summary** The Billing Specialist I is responsible for performing insurance claim...works closely with internal teams, including clinic staff and coding professionals, to optimize billing operations and support revenue… more
    Community Health Systems (07/18/25)
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  • AR II Specialist - Hybrid Position

    Methodist Health System (Dallas, TX)
    …**Your Job** : We are seeking an experienced Accounts Receivable II (AR II) Specialist specializing in Professional Billing to join our team at our Central Business ... and resolve no response claims, denied claims, and correspondence. As an AR II Specialist , you will play a crucial role in optimizing revenue flow by effectively… more
    Methodist Health System (08/15/25)
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  • Revenue Cycle Specialist - Plastics…

    Houston Methodist (Houston, TX)
    At Houston Methodist, the Revenue Cycle Specialist is responsible for providing direct and indirect revenue cycle support to the Revenue Cycle Managers. It is ... identified by the Revenue Cycle Managers. In addition, the Revenue Cycle Specialist is responsible for resolving all outstanding third-party primary and secondary… more
    Houston Methodist (08/13/25)
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  • Medical Staff Services Specialist

    Houston Methodist (Nassau Bay, TX)
    …- REQUIRED** + N/A **LICENSES AND CERTIFICATIONS - PREFERRED** + CPCS - Certified Provider Credentialing Specialist (NAMSS) **OR** + CPMSM - Certified ... **Experience / knowledge of Medical Coding is a plus!** At Houston Methodist, the...a plus!** At Houston Methodist, the Medical Staff Services Specialist position provides comprehensive support to the Medical Staff… more
    Houston Methodist (08/08/25)
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