• Specialist, Appeals & Grievances

    Molina Healthcare (TX)
    …setting. * Completion of a health care related vocational program in health care (ie, certified coder , billing, or medical assistant). To all current Molina ... **Provider No Surprise Act** cases outcomes. . * Requests and reviews medical records, notes, and/or detailed bills as appropriate; formulates conclusions per… more
    Molina Healthcare (11/09/25)
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  • RN UM Clinical Appeals Nurse Remote

    Molina Healthcare (Austin, TX)
    …software program(s) proficiency. **Preferred Qualifications** * Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), ... Central time Remote position **Essential Job Duties** * Performs clinical/ medical reviews of previously denied cases in which a... Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM), Certified Professional… more
    Molina Healthcare (11/14/25)
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  • LVN Delegation Oversight Nurse Remote

    Molina Healthcare (TX)
    …software program(s) proficiency. **Preferred Qualifications** + Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), ... Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM) or Certified ...(CCM), Certified Professional Healthcare Management (CPHM) or Certified Professional in Healthcare Quality (CPHQ). To all current… more
    Molina Healthcare (11/13/25)
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  • Senior Compliance Coding Analyst - Business…

    Houston Methodist (Houston, TX)
    …- REQUIRED** + N/A **LICENSES AND CERTIFICATIONS - PREFERRED** + CPC - Certified Professional Coder (AAPC) **OR** + RHIA - Registered Health Information ... Coding Specialist Physician-based (AHIMA) **OR** + CPC-H - Certified Professional Coder - Hospital (AAPC) **OR**...strategy to become one of the nation's leading academic medical centers. Established as a nonprofit corporation certified more
    Houston Methodist (10/23/25)
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  • Coding Team Lead, HCC Risk Adjustment Coding…

    Datavant (Austin, TX)
    …for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to ... Reviews rebuttals submitted by coders. Provides education to the coder if the error is correct or sends the...**What you will bring to the table:** + AHIMA certified credentials (CCS, CCS-P) or AAPC certified more
    Datavant (11/07/25)
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  • Regional Coding Operations Manager WFH

    HCA Healthcare (Houston, 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: +...colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no… more
    HCA Healthcare (10/15/25)
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  • Medical Coding Auditor

    Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
    …or facility medical coding, auditing, or compliance roles + Current CPC ( Certified Profressional Coder ), CCS ( Certified Coding Specialist), or CBCS ( ... **42934BR** **Extended Job Title:** Medical Coding Auditor **Org Level 1:** Texas Tech...Sci Ctr El Paso **Position Description:** Responsible for auditing medical records to ensure accurate coding and compliance with… more
    Texas Tech University Health Sciences Center - El Paso (11/08/25)
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  • Senior Clinical Coding Specialist - OR Surgery

    MD Anderson Cancer Center (Houston, TX)
    Certified Coding Associate American Health Information Management Association (AHIMA). * Certified Coder -AHIMA or AAPC American Academy of Professional Coders ... primary purpose of the Senior Clinical Coding Specialist position is to analyze medical records and abstracts clinical data by assigning codes from patient records… more
    MD Anderson Cancer Center (10/28/25)
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  • Supervisor Medical Coding

    CenterWell (Austin, TX)
    …of billing and coding experience in a health care organization + CPC ( Certified Professional Coder ) Certification required through AAPC or CSS Certification ... community and help us put health first** The Supervisor, Medical Coding extracts clinical information from a variety of... Coding extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and … more
    CenterWell (10/31/25)
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  • Medical Coding Appeals Analyst

    Elevance Health (Grand Prairie, TX)
    …of education and experience, which would provide an equivalent background. Certified Professional Coder (CPC) or Registered Health Information Administrator ... based sponsorship. **Ensures accurate adjudication of claims, by translating medical policies, reimbursement policies, and clinical editing policies into effective… more
    Elevance Health (09/12/25)
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