• Clinical Appeals Nurse (RN)

    Molina Healthcare (Houston, TX)
    …Any one or more of the following: + Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager ... compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) performs clinical/ medical reviews of previously denied cases in which a formal… more
    Molina Healthcare (04/17/25)
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  • Delegation Oversight Nurse Remote based in CA…

    Molina Healthcare (TX)
    …**Preferred License, Certification, Association** + Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialists (CMAS) + ... Certified Case Manager (CCM) + Certified Professional Healthcare Management (CPHM) Certified Professional in Health Care Quality (CPHQ) + or other healthcare… more
    Molina Healthcare (04/12/25)
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  • Coding Auditor Educator

    Highmark Health (Austin, TX)
    …(Outpatient): Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years ... factors. With technical direction and assistance from management, designs and implements coder education program, continuing education programs and Medical Staff… more
    Highmark Health (02/07/25)
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  • Clinical Data Abstraction Specialist

    Apex Health Solutions (Houston, TX)
    …experience in a hospital, a physician setting or a Managed Care Organization as a medical coder . Minimum of five (5) years ICD-10 CM coding experience required. ... Data Abstraction Specialist Supervisor: Director, VBC Operations Required License(s)/ Certification(s): Certified Risk Adjustment Coder (CRC), Certified more
    Apex Health Solutions (04/25/25)
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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: +...operations. We are experts in hospitalist integration, and graduate medical education. We lead more than 1,300 physician practices… more
    HCA Healthcare (04/05/25)
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  • Coding Quality Auditor - (Telecommute - Must…

    Houston Methodist (Houston, TX)
    …Specialist Physician-based (AHIMA) -- For professional fee coding **OR** + CPC - Certified Professional Coder (AAPC) -- For professional fee coding **LICENSES ... Houston Methodist's overall strategy to become one of the nation's leading academic medical centers. Established as a nonprofit corporation certified by the… more
    Houston Methodist (04/03/25)
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  • Inpatient / Outpatient Coding Educator - Full Time…

    Texas Health Resources (Arlington, TX)
    …or CCS - Certified Coding Specialist Upon Hire **REQUIRED** or COC - Certified Outpatient Coder Upon Hire **REQUIRED** or CPC - Certified Professional ... Coder Upon Hire **REQUIRED** or CCS-P - Certified Coding Specialist - Physician-based Upon Hire **REQUIRED** or Other CCDS, CDIP Upon Hire **REQUIRED**… more
    Texas Health Resources (04/02/25)
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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 ... team today and changing the way health cares. **Why Kelsey-Seybold Clinic?** + Medical , Vision, and Dental + Tuition Reimbursement + Company Matching 401K + Employee… more
    Kelsey-Seybold Clinic (04/23/25)
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  • Practice Transformation Specialist

    Apex Health Solutions (Houston, TX)
    …five (5) years related experience A license in one of the following is preferred: Certified Risk Adjustment Coder (CRC) Certified Professional Coder ... (eg s clinical implementation, analysis, research, support services, training, medical record retrieval projects). Coach Clinical Practices (75%) Provide customized… more
    Apex Health Solutions (04/12/25)
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  • Coding Apprentice

    Houston Methodist (Houston, TX)
    …CCS-P - Certified Coding Specialist Physician-based (AHIMA) **OR** + CPC - Certified Professional Coder (AAPC) **OR** + Other coding credential by the ... outpatient and/or inpatient setting based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory… more
    Houston Methodist (04/02/25)
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