• Coding Auditor Educator

    Highmark Health (Austin, TX)
    …Technician (RHIT), Certified Coding Specialist (CCS) + AAPC Credentials (Outpatient): Certified Professional Coder (CPC), Certified Outpatient ... records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and...Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital… more
    Highmark Health (08/08/25)
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  • Clinical Documentation Specialist

    University of Texas Rio Grande Valley (Harlingen, TX)
    …from an accredited University. Preferred Education None. Licenses/Certifications One of the following: Certified Professional Coder ( CPC ) from American ... Nursing License (RN) will be required after 6 months of employment. Preferred: Certified Professional Medical Auditor ( CPMA ) from American Academy … more
    University of Texas Rio Grande Valley (06/25/25)
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  • Medical Claim Review Nurse (RN)

    Molina Healthcare (San Antonio, TX)
    Certified Clinical Coder , Certified Medical Audit Specialists, Certified Case Manager , Certified Professional Healthcare Management, ... 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 (08/08/25)
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  • Manager Revenue Cycle - Self-pay Collections

    Houston Methodist (Katy, TX)
    …CERTIFICATIONS - REQUIRED** + N/A **LICENSES AND CERTIFICATIONS - PREFERRED** + CPC - Certified Professional Coder (AAPC) -- or equivalent if overseeing ... to include but not limited to: medical coding, insurance billing , collections, patient account resolution, appeals/denials, customer service, cash applications,… more
    Houston Methodist (07/31/25)
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  • Revenue Integrity Educator II (contract)

    Robert Half Management Resources (Dallas, TX)
    …sessions Stay current on coding guidelines and healthcare regulations Required Qualifications: Certified Professional Coder (CPC) credential Minimum of 10 ... preferred Preferred Systems Experience: Epic MD Audit (preferred, but not required) Requirements Certified Professional Coder (CPC) credential Minimum of 10… more
    Robert Half Management Resources (07/18/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Grand Prairie, TX)
    …Clinical Documentation Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding ... recognizing aberrant coding and documentation patterns such as inappropriate billing for readmissions, inpatient admission status, and Hospital-Acquired Conditions… more
    Elevance Health (08/09/25)
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  • DRG Coding Auditor

    Elevance Health (Grand Prairie, TX)
    …Technician and/or CCS as a Certified Coding Specialist and/or CIC as a Certified Inpatient Coder . + Requires 5 years of experience working with ICD-9/10CM, ... quality assurance environment preferred. + Broad knowledge of medical claims billing /payment systems provider billing guidelines, payer reimbursement policies, … more
    Elevance Health (07/22/25)
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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 ... Coding Director will serve as the strategic and operational leader for professional coding services across a multi-specialty physician group within an academic… more
    Houston Methodist (08/11/25)
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  • Coding Charges & Denials Specialist - (Telecommute…

    Houston Methodist (Houston, TX)
    …+ * CCS - Certified Coding Specialist (AHIMA) + * CPC - Certified Professional Coder (AAPC) **KNOWLEDGE, SKILLS, AND ABILITIES** + Demonstrates the ... monthly billing staff meetings as appropriate. + Pursues ongoing professional growth and development to maintain coding certification while remaining current on… more
    Houston Methodist (07/18/25)
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  • 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 (07/01/25)
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