• Regional Coding Operations Manager WFH

    HCA Healthcare (Dallas, TX)
    …workflow, including but not limited to, practice acquisitions, provider clinical documentation improvement, practice coding processes, and division relationship ... Association) or AAPC's (American Academy of Professional Coders) Certified Professional Coder (CPC(R)) credential or Certified Professional Coder - Hospital… more
    HCA Healthcare (09/27/25)
    - Related Jobs

  • Coding Auditor Educator-Inpatient

    Highmark Health (Austin, TX)
    …and disease processes as it relates to the DRG/APC and other clinical data quality management factors. With technical direction and assistance from management, ... designs and implements coder education program, continuing education programs and Medical Staff...Coding Specialist (CCS) + AAPC Credentials (Outpatient): Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified… more
    Highmark Health (09/20/25)
    - Related Jobs

  • Consultative Coding Professional

    CenterWell (Austin, TX)
    …needed. Follows established guidelines/procedures. **Consultative Coder ** The Consultative Coder provides medical coding expertise to support clinical staff ... and help us put health first** The Medical Coding Professional extracts clinical information from a variety of medical records and assigns appropriate procedural… more
    CenterWell (09/25/25)
    - Related Jobs

  • Coding Quality Auditor

    Houston Methodist (Houston, TX)
    …good feedback during coding section meetings, coding education in-services, and coder /CDMP meetings. Takes initiative to assist others and shares knowledge with ... utilizing the established physician query process. Provides assistance to Clinical Documentation Management Program (CDMP) with appropriate MS-DRG and APR-DRG… more
    Houston Methodist (09/30/25)
    - Related Jobs

  • Coding Data Quality Auditor

    CVS Health (Austin, TX)
    …purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal regulations and ... conditions. + Diagnosis codes must be appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal regulations and… more
    CVS Health (09/27/25)
    - Related Jobs

  • Vendor Resource Management Manager

    HCA Healthcare (El Paso, TX)
    …process issues + Monitors monthly quality scores by vendor and individual coder ; recommends vendor coding personnel to be placed under Quality Improvement Plan ... data quality standards, coding guidelines, company policies and procedures, and clinical /medical resources to assure coding knowledge and skills remain current +… more
    HCA Healthcare (09/27/25)
    - Related Jobs

  • Coding Charges & Denials Specialist - (Telecommute…

    Houston Methodist (Houston, TX)
    …& Denials Specialist is responsible for coordinating and monitoring the coding-specific clinical charges and denial management and appeals process in a collaborative ... environment with revenue cycle management and clinical partners at various Houston Methodist facilities. This position...AND CERTIFICATIONS - REQUIRED** + CPC - Certified Professional Coder (AAPC) **OR** + CCS - Certified Coding Specialist… more
    Houston Methodist (09/12/25)
    - Related Jobs

  • Manager, Risk Adjustment Coding Support

    Evolent (Austin, TX)
    …and that impact the team. Provide individual and team training on clinical documentation requirements, risk adjustment coding guidelines, and updates. + Oversee and ... ensuring accurate and timely ICD-10 coding of claims via progress note clinical documentation review. + Ensure compliance and quality for all coding practices… more
    Evolent (09/23/25)
    - Related Jobs

  • Mgr II Grievance/Appeals-Medical Coding

    Elevance Health (Houston, TX)
    …of claims, provider contracts and data, eligibility, member contracts, benefits, clinical decisions, pharmacy on pre-service and post service appeals and grievances ... related to non- clinical and clinical services, quality of service...background. **Preferred Skills, Capabilities and Experience:** + Certified Professional Coder -AAPC Please be advised that Elevance Health only accepts… more
    Elevance Health (09/24/25)
    - Related Jobs

  • Nurse Practitioner- Bilingual

    CenterWell (Houston, TX)
    …us put health first** The Nurse Practitioner applies advanced education and clinical competencies to achieve optimal patient outcomes. The Nurse Practitioner works ... professionals, Pharm D, Care Coach Nurse, MA, Behavioral health specialist, Quality based Coder , Referral Coordinator and more. Our approach allows us to provide an… more
    CenterWell (09/02/25)
    - Related Jobs