• PRN - Medical Coder/Records Clerk

    Dallas Behavioral Healthcare Hospital (Desoto, TX)
    …consistent with the industry-standard guidelines for CPT, ICD-9 and ICD-10. + Answer coding questions + Review clinical documentation to ensure it meets the ... standards. Requirements + Education: Certificate or associate's degree in medical coding /CPC. These additional certifications are not required but a plus: Certified… more
    Dallas Behavioral Healthcare Hospital (08/08/25)
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  • Coder - Clin Ops Pedi Specs

    Covenant Health (Lubbock, TX)
    …to medical records based on documentation provided by the providers and adheres to coding compliance for a specified clinical area. Adheres to strict federal ... Will communicate heavily with Coding /Compliance Department and coding peers to abstract clinical and statistical.../Compliance Department and coding peers to abstract clinical and statistical data for outcome measure and monitoring.… more
    Covenant Health (09/18/25)
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  • Medical Claim Review Nurse (RN)

    Molina Healthcare (San Antonio, TX)
    …Looking for a RN with experience with appeals, claims review, and medical coding . **Job Summary** Utilizing clinical knowledge and experience, responsible for ... Medical Surgical, or Pediatrics. Advanced Practice Nursing. Billing and coding experience. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Certified Clinical … more
    Molina Healthcare (09/06/25)
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  • Clinical Data Abstraction Specialist

    Apex Health Solutions (Houston, TX)
    …Certified Risk Adjustment Coder (CRC), Certified Professional Coder (CPC), or Certified Coding Specialist (CCS) FLSA Status: Nonexempt Summary: Clinical Data ... Job Title: Clinical Data Abstraction Specialist Supervisor: Director, VBC Operations...Abstraction Specialist is responsible for reviewing, abstracting, and coding inpatient and/or outpatient medical records to ensure proper… more
    Apex Health Solutions (09/26/25)
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  • Medical Director-Payment Integrity

    Humana (Austin, TX)
    …discussions with an external provider. Some roles include an overview of coding practices and clinical documentation, dispute/grievance and appeals processes, ... and work is assisted by diverse resources, which may include national clinical guidelines, CMS policies and determinations, clinical reference materials,… more
    Humana (09/26/25)
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  • Medical Director - Claims Management

    Humana (Austin, TX)
    …may require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, dispute, grievance, and appeals processes, ... and work is assisted by diverse resources, which may include national clinical guidelines, CMS and state policies and determinations, clinical reference… more
    Humana (09/17/25)
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  • Medical Director - Southeast Region

    Humana (Austin, TX)
    …these may require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and ... and work is assisted by diverse resources, which may include national clinical guidelines, CMS policies and determinations, clinical reference materials,… more
    Humana (09/10/25)
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  • Assistant Professor, Clinical Faculty…

    MD Anderson Cancer Center (Houston, TX)
    *General Duties* Provides clinical expertise in patient care management and provides an appropriate teaching environment for fellows, residents, and students in the ... The Assistant Professor will participate in the development of clinical research studies and will be independently responsible for...experience. * Visually review for proper ICD-10 and CPT coding and approve all charge documents within 5 working… more
    MD Anderson Cancer Center (09/08/25)
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  • Clinical Provider Auditor II

    Elevance Health (Houston, TX)
    ** Clinical Provider Auditor II** **Location:** _Hybrid1:_ This role requires associates be in the office 1-2 days per week, fostering collaboration and connectivity, ... employment, unless an accommodation is granted as required by law. The ** Clinical Provider Auditor II** is responsible for identifying issues and/or entities that… more
    Elevance Health (09/26/25)
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  • Clinical Provider Auditor II

    Elevance Health (Houston, TX)
    ** Clinical Provider Auditor II** **Supports the Payment Integrity line of business** **Hybrid 1** : This role requires associates to be in-office **1-2** days per ... determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** Clinical Provider Auditor II** is responsible for identifying issues and/or… more
    Elevance Health (09/06/25)
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