• Inpatient DRG Quality Auditor

    Humana (Austin, TX)
    …This is a full-time, remote/work-from-home position. **Description** The Inpatient Medical Coding Auditor extracts clinical information from medical records and ... In this role, you will conduct quality reviews of coding processes within the Claims Cost Management organization, including...evaluation of variable factors. **Where you Come In** The Coding Quality Team is looking is an experienced and… more
    Humana (07/25/25)
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  • Coder II

    Intermountain Health (Austin, TX)
    …(DNFB), and appropriate reimbursement. Scope 1.Assigns ICD, CPT and HCPCS coding classifications based on clinical documentationand/or physician orders. Utilizes ... listed diagnosis and secondary diagnoses. Obtains clarification from physicians, clinical departments and others on documentation questions, as needed. Performs… more
    Intermountain Health (07/26/25)
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  • Medical Director - South Carolina SE 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 (07/22/25)
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  • Medical Director - Gulf South

    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, internal… more
    Humana (07/08/25)
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  • Medical Director - Mid West 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 (05/14/25)
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  • Senior Clinical & Population Health Analyst

    Highmark Health (Austin, TX)
    …and leads the design, development, execution, dissemination and interpretation of clinical and population health analyses, metrics and reports using clinical ... monitor actionable opportunities for improving health and healthcare outcomes and clinical quality and costs of care, efficiently and effectively managing projects… more
    Highmark Health (07/22/25)
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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 (06/09/25)
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  • Manager, Clinical Documentation Integrity…

    Ascension Health (Austin, TX)
    **Details** + **Department: Coding Documentation** + **Schedule: M-F** + **Hospital: Seton Family of Hospitals** + **Location: Remote (Austin, TX)** **Benefits** ... the time of the offer._ **Responsibilities** Manage the daily operations of the clinical documentation area. + Manage and provide education regarding the clinical more
    Ascension Health (05/16/25)
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  • Clinical Colorectal Coder - CPC Cert…

    TEKsystems (San Antonio, TX)
    Description Coding surgeries directly use PMD Pull up auto note and fill out work "do not level" Skills coding experience, colorectal coding experience, PATH ... experience Top Skills Details coding experience,colorectal coding experience,PATH experience Additional Skills & Qualifications Confident Good at collaborating… more
    TEKsystems (07/25/25)
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  • Clinical Provider Auditor II

    Elevance Health (Grand Prairie, 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 (07/22/25)
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