• Diagnosis Related Group Clinical Validation…

    Elevance Health (Houston, TX)
    …make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance of medical ... audit activities. + Draws on advanced ICD-10 coding expertise, mastery of clinical guidelines, and industry knowledge to substantiate conclusions. + Utilizes… more
    Elevance Health (12/09/25)
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  • RN Clinical Appeals Nurse Remote

    Molina Healthcare (Dallas, TX)
    …Office suite/applicable software program(s) proficiency. **Preferred Qualifications** * Certified Clinical Coder (CCC), Certified Medical Audit Specialist ... JOB DESCRIPTION **Job Summary** The RN Clinical Appeals Nurse provides support for internal appeals...Utilization Review and/or Medical Claims Review experience. Knowledge in coding : DRG, ICD-10, HCPCS codes is highly preferred. Additional… more
    Molina Healthcare (01/02/26)
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  • Senior Clinical Documentation Analyst, AI…

    Oracle (Austin, TX)
    …+ Background in a clinical documentation role (medical scribe, clinical documentation specialist , lead/trainer, medical office manager/lead, etc ) ... spirit and a focus on excellence. As a Senior Clinical Documentation Analyst you will: Analyze clinical ...partial medical training a plus. + Familiarity of Healthcare coding systems (SnomedCT, ICD 9/10/11) and Health care compliance… more
    Oracle (11/25/25)
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  • Medical Records Technician (Coder) Auditor

    Veterans Affairs, Veterans Health Administration (Harlingen, TX)
    …by the above certifying bodies. However, current mastery level certifications include: Certified Coding Specialist (CCS), Certified Coding Specialist - ... coding audits and utilize results to identify documentation and coding inadequacies and re-educate clinical and coding staff based on audit results. They… more
    Veterans Affairs, Veterans Health Administration (12/30/25)
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  • Senior Outpatient Coder

    Houston Methodist (Houston, TX)
    …+ RHIA - Registered Health Information Administrator (AHIMA) **OR** + CCS - Certified Coding Specialist (AHIMA) **OR** + CCA - Certified Coding Associate ... (AHIMA) **OR** + CCS-P - Certified Coding Specialist Physician-based (AHIMA) **OR** + CPC - Certified Professional...that operate at the system level to help enable clinical departments to provide high quality patient care. Houston… more
    Houston Methodist (10/29/25)
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  • Lead Inpatient Coder

    Houston Methodist (Houston, TX)
    …- Registered Health Information Administrator (AHIMA) **OR** + CCS - Certified Coding Specialist (AHIMA) **KNOWLEDGE, SKILLS, AND ABILITIES** + Demonstrates the ... department results. Interacts and communicates effectively with members of the coding team and the appropriate stakeholders. Participates and provides good feedback… more
    Houston Methodist (12/12/25)
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  • Inpatient Coder

    Houston Methodist (Houston, TX)
    …RHIA - Registered Health Information Administrator (AHIMA) + * CCS - Certified Coding Specialist (AHIMA) **KNOWLEDGE, SKILLS, AND ABILITIES** + Demonstrates the ... + Interacts and communicates effectively with members of the coding team and the appropriate stakeholders. + Participates and...that operate at the system level to help enable clinical departments to provide high quality patient care. Houston… more
    Houston Methodist (11/12/25)
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  • DRG Revenue Integrity Auditor

    Insight Global (Plano, TX)
    …chart reviews to validate that assigned codes accurately reflect the patient's clinical picture. Utilize ICD-10-CM and ICD-10-PCS coding systems to ensure ... Category (HCC) capture, Case Mix Index (CMI), and other coding factors. Apply current clinical criteria including...or a third-party vendor as a DRG Auditor or Clinical Documentation Specialist (CDS). -CCS Certification RN… more
    Insight Global (10/30/25)
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  • Coder II (Denials) - FT - Days

    Texas Health Resources (Arlington, TX)
    …CPC - Certified Professional Coder Upon Hire REQUIRED or CCS-P - Certified Coding Specialist - Physician-based Upon Hire REQUIRED and Other Specialty ... etc. Upon Hire Preferred Required Skills * Advanced knowledge of procedural and clinical diagnosis coding pertaining to professional billing. * Knowledge of… more
    Texas Health Resources (10/18/25)
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  • Oracle Health Physician Executive, Patient Safety…

    Oracle (Austin, TX)
    …of Field Safety Corrective Actions (FSCA) and recalls, in collaboration with the Clinical Risk & Hazard Specialist who prepares these assessments. . Contribute ... address ongoing patient safety, compliance, and product certification needs. As a clinical leader with patient safety and compliance expertise, you will provide… more
    Oracle (12/18/25)
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