• Sr Compliance RCM & Coding Auditor

    Humana (Austin, TX)
    …mainly primary care and risk adjustment, pharmacy knowledge a plus + Certified Coder (CPC, CRC, and/or CMC) + Experience with metrics and reporting **Additional ... Information** **Work-At-Home Requirements:** To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria: + At minimum, a download… more
    Humana (07/03/25)
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  • Medical Claim Review Nurse (RN)

    Molina Healthcare (San Antonio, TX)
    …and coding experience. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Certified Clinical Coder , Certified Medical Audit Specialists, Certified Case Manager , ... Certified Professional Healthcare Management, Certified Professional in Healthcare Quality or other healthcare certification. To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.… more
    Molina Healthcare (07/03/25)
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  • Clinical Fraud Investigator II - Registered Nurse…

    Elevance Health (Grand Prairie, TX)
    …an Associate Degree in Nursing and/or current certification as a Certified Professional Coder (AAPC or AHIMA) and minimum of 4 years related experience, including ... minimum of 1 year experience in a Clinical Fraud and Abuse Investigation area; or any combination of education and experience, which would provide an equivalent background. **Preferred Skills, Qualifications, and Experiences:** + Fraud and Abuse experienced… more
    Elevance Health (07/02/25)
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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 home health ... care provider, BAYADA complies with all state/local mandates.** BAYADA is celebrating 50 years of compassion, excellence, and reliability. Learn more about our 50th anniversary celebration and how you can join in here (https://www.bayada.com/50) . BAYADA Home… more
    BAYADA Home Health Care (07/01/25)
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  • Non-Clinical Coding and OASIS Review Manager

    BAYADA Home Health Care (Austin, TX)
    …+ Candidates should be available Monday-Friday from 8:30am-5:00pm. _Medicare, Coder , OASIS Review, Utilization Review, Quality Assurance, Remote, Home Health ... Coding_ **As an accredited, regulated, certified, and licensed home health care provider, BAYADA complies with all state/local mandates.** BAYADA is celebrating 50 years of compassion, excellence, and reliability. Learn more about our 50th anniversary… more
    BAYADA Home Health Care (07/01/25)
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  • DRG Coding Auditor Principal

    Elevance Health (Houston, TX)
    …Technician, CCS as a Certified Coding Specialist, CIC as a Certified Inpatient Coder , or Certified Clinical Documentation Specialist (CCDS). + Requires minimum of 10 ... years experience working with ICD-9/10CM, MS-DRG, AP-DRG and APR-DRG. **Preferred Skills, Capabilities and Experiences** : + BA/BS preferred. + Experience with vendor based DRG Coding / Clinical Validation Audit setting or hospital coding or quality assurance… more
    Elevance Health (07/01/25)
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  • Primary Care Physician

    CenterWell (San Antonio, TX)
    …medical record documentation in a timely manner working with a quality- based coder to optimize coding specificity. + Follows policy and protocol defined by Clinical ... Leadership. + Meets with RMD about quality of care, review of outcome data, policy, procedure and records issues. + Participates in potential growth opportunities for new or existing services within the Center. + Participates in the local primary care… more
    CenterWell (06/30/25)
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  • Guidehouse Medical Coding Team

    Guidehouse (San Antonio, TX)
    …is more than charts and claims - it's about making an impact. As a coder here, you'll be part of a collaborative, mission-driven team that values accuracy, growth, ... and flexibility. Whether you're passionate about outpatient work or deep-dive inpatient cases, we offer roles that align with your expertise - and help you grow beyond it. You'll gain exposure to diverse specialties, work alongside nationally recognized… more
    Guidehouse (06/29/25)
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  • Revenue Integrity Analyst II

    Intermountain Health (Austin, TX)
    …hire. Plus one of the following certifications: **Current certification as a coder through AAPC or American Health Information Management Association (AHIMA), or ... Healthcare Finance Management Association (HFMA).** Three (3) years of direct related experience in revenue cycle operations Hospital Billing/Coding experience preferably with a large Health System preferred **Preferred** Bachelors Degree is preferred… more
    Intermountain Health (06/27/25)
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  • Compliance Coding And Billing Analyst

    University of Texas Rio Grande Valley (Mcallen, TX)
    …Licenses/Certifications Preferred:Certified Professional Medical Auditor ( CPMA ), Certified Professional Coder ( CPC ) or Certified Billing and Coding Specialist ( ... CBCS ) by the American Health Information Management Association ( AHIMA ) or the American Academy Professional Coders ( AAPC ). Required Experience Two (2) years of related billing/coding and or auditing experience. Education may be substituted with… more
    University of Texas Rio Grande Valley (06/25/25)
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