• Mgr II Grievance/Appeals-Medical Coding

    Elevance Health (Houston, TX)
    …background. **Preferred Skills, Capabilities and Experience:** + Certified Professional Coder -AAPC Please be advised that Elevance Health only accepts resumes ... for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated… more
    Elevance Health (09/24/25)
    - Related Jobs
  • Manager, Risk Adjustment Coding Support

    Evolent (Austin, TX)
    …of work experience. + **Certification in medical coding (CRC- Certified Risk Adjustment Coder ) or demonstrated ability.** + 5+ years of experience in Risk Adjustment ... coding, with a focus on clinical documentation. + Technical proficiency, strong knowledge of coding languages within multiple EMRs with familiarity of coding standards and best practice. + Previous managerial experience or supervisory role with strong… more
    Evolent (09/23/25)
    - Related Jobs
  • Clinical Documentation Specialist

    University of Texas Rio Grande Valley (Harlingen, TX)
    …Preferred Education None. Licenses/Certifications One of the following: Certified Professional Coder ( CPC ) from American Academy Professional Coders ( AAPC ... ), Certified Coding Specialist - P ( CCS - P) from the American Health Information Management Association ( AHIMA ), Registered Health Information Technician ( RHIT ) from the American Health Information Management Association ( AHIMA ), Registered Health… more
    University of Texas Rio Grande Valley (09/23/25)
    - Related Jobs
  • LVN Delegation Oversight Nurse Remote

    Molina Healthcare (Fort Worth, TX)
    …be active and unrestricted in state of practice. + Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified ... Professional Healthcare Management (CPHM) or Certified Professional in Healthcare Quality (CPHQ). To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a… more
    Molina Healthcare (09/20/25)
    - Related Jobs
  • Education & Quality Coding Analyst- Remote Days

    Texas Health Resources (Arlington, TX)
    …- Certified Coding Specialist 12 months **REQUIRED** COC (Certified Outpatient Coder ) 12 months **REQUIRED** **Skills** Proficient in software applications (Excel, ... Word, Optum CAC, EPIC). Thorough knowledge of ICD-10-CM, PCS and CPT-4. Expert in coding convention/automated encoder (knowledge management of NCCI/OCE billing edits). Knowledgeable in APC and DRG methodologies and all regulatory/payer requirements associated… more
    Texas Health Resources (09/20/25)
    - Related Jobs
  • Patient Advocate

    Amaze Health (Dallas, TX)
    …follow-up. + Certification: Certified Professional Biller (CPB) or Certified Professional Coder (CPC) preferred. + Education: High school diploma or equivalent ... required; Associate's degree preferred. + Language: Bilingual (Spanish/English) strongly preferred. + Key Attribute: Tech-savvy and confident, with excellent communication skills to explain details clearly and calmly in a fast-paced office environment. +… more
    Amaze Health (09/12/25)
    - Related Jobs
  • Coding Charges & Denials Specialist - (Telecommute…

    Houston Methodist (Houston, TX)
    …preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + CPC - Certified Professional Coder (AAPC) **OR** + CCS - Certified Coding Specialist (AHIMA) **OR** + ... An approved Specialty Society Coding Certification **KNOWLEDGE, SKILLS, AND ABILITIES** + Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance… more
    Houston Methodist (09/12/25)
    - Related Jobs
  • 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 (09/06/25)
    - Related Jobs
  • Manager, Coding Operations

    Datavant (Austin, TX)
    …access, developing training plans, and creating support structures for successful coder engagement and outcomes. + Supervise quality assurance and performance ... improvement efforts, providing formal development plans when standards are not met. + Manage attendance and PTO schedules. **Employee Relations** + Conduct regular check-ins and one-on-one discussions with employees. + Address employee concerns promptly and… more
    Datavant (09/04/25)
    - Related Jobs
  • Nurse Practitioner- Bilingual

    CenterWell (Houston, TX)
    …professionals, Pharm D, Care Coach Nurse, MA, Behavioral health specialist, Quality based Coder , Referral Coordinator and more. Our approach allows us to provide an ... unmatched experience for seniors. Our model is positioned to provide higher quality care and better outcomes for seniors by providing a concierge experience, multidisciplinary services, coordinated care supported by analytics and tools, and deep community… more
    CenterWell (09/02/25)
    - Related Jobs