• Manager, Risk Adjustment Coding Support

    Evolent (Austin, TX)
    …Coding Manager plays a crucial role in ensuring accurate medical coding and compliance with risk adjustment models. **What You will Be Doing:** + Hires and ... coding of claims via progress note clinical documentation review. + Ensure compliance and quality for all coding practices maintaining high standards and adherence… more
    Evolent (09/23/25)
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  • System Manager Revenue Cycle (Medicare Hospital…

    Houston Methodist (Katy, TX)
    …position provides guidance to staff and is responsible for staffing, budget compliance , contributing to staffing decisions such as hiring and terminating employment, ... also implements training, monitoring and operations initiatives that secure compliance with ethical and legal business practices and accreditation/regulatory/… more
    Houston Methodist (08/13/25)
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  • Client Coding Project Manager - Full Time - Remote

    Datavant (Austin, TX)
    …Maintain a quality assurance program + Play a key role in ensuring coding compliance and accuracy + Monitor the performance of the Risk Adjustment Operations both ... vendors + Provides expertise as it relates to coding compliance for new and existing services, while ensuring ...of study preferred or 3-5 years related work experience coder with a minimum of 5 year's coding experience… more
    Datavant (09/25/25)
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  • Senior Analyst, Encounters

    Molina Healthcare (Austin, TX)
    …submission criteria, maintains submission schedule, central documentation of market nuances, compliance , and regulatory requirements for primary market or state + ... performance monitoring. + Understands provider, member, and, inbound claims data compliance in relation to encounters submission requirements + Monitors vendor… more
    Molina Healthcare (09/24/25)
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  • Mgr II Grievance/Appeals-Medical Coding

    Elevance Health (Houston, TX)
    …and production levels, and operational and plan risk, ensures quality, and regulatory compliance .** PRIMARY DUTIES: + Leads team of coders in supporting appeals in ... plan and policy changes and to ensure state and federal regulatory compliance and resolution within the regulatory timeframes. + Ensures programs support overall… more
    Elevance Health (09/24/25)
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  • Clinical Documentation Specialist

    University of Texas Rio Grande Valley (Harlingen, TX)
    …rendered to patients. * Conducts complex reviews of physician/provider billing compliance activities in accordance with applicable laws, regulations, rules or ... * Performs prospective and retrospective audits of documentation to confirm compliance with documentation and billing rules and government regulations. Provides… more
    University of Texas Rio Grande Valley (09/23/25)
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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 ... "on-call" program of Conviva as needed. + Assures personal compliance with licensing, certification, and accrediting bodies. + Spend...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
    CenterWell (09/29/25)
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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 ... "on-call" program of Conviva as needed. + Assures personal compliance with licensing, certification, and accrediting bodies. + Spend...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
    CenterWell (09/26/25)
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  • LVN Delegation Oversight Nurse Remote

    Molina Healthcare (Fort Worth, TX)
    …improvement activities. Responsible for overseeing delegated activities to ensure compliance with the National Committee for Quality Assurance (NCQA), Centers ... and cost-effective member care. This position will support our Corporate Compliance business. The candidate must have an unrestricted LVN licensure. Candidates… more
    Molina Healthcare (09/20/25)
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  • Manager, Clinical Documentation Integrity (CDI)…

    Ascension Health (Austin, TX)
    …identify improvement opportunities and develop solutions. + Track and ensure program compliance . + Gather, identify and utilize data to support strategic development ... index, MS DRG and value-based purchasing reimbursement, and quality/outcomes and compliance requirements. + Manage the review of physician documentation to support… more
    Ascension Health (08/15/25)
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