• Coding Quality Auditor

    Houston Methodist (Houston, TX)
    …good feedback during coding section meetings, coding education in-services, and coder /CDMP meetings. Takes initiative to assist others and shares knowledge with ... (AHIMA) -- For professional fee coding **OR** + CPC - Certified Professional Coder (AAPC) -- For professional fee coding **LICENSES AND CERTIFICATIONS - PREFERRED**… more
    Houston Methodist (07/12/25)
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  • Nurse Practitioner or Physician Assistant- N.…

    CenterWell (Fort Worth, 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 ... medical record documentation in a timely manner working with a quality- based coder to optimize coding specificity. . Follows policy and protocol defined by Clinical… more
    CenterWell (07/03/25)
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  • Senior Client Coding Project Manager

    Datavant (Austin, TX)
    …impacts on schedule and budget. + Coordinate the development of user manuals, coder training materials, and other documents as needed. + Manage client satisfaction ... teams deliver on them through collaboration with those responsible for coder performance management. + Drive quality assurance and performance improvement activities… more
    Datavant (06/28/25)
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  • Director Coding - Revenue Cycle - (Museum…

    Houston Methodist (Houston, TX)
    …Certified Health Information Technician (AHIMA) **OR** + CPC - Certified Professional Coder (AAPC) -- when in the Ambulatory setting **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 evaluations + Sufficient proficiency in speaking, reading, and writing the English… more
    Houston Methodist (08/11/25)
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  • Coding Data Quality Auditor

    CVS Health (Austin, TX)
    …to approximately 1-2 years for CPC. + CPC (Certified Professional Coder ) or CCS-P (Certified Coding Specialist-Physician) required. **Preferred Qualifications** + ... Computer proficiency including experience with Microsoft Office products (Word, Excel, Access, PowerPoint, Outlook, industry standard coding applications). + Experience with International Classification of Disease (ICD) codes. + Experience with Medicare and/or… more
    CVS Health (08/09/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Grand Prairie, TX)
    …Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or ... CIC. + Experience with third party DRG Coding and/or Clinical Validation Audits or hospital clinical documentation improvement experience preferred. + Broad knowledge of clinical documentation improvement guidelines, medical claims billing and payment systems,… more
    Elevance Health (08/09/25)
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  • Business Office Coordinator - Central Park Surgery…

    Surgery Care Affiliates (Arlington, TX)
    …and objectives. + Coordinates billing/coding/implant logs and pathology reports with coder and biller. + Monitors on-site business office timesheets for payroll ... reporting. Troubleshoots computer issues and security. + Coordinates activities with other departments and participates maintaining qualified personnel. + Responsible for environmental control of area. Promotes a favorable image of the facility to physicians,… more
    Surgery Care Affiliates (08/09/25)
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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 (08/08/25)
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  • Clinical Quality Consultant NP 100% Virtual,…

    Elevance Health (TX)
    …. **Preferred Skills, Capabilities and Experiences:** + **AAPC Certified Risk Adjustment Coder preferred.** + Expert level knowledge of ICD-10 CM, CMS guidelines ... including Risk Adjustment payment model, STARS and HEDIS highly preferred. + Clinical review experience. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any… more
    Elevance Health (08/08/25)
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  • Auditor, HCC Risk Adjustment Coding - Full Time…

    Datavant (Austin, TX)
    …to realize our bold vision for healthcare. As an Auditor, HCC Risk Adjustment Coder , you will review medical records to identify and code diagnoses using a ... standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical role in translating clinical documentation into precise codes that reflect the complexity and severity of a… more
    Datavant (08/08/25)
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