• Facility Coding Inpatient DRG Quality

    Banner Health (TX)
    …documentation and its impact on reimbursement under Medicare Severity Adjusted System (MS-DRG),All Payer Group (APR-DRG) and Ambulatory Payment Classification (APC) ... or utilized operational systems . Provides explanatory and reference information to internal and...consistent with official coding guidelines. 3. Assists with maintaining system wide consistency in coding practices and ethical coding… more
    Banner Health (09/06/25)
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  • 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 ... identification number and procedure date correctly in the medical record abstracting system . Reviews medical record documentation and abstracts data into the encoder… more
    Houston Methodist (09/30/25)
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  • Vendor Resource Management Manager

    HCA Healthcare (El Paso, TX)
    …decrease costs and improve service for applicable stakeholders and submits system enhancement and Business Intelligence report requests accordingly + Performs ... + Monitors monthly quality scores by vendor and individual coder ; recommends vendor coding personnel to be placed under...assure coding knowledge and skills remain current + Ensures coder and VRM staff is in compliance with HCA/Parallon… more
    HCA Healthcare (09/27/25)
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  • Investigator

    Highmark Health (Austin, TX)
    …(any of the following) + Certified Fraud Examiner (CFE) + Certified Professional Coder (CPC) + Certified Outpatient Coder (COC) + Accredited Healthcare Fraud ... + Must have knowledge of provider facility payment methodology, claims processing systems and coding and billing proficiency + Must have understanding of technical… more
    Highmark Health (09/10/25)
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  • HIM - Inpatient Coding Supervisor (remote)

    Guidehouse (Dallas, TX)
    …and Outpatient tools) software for patterns of coding errors and opportunities for coder and /or clinical education. + Serves as a technical expert/resource for ... charts as well as well as data management and coder audit and education experience. + Must maintain credential...**:** + Experience working in any of the following systems : EPIC, Cerner, Next Gen, Allscripts or any other… more
    Guidehouse (08/19/25)
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  • Coding Educator FT-Katy CC (Hybrid)

    Houston Methodist (Houston, TX)
    …jointly with applicable management to deploy the overall strategy for system -wide coding operations consistent with Houston Methodist strategic plans. **PEOPLE ... FUNCTIONS** + Designs, implements, and monitors effective processes and systems within assigned areas of responsibility to achieve maximum...to improve and enhance support to the Hospital and System and seeks opportunities to expand the scope of… more
    Houston Methodist (07/23/25)
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  • 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 ... Other Has a good understanding of all clinical information systems and data flow across the continuum. Ability to...now, or previously, employed by The University of Texas System or any of its institutions? + Yes -… more
    University of Texas Rio Grande Valley (09/23/25)
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  • Medical Coding Appeals Analyst

    Elevance Health (Grand Prairie, TX)
    …and responds to system inquiries and appeals. + Conducts research of claims systems and system edits to identify adjudication issues and to audit claims ... coding and fee schedule updates. + Trains customer service staff on system issues. + Works with providers contracting staff when new/modified reimbursement contracts… more
    Elevance Health (09/12/25)
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  • Supervisor, Coding

    Baylor Scott & White Health (Austin, TX)
    …families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: ... Classification of Disease (ICD-10CM, ICD-10-PCS), Healthcare Common Procedure Coding System (HCPCS), including Physicians Current Procedural Terminology (CPT) coding… more
    Baylor Scott & White Health (09/10/25)
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  • Senior Analyst, Encounters

    Molina Healthcare (Austin, TX)
    …data and industry knowledge. Collaborates across departments to design and implement systems changes to meet encounter data processing and submission goals. + Writes ... business requirements for system updates to resolve errors and optimize encounter performance...organizations **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION** : + Certified Professional Coder (CPC) To all current Molina employees: If you… more
    Molina Healthcare (09/24/25)
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