• DRG Clinical (RN) Validation Auditor

    Elevance Health (Grand Prairie, TX)
    …not limited to: + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance of medical audit ... activities. + Draws on advanced ICD-10 coding expertise, mastery of clinical guidelines, and industry knowledge...ICD-9/10CM, MS-DRG, AP-DRG and APR-DRG; or any combination of education and experience, which would provide an equivalent background.… more
    Elevance Health (01/15/26)
    - Related Jobs

  • Outpatient ED Coder FT - 2,500 Sign on Bonus

    Datavant (Austin, TX)
    …and reporting requirements. + Communicate documentation improvement opportunities and coding issues to appropriate personnel for follow up and resolution. ... + Maintain a 95% coding accuracy rate and a 95% accuracy rate for...site-designated productivity standards. + Be responsible for tracking continuing education credits to maintain professional credentials. + Attend Datavant… more
    Datavant (01/10/26)
    - Related Jobs

  • Remote Senior Inpatient Auditor - MS-DRG…

    CGI Technologies and Solutions, Inc. (Dallas, TX)
    …defender of payment accuracy, reviewing complex medical records to ensure that coding and reimbursements for Commercial and Government health plans are precise and ... well-supported. You will leverage your deep inpatient coding expertise and clinical intuition to identify improper payments while producing thoroughly documented… more
    CGI Technologies and Solutions, Inc. (01/15/26)
    - Related Jobs

  • Lead Clinical and Population Health Analyst…

    Highmark Health (Austin, TX)
    …clinical outcomes, cost, and member experience. + **Operational Integration & Coding :** Engage non-clinical teams to ensure operational guidelines are aligned with ... clinical policy intent. Develop and maintain a thorough understanding of medical coding (ICD-10, CPT, HCPCS) and ensure accurate coding principles are… more
    Highmark Health (12/31/25)
    - Related Jobs

  • Manager, Auditing and Monitoring

    Cardinal Health (Austin, TX)
    …and ensure our practices reflect the highest standards of conduct. Through education , collaboration, and a risk-based approach, we help safeguard the organization's ... orthotics, and supplies("DMEPOS"), including detection and correction of documentation, coding , identifying potential errors and/or medical necessity of items… more
    Cardinal Health (01/14/26)
    - Related Jobs

  • Revenue Integrity Analyst II

    Intermountain Health (Austin, TX)
    …system-wide initiative levels. + Monitors for positive or negative trends in coding , charge capture and/or editing processes to improve teams' performance. + ... and state regulations, payor guidelines, ensuring compliance and alignment with charge, coding and charge edits. + Audits and evaluates system automation by… more
    Intermountain Health (01/13/26)
    - Related Jobs

  • Inpatient Medical Coder - FT - Up to $5,000 Sign…

    Datavant (Austin, TX)
    …2 Coders, where applicable + Champion documentation improvement opportunities and coding issues, facilitating resolution with relevant stakeholders + Uphold an ... overall 95% coding accuracy rate and a 95% accuracy rate for...CEUs every year + Stipend provided to assist with education and professional dues (AHIMA/AAPC) + Equipment: monitor, laptop,… more
    Datavant (12/03/25)
    - Related Jobs

  • Coder II (Denials) - FT - Days

    Texas Health Resources (Arlington, TX)
    …Work hours: Monday - Friday generally between 7:00 am - 6:00 pm HIMS Coding Department Highlights: * Flexible hours/scheduling once training is complete * Work life ... balance * Opportunities for advancement Here's What You Need Education HS Diploma or Equivalent REQUIRED and Associates's Degree Related field preferred Experience 2… more
    Texas Health Resources (10/18/25)
    - Related Jobs

  • Coordinator of PEIMS

    Etoile Academy Charter School (Houston, TX)
    …to a designated administrator + Work alongside ELL Coordinator and Director of Special Education to ensure all coding and ARD/LPAC documentation is accurate in ... Submit complete and accurate PEIMS data in the Texas Education Agency (TEA) prescribed format to the education... Education Agency (TEA) prescribed format to the education service center (ESC) for processing using a computer… more
    Etoile Academy Charter School (01/07/26)
    - Related Jobs

  • Revenue Integrity Specialist

    Houston Methodist (Houston, TX)
    …**QUALIFICATIONS** ** EDUCATION ** + Associate's degree or higher in billing, coding , accounting, or related field; or high school diploma with additional two ... a current and accurate Charge Description Master (CDM) in accordance with coding regulations and guidelines and updates procedure codes as required. Additional… more
    Houston Methodist (01/14/26)
    - Related Jobs