• Investigator II

    Elevance Health (Grand Prairie, TX)
    …health plan, line of business and/or state + Claim reviews for appropriate coding , data mining, entity review, law enforcement referral, and use of proprietary data ... experience strongly preferred + Fraud certification from CFE, AHFI, AAPC or coding certificates preferred + Knowledge of Plan policies and procedures in all… more
    Elevance Health (09/30/25)
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  • Hospice Nurse Practitioner

    Elara Caring (Paris, TX)
    …and family needs in the home. + Prepares and maintains accurate patient records , charts, and documents to support sound medical practice and reimbursement ... + Opportunities for advancement + Comprehensive insurance plans for medical , dental, and vision benefits + 401(K) with employer...+ Pet insurance As a **Hospice Registered Nurse Case Manager ,** you'll contribute to our success in the following… more
    Elara Caring (09/30/25)
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  • Primary Care Physician

    CenterWell (Arlington, TX)
    …on outpatient medicine, continuity of care, health maintenance, and disease prevention. Keeps a medical history and medical records . Refers the patient to ... Doctors, Advanced Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based Coders, Referral Coordinators… more
    CenterWell (08/08/25)
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  • Referral Coordinator

    ChenMed (Houston, TX)
    …may include:_** + Maintains the confidentiality of patients' personal information and medical records . + Reviews patients' personal and appointment information ... and written fluency in English **KNOWLEDGE, SKILLS AND ABILITIES:** + Knowledge of medical terminology, CPT, HCPCS and ICD coding desired + An understanding… more
    ChenMed (09/10/25)
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  • Nurse Reviewer I

    Elevance Health (Houston, TX)
    …A proud member of the Elevance Health family of companies, **Carelon Medical Benefits Management** , formerly AIM Specialty Health, is a benefit-management leader ... + Works on reviews that are routine having limited or no previous medical review experience requiring guidance by more senior colleagues and/or management. +… more
    Elevance Health (09/26/25)
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  • Associate Billing and Collections Representative…

    Covenant Health (Lubbock, TX)
    …the Central Business Office Director and the direct supervision of the Manager and/or Supervisor, the Associate Billing and Collections Representative is responsible ... for ensuring correct coding initiatives are met for clean claim submission and...valued - they're invaluable. Join our team at Covenant Medical Group and thrive in our culture of patient-focused,… more
    Covenant Health (09/24/25)
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  • Primary Care Physician

    CenterWell (San Antonio, TX)
    …Doctors, Advanced Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based Coders, Referral Coordinators ... accordance with standards of care. + Follows level of medical care and quality for patients and monitors care...manner working with a quality- based coder to optimize coding specificity. + Follows policy and protocol defined by… more
    CenterWell (09/29/25)
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  • Primary Care Physician

    CenterWell (San Antonio, TX)
    …Doctors, Advanced Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based Coders, Referral Coordinators ... accordance with standards of care. + Follows level of medical care and quality for patients and monitors care...manner working with a quality- based coder to optimize coding specificity. + Follows policy and protocol defined by… more
    CenterWell (09/26/25)
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  • CenterWell- Physician

    CenterWell (Beaumont, TX)
    …Doctors, Advanced Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based Coders, Referral Coordinators ... accordance with standards of care. . Follows level of medical care and quality for patients and monitors care...manner working with a quality- based coder to optimize coding specificity. . Follows policy and protocol defined by… more
    CenterWell (07/15/25)
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  • RN Clinical Appeals Nurse

    Molina Healthcare (Dallas, TX)
    …the likelihood of a formal appeal being submitted. + Independently re-evaluates medical claims and associated records by applying advanced clinical knowledge, ... pharmacy, etc.). + Experience demonstrating knowledge of ICD-9, CPT coding and HCPC. + Experience demonstrating knowledge of CMS...+ Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager … more
    Molina Healthcare (09/26/25)
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