• Billing Integrity Analyst Credentialed

    HCA Healthcare (San Antonio, TX)
    …validation reviews preferred. + Healthcare certification/licensure such as RHIT, CCS, CCP, CPC or other recognized AHIMA certified coding credential, LPN, LVN, ... and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low… more
    HCA Healthcare (09/18/25)
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  • Clinical Provider Auditor II

    Elevance Health (Houston, TX)
    …related questions as necessary to aid in investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations. + ... + Requires a AA/AS and minimum of 3 years medical coding /auditing experience, including minimum of 1...experience, which would provide an equivalent background. + Requires coding certification ( CPC , CCS, CPMA). **Preferred Skills,… more
    Elevance Health (09/26/25)
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  • Clinical Provider Auditor II

    Elevance Health (Houston, TX)
    …related questions as necessary to aid in investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations. + ... + Requires a AA/AS and minimum of 4 years medical coding /auditing experience, including minimum of 1...experience, which would provide an equivalent background. + Requires coding certification ( CPC , CCS, CPMA). For candidates… more
    Elevance Health (09/06/25)
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  • Director of Payment Integrity Consulting

    CGI Technologies and Solutions, Inc. (Dallas, TX)
    …projects and teams . 5 years of experience in healthcare claims adjudication, medical coding , DRGs, and/or reimbursement methodologies . 5 years of experience ... including pre-payment review, post-payment audit, FWA detection and prevention, coding accuracy, clinical integrity, and provider data management. *...Ability to travel as needed up to 50% . CPC , CCS, CFE certifications are a plus . Minimum… more
    CGI Technologies and Solutions, Inc. (09/25/25)
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  • GYN Clinic Coder

    Insight Global (Dallas, TX)
    …to join our team. The ideal candidate will be responsible for accurately coding and abstracting medical records for gynecologic oncology clinic visits, ensuring ... compliance with all applicable coding guidelines and regulations. We are a company committed...Skills and Requirements Certified Professional Coder ( CPC ) 3+ Years of experience with Gynecologic Clinic Coding Oncology… more
    Insight Global (09/30/25)
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  • Licensed Clinic Supervisor

    HCA Healthcare (Austin, TX)
    …clinical management position. **CERTIFICATION/LICENSE:** + MA or LVN is required. CPR Certification. CPC Coding is requirement if coding duties are ... and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low… more
    HCA Healthcare (09/19/25)
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  • System Manager Revenue Cycle (Medicare Hospital…

    Houston Methodist (Katy, TX)
    …following areas of Revenue Cycle, to include but not limited to: medical coding , insurance billing, collections, patient account resolution, appeals/denials, ... or other applicable experience to the area assigned (eg, call center, medical billing, insurance collections) + Two years of supervisory or management experience.… more
    Houston Methodist (08/13/25)
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  • Investigator

    Highmark Health (Austin, TX)
    …to prevent further improper payments.Forwards case to the Credentialing and/or Medical Review Committee, law enforcement and regulatory agencies. + Responsible for ... to internal and external law enforcement and regulatory agencies, Credentialing or Medical Review Committee. + Engages in delivery of audit results and overpayment… more
    Highmark Health (09/10/25)
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