• Clinical Provider Auditor II

    Elevance Health (Grand Prairie, 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 Capabilities,… more
    Elevance Health (05/02/25)
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  • Biostatistician - Cancer, Cullen lab

    Houston Methodist (Houston, TX)
    …analysis support for the members of an emerging Cancer Prevention and Control ( CPC ) research program at the HMNCC during an exciting time of institutional growth ... execution of analytic/statistical plans for all ongoing scientific projects in the CPC program, including but not limited to: Abstract submissions, poster and podium… more
    Houston Methodist (02/11/25)
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  • Mgr-Clinical Documentation

    Ascension Health (Austin, TX)
    **Details** + **Department: Coding Documentation** + **Schedule: M-F** + **Hospital: Seton Family of Hospitals** + **Location: Austin, TX (some remote)** ... Registration: + One or more of the following required: + Certified Coding Specialist (CCS) credentialed from the American Health Information Management Association… more
    Ascension Health (03/19/25)
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  • Licensed Clinic Supervisor

    HCA Healthcare (San Antonio, TX)
    …a clinical management position. CERTIFICATION/LICENSE: + MA or LVN is required. CPR Certification. CPC Coding is requirement if coding duties are performed. ... 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 (03/09/25)
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  • Revenue Recovery Specialist-Healthcare

    Kelly Services (Houston, TX)
    …**Requirements:** - Healthcare Billing Knowledge: - Thorough understanding of medical billing codes (CPT, ICD-10, HCPCS) and payer reimbursement guidelines. ... - Analytical Skills: - Ability to analyze complex medical records and billing data to identify overpayments. -...claims processing systems and data analysis tools. - AAPC CPC certification or AHIMA CCS certification **Job description :**… more
    Kelly Services (05/03/25)
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  • Negotiator Analyst (Level I)

    CVS Health (Austin, TX)
    …phone call handling history. + Strong mathematical skills. **Preferred Qualifications** + Coding experience, CMS, and/or CPC Certification. + Strong verbal and ... Summary** The Negotiator Analyst is responsible for negotiating out-of-network (OON) medical claims valued at $10,000 and above. This role involves learning… more
    CVS Health (04/24/25)
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  • Manager Revenue Cycle - Self-pay Collections

    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 (05/01/25)
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  • Investigator Senior

    Elevance Health (Grand Prairie, TX)
    …Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Investigator Senior** is responsible for the independent ... you make an impact:** + Claim reviews for appropriate coding , data mining, entity review, law enforcement referral, and...Skills & Capabilities** + Professional certification of CFE, AHFI, CPC , Paralegal, RN, JD or other job related designation… more
    Elevance Health (05/03/25)
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  • Investigator Senior

    Elevance Health (Grand Prairie, TX)
    …Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Investigator Senior** is responsible for the independent ... you make an impact:** + Claim reviews for appropriate coding , data mining, entity review, law enforcement referral, and...Skills & Capabilities** + Professional certification of CFE, AHFI, CPC , Paralegal, RN, JD or other job related designation… more
    Elevance Health (04/16/25)
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