• Director Coding - Revenue Cycle - (Museum…

    Houston Methodist (Houston, TX)
    …the need arises. **EDUCATION** + Bachelor's degree required + Master's degree preferred **WORK EXPERIENCE** + Eight years of progressively responsible experience in ... (AHIMA) **OR** + RHIT - Certified Health Information Technician (AHIMA) **OR** + CPC - Certified Professional Coder (AAPC) -- when in the Ambulatory setting… more
    Houston Methodist (08/11/25)
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  • Manager, Fraud and Waste

    Humana (Austin, TX)
    …to an organization focused on continuously improving consumer experiences ** Preferred Qualifications** + Certifications (BA, MBA, JD, MSN, Clinical Certifications, ... CPC , CCS, CFE, AHFI) + Understanding of healthcare industry, claims processing and internal investigative process development + Experience in a corporate environment… more
    Humana (08/09/25)
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  • Coding Manager ELP

    Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
    …the individual **Pay Basis:** Monthly **Work Location:** El Paso ** Preferred Qualifications:** + Bachelor's degree in Business Administration, Healthcare ... + Directly related experience equal to 8 years. + Current RHIT, RHlA, CPC , CCS, CCSP, or equivalent certification through a nationally recognized credentialing body… more
    Texas Tech University Health Sciences Center - El Paso (08/09/25)
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  • Special Investigations Unit Life and Health…

    USAA (San Antonio, TX)
    …structures within the health insurance industry, Medicare or Medicare Supplement preferred . + Proficient knowledge of medical claims coding ICD-10, CPT, HCPC, ... EDI 837, etc. + CFE, CHC, AHFI, or Certified Professional Coder ( CPC ) certifications. + 2 or more years of experience in negotiating or settling health insurance… more
    USAA (08/08/25)
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  • Consultative Coding Professional

    CenterWell (Austin, TX)
    …or similar (including IPA and Offshore coding management) + RHIA, RHIT, CCS, or CPC Certification + Ability to travel both locally and overnight. ** Preferred ... Qualifications:** + Comprehensive knowledge of all Microsoft Office applications, including Word, Excel, and PowerPoint + Ability to communicate effectively and sensitively with clinicians and team members in stressful situations. + Possess strong business… more
    CenterWell (08/08/25)
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  • AR II Specialist - Hybrid Position

    Methodist Health System (Dallas, TX)
    …timely reimbursement. **Job Requirements:** + High School Diploma required + College degree preferred + Two to four years of experience in healthcare revenue cycle ... and work efficiently in a fast-paced environment. + Certification in medical coding (eg, CPC ) or revenue cycle management (eg, CRCR) is a plus. + Position requires 6… more
    Methodist Health System (08/08/25)
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  • Senior Coding Educator

    Humana (Austin, TX)
    …**Required Qualifications** + High school diploma or equivalent + Must hold AAPC CPC (Certified Professional Coder) certification + 2 years or more experience with ... injury per event /$10,000 for property damage or whichever is higher. ** Preferred Qualifications** + Bachelor's Degree + Previous experience in Medicare Advantage or… more
    Humana (08/08/25)
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  • Coding Auditor Educator

    Highmark Health (Austin, TX)
    …Specialist (CCS) + AAPC Credentials (Outpatient): Certified Professional Coder ( CPC ), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) ... abstracting and other related software. + Strong analytical and communication skills Preferred + Associate's Degree + 3 years with claims processing and data… more
    Highmark Health (08/08/25)
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  • Quality Reviewer (Aetna SIU)

    CVS Health (Austin, TX)
    …to travel and participate in legal proceedings, arbitrations, depositions, etc. ** Preferred Qualifications** + Credentials such as a certification from the ... Waste, and Abuse review experience. + Billing and Coding certifications such as CPC (AAPC) and/or CCS (AHIMA). + Knowledge of Behavioral Health policies and… more
    CVS Health (08/08/25)
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  • Negotiator Analyst (Level I)

    CVS Health (Austin, TX)
    …provider/business office phone call handling history. + Strong mathematical skills. ** Preferred Qualifications** + Coding experience, CMS, and/or CPC ... Certification. + Strong verbal and written communication skills. + Proficient in Usual and Customary (calculations) and cost-benchmarking for drugs, supplies, and services. + Associate's Degree. **Education** + High School Diploma or GED. **Anticipated Weekly… more
    CVS Health (08/02/25)
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