• Coding Auditor Educator

    Highmark Health (Austin, TX)
    …to resolve issues and provide advice on new programs. Provides guidance to system entities in response to external coding audits conducted by the Medicare ... ICD-PCS, CPT and HCPCS Level II code and modifier systems , missed secondary diagnoses and procedures and ensures compliance...reviews to check code transfer accuracy from the abstracting system and the chargemaster. (10%) + Is responsible for… more
    Highmark Health (08/08/25)
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  • Coding Quality Auditor

    Houston Methodist (Houston, TX)
    …identification number and procedure date correctly in the medical record abstracting system . Reviews medical record documentation and abstracts data into the encoder ... and Electronic Health Record (EHR) abstracting system to determine principal or final diagnosis, co-morbid conditions...Physician-based (AHIMA) -- For professional fee coding **OR** + CPC - Certified Professional Coder (AAPC) -- For professional… more
    Houston Methodist (07/12/25)
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  • Clinical Documentation Specialist

    University of Texas Rio Grande Valley (Harlingen, TX)
    …Education None. Licenses/Certifications One of the following: Certified Professional Coder ( CPC ) from American Academy Professional Coders ( AAPC ), Certified ... Other Has a good understanding of all clinical information systems and data flow across the continuum. Ability to...now, or previously, employed by The University of Texas System or any of its institutions? + Yes -… more
    University of Texas Rio Grande Valley (06/25/25)
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  • Facility Coder Outpatient Complex

    Banner Health (TX)
    …outpatient complex records using ICD CM/PCS and CPT4 coding classification systems . Completes APC assignment on outpatient complex records as appropriate. Ensures ... (CCS) or Certified Outpatient Coder (COC) or Certified Professional Coder ( CPC ) or Registered Health Information Technologist (RHIT) or Registered Health Information… more
    Banner Health (08/10/25)
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  • Coding Manager ELP

    Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
    …(ie, evaluation, coaching, etc.). + Previous experience utilizing Athena patient accounting system , Athena EMR and Cerner EMR systems . **Campus:** HSC - ... to be assigned back to MPIP with an appropriate system note. May need to email or telephone MPlP...and implementing computer applications, upgrades to coding and billing systems , dictionary databases, claims submission, and other bolt on… more
    Texas Tech University Health Sciences Center - El Paso (08/09/25)
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  • Facility Coding Inpatient DRG Quality

    Banner Health (TX)
    …documentation and its impact on reimbursement under Medicare Severity Adjusted System (MS-DRG),All Payer Group (APR-DRG) and Ambulatory Payment Classification (APC) ... or utilized operational systems . Provides explanatory and reference information to internal and...consistent with official coding guidelines. 3. Assists with maintaining system wide consistency in coding practices and ethical coding… more
    Banner Health (06/15/25)
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  • Senior Manager, Digital Product Management…

    7-Eleven (Irving, TX)
    …project execution, A/B testing, and product roll-out strategy. + Technical Infrastructure, System Integrations (eg, Ad Ops Tools, Ad Server / Content Management ... Systems , etc.), & Technical Oversight + Identify the most...strategies tailored to the retail app, such as cost-per-click ( CPC ), cost-per-impression (CPM), and cost-per-acquisition (CPA) models, ensuring they… more
    7-Eleven (07/22/25)
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  • Revenue Integrity Charge Review Analyst

    HCA Healthcare (Houston, TX)
    …daily ancillary charge report to identify any potential charging issue related to system failures, system updates or other. Reviews denial trends for ... and observation requirements. + Knowledge of Revenue Cycle Pro, 3M Coding systems , and 3M Coding Resources. + Participates in charge optimization projects and… more
    HCA Healthcare (07/11/25)
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  • Quality Reviewer (Aetna SIU)

    CVS Health (Austin, TX)
    …required standards. + Document all relevant case activity in the case tracking system . + Evaluate and present referrals, both internal and external, within the ... evidence supporting allegations of fraud and abuse. + Utilize company systems to obtain necessary electronic documentation. **Required Qualifications** + 1 year… more
    CVS Health (08/08/25)
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  • Manager Billing and Coding

    Texas Health Resources (Arlington, TX)
    …without a degree 4 years Managing a team required **Licenses and Certifications** CPC - Certified Professional Coder or CCS-P - Certified Coding Specialist - ... as well as CPT, ICD 9, ACD 10 and HCPCS level II coding systems . Knowledge of physician practices operations, charge capture, revenue cycle and CMS regulations,… more
    Texas Health Resources (07/25/25)
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