• Medical Director (South Central Market)

    CVS Health (TX)
    …Level Appeals / Special Projects and Committee participation when needed. The Medical Director will provide clinical , coding , and reimbursement expertise as ... in support of medical management programs through participation in clinical team activities. The Medical Director will act as lead business and clinical … more
    CVS Health (10/01/25)
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  • Manager, Risk Adjustment Coding Support

    Evolent (Austin, TX)
    …addressing regular coding questions and issues. + Collaborate with the coding director to develop policies, procedures, and workflows to enhance department ... and that impact the team. Provide individual and team training on clinical documentation requirements, risk adjustment coding guidelines, and updates. +… more
    Evolent (09/23/25)
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  • Regional Coding Operations Manager WFH

    HCA Healthcare (Dallas, TX)
    … coding and documentation improvement education to Providers. + Assists the Director Coding Operations Division Support in reviewing progress against business ... and workflow, including but not limited to, practice acquisitions, provider clinical documentation improvement, practice coding processes, and division… more
    HCA Healthcare (09/27/25)
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  • Manager Coding Operations

    Houston Methodist (Houston, TX)
    …Develops and reports performance metrics for assigned area under the direction of the Coding Operations Director . + Ensures that coding is performed ... areas; tracks, trends, and reports these issues to the Coding Operations Director . **FINANCE ESSENTIAL FUNCTIONS** +...that operate at the system level to help enable clinical departments to provide high quality patient care. Houston… more
    Houston Methodist (07/18/25)
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  • Clinical Compliance Medical Director

    Elevance Health (Grand Prairie, TX)
    …** Clinical Compliance Medical Director ** is responsible for providing clinical guidance related to the company's coding guidelines, provider coding ... ** Clinical Compliance Medical Director ** _Please note...material which includes provider medical record documentation. + Provides clinical guidance regarding coding guidelines and develops… more
    Elevance Health (09/24/25)
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  • Director , Clinical Services

    CommonSpirit Health at Home (Houston, TX)
    **Job Summary and Responsibilities** **The Director , Operations and Clinical Services is accountable for supervision of the overall business management of the ... opportunities outside current affiliations. Provides leadership and direction of clinical services provided. Oversees the coordination, continuity, and quality of… more
    CommonSpirit Health at Home (08/17/25)
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  • Director of Engineering Clinical AI

    CVS Health (Austin, TX)
    …and every day. **Position Summary** We are seeking an innovative and experienced ** Director of Engineering Clinical AI** to lead our initiatives in developing ... (EHR) systems and clinical workflows. + Understanding of clinical terminologies and coding systems (eg, SNOMED, LOINC, ICD-10). + Experience with clinical… more
    CVS Health (09/02/25)
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  • Director , Prospective + Concurrent Risk…

    Datavant (Austin, TX)
    …to deliver complex healthcare technology solutions. + Solid understanding of clinical suspecting, concurrent coding workflows, risk adjustment models (eg, ... experiences to realize our bold vision for healthcare. **Role Overview** As the Director of Prospective + Concurrent Risk Adjustment Products, you will lead the… more
    Datavant (08/08/25)
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  • Medical Records Director

    Dallas Behavioral Healthcare Hospital (Desoto, TX)
    We are seeking a hands-on Health Information Management (HIM) Director to lead the organizational and administrative operations of our Medical Records Department. ... while overseeing a team of HIM professionals. The HIM Director will play a critical role in supporting patient...ensure the confidentiality and security of patient health information. Coding & Reimbursement + Oversee and/or perform coding… more
    Dallas Behavioral Healthcare Hospital (09/02/25)
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  • Medical Director - Florida

    Humana (Austin, TX)
    …these may require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and ... community and help us put health first** The Medical Director relies on medical background and reviews health claims....is assisted by diverse resources which may include national clinical guidelines, CMS policies and determinations, clinical … more
    Humana (10/03/25)
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