• 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 ... division relationship management as applicable. The RCOM assists the Regional Coding Operations Director with the oversight and implementation of Coding … 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 ... service areas; tracks, trends, and reports these issues to the Coding Operations Director . **FINANCE ESSENTIAL FUNCTIONS** + Assists in the development of… more
    Houston Methodist (07/18/25)
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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 ... Stay for the culture. **What You'll Be Doing:** **Manager, Coding Support Specialist** Evolent Care Partners is seeking a...Specialist** Evolent Care Partners is seeking a Risk Adjustment Coding Support Manager to be a core member of… more
    Evolent (09/23/25)
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  • 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 well ... willing to obtain a Texas License. In the Medical Director role you will provide oversight for medical policy...consistent responses to members and providers. As a Medical Director you will focus primarily on overseeing utilization review… more
    CVS Health (10/01/25)
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  • Director , Prospective + Concurrent Risk…

    Datavant (Austin, TX)
    …experiences to realize our bold vision for healthcare. **Role Overview** As the Director of Prospective + Concurrent Risk Adjustment Products, you will lead the ... and acting on undiagnosed conditions (prospective suspecting) and ensuring risk adjustment coding accuracy in near real-time (concurrent review). You will manage a… more
    Datavant (08/08/25)
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  • Clinical Compliance Medical Director

    Elevance Health (Grand Prairie, TX)
    **Clinical Compliance Medical Director ** _Please note that per our policy t_ _his role enables associates to work virtually full-time, with the exception of required ... accommodation is granted as required by law._ The **Clinical Compliance Medical Director ** is responsible for providing clinical guidance related to the company's … more
    Elevance Health (09/24/25)
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  • Director of Revenue Integrity

    UTMB Health (Galveston, TX)
    Director of Revenue Integrity **Galveston, Texas, United States** **New** Executive - Business Professional UTMB Health Requisition # 2505170 **Job Summary:** The ... Director , Revenue Integrity is responsible for the daily operations...of CDM, regulatory compliance, ICD-10, and CPT-4 medical record coding and UB04 billing. + Knowledge and understanding of… more
    UTMB Health (09/19/25)
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  • Medical Director - Florida

    Humana (Austin, TX)
    …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
    Humana (10/03/25)
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  • Field Reimbursement Director (Remote USA)

    Danaher Corporation (Houston, TX)
    …the Danaher Business System which makes everything possible. The Field Reimbursement Director position is a provider / customer facing role responsible for ... delivering compliant payer coverage, coding and reimbursement information regarding Cepheid on market diagnostics....targeted customers within the US. Reporting to the Senior Director of Market Access Americas, this highly visible role… more
    Danaher Corporation (10/02/25)
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  • Medical Director -Payment Integrity

    Humana (Austin, TX)
    …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to complex clinical… more
    Humana (09/26/25)
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