• Manager Coding Operations

    Houston Methodist (Houston, TX)
    … classification systems + MS-DRG, APR DRG and APC assignment systems + Official coding guidelines and coding compliance + Working knowledge of medical ... guidance to staff and is responsible for staffing, budget compliance , contributing to staffing decisions such as hiring and...metrics for assigned area under the direction of the Coding Operations Director . + Ensures that … 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 ... Coding Manager plays a crucial role in ensuring accurate medical coding and compliance with risk adjustment models. **What You will Be Doing:** + Hires and… more
    Evolent (09/23/25)
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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 ... unless an accommodation is granted as required by law._ The **Clinical Compliance Medical Director ** is responsible for providing clinical guidance related… more
    Elevance Health (09/24/25)
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  • Medical Records Director

    Dallas Behavioral Healthcare Hospital (Desoto, TX)
    … audits and resolve coding discrepancies. + Stay current on coding , reimbursement, and regulatory changes. Compliance & Regulatory Readiness + Perform ... Thinking & Problem Solving + Strong critical thinking skills to resolve complex coding , compliance , and documentation issues. + Ability to integrate multiple… more
    Dallas Behavioral Healthcare Hospital (09/02/25)
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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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  • Director of Revenue Integrity

    UTMB Health (Galveston, TX)
    …related duties as required. **K** **nowledge/Skills/Abilities:** + Knowledge of CDM, regulatory compliance , ICD-10, and CPT-4 medical record coding and UB04 ... Director of Revenue Integrity **Galveston, Texas, United States**...for all team members. + Maintains knowledge of all compliance regulations, federal and third-party payers that impact revenue… more
    UTMB Health (09/19/25)
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  • Medical Director - Southeast Region

    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 ... requires an in-depth evaluation of variable factors. **Job Profile** The Medical Director actively uses their medical background, experience, and judgement to make… more
    Humana (09/10/25)
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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 ... at the Inpatient level. All work occurs within a context of regulatory compliance , and work is assisted by diverse resources, which may include national clinical… more
    Humana (09/26/25)
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  • Medical Director - Claims Management

    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 ... service should be authorized. All work occurs within a context of regulatory compliance , and work is assisted by diverse resources, which may include national… more
    Humana (09/17/25)
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  • Director of Payment Integrity Consulting

    CGI Technologies and Solutions, Inc. (Dallas, TX)
    ** Director of Payment Integrity Consulting** **Category:** Finance **Main location:** United States, Georgia, Atlanta **Alternate Location(s):** United States, ... key client stakeholders, including executive leadership, claims operations, finance, compliance , and clinical teams. * Lead client discovery sessions, workshops,… more
    CGI Technologies and Solutions, Inc. (09/25/25)
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