• Medical Director (South Central…

    CVS Health (Austin, TX)
    …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 … more
    CVS Health (07/18/25)
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  • Medical Director - Medicare Appeals

    CVS Health (Austin, TX)
    …Hearings / Special Projects and Committee participation when needed. The Medical Director will provide clinical , coding , and reimbursement expertise as ... / Pediatrics (Med / Peds) Board Certification. In the Medical Director role, you will provide oversight...directing case management when necessary. The Medical Director will act as a business and clinical… more
    CVS Health (08/08/25)
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  • Clinical Coding and OASIS Review…

    BAYADA Home Health Care (Austin, TX)
    …BAYADA Home Health Care has an immediate opening for a **Full Time,** OASIS and Coding Review Manager with OASIS and Coding certification to work remotely. RN, ... for this role (Please note, while this is a clinical opening, BAYADA does have non- clinical openings...Apply your skills and knowledge of OASIS and ICD-10 coding to help clients receive the home health care… more
    BAYADA Home Health Care (08/15/25)
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  • Manager, Coding & QA Clinical…

    UTMB Health (Galveston, TX)
    …**ESSENTIAL JOB FUNCTIONS:** * Under the direction of the Director of Coding , actively manages Clinical coding operations for UTMB to promote ... # 2504148 **JOB SUMMARY:** Develops, coordinates and manages all coding activities related to clinical coding...that support physicians billing services. * General knowledge of medical terminology and trends related to disease processes and… more
    UTMB Health (08/08/25)
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  • Non- Clinical Coding and OASIS…

    BAYADA Home Health Care (Austin, TX)
    …this requirement.** BAYADA Home Health Care is hiring a full time OASIS Review and Coding Manager. The OASIS and Coding Review Manager provides support to all ... and meeting business and development goals. This is a **non- clinical ** role (Note: Clinical opportunities are also...Paid holidays, vacation and sick leave, vision, dental and medical health plans, employer paid life insurance, 401k with… more
    BAYADA Home Health Care (08/15/25)
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  • Manager, Risk Adjustment Coding Support

    Evolent (Austin, TX)
    …The Risk Adjustment Coding Manager plays a crucial role in ensuring accurate medical coding and compliance with risk adjustment models. **What You will Be ... coding questions and issues. + Collaborate with the coding director to develop policies, procedures, and...healthcare administration, or a related field. + **Certification in medical coding (CRC- Certified Risk Adjustment Coder)… more
    Evolent (08/14/25)
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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** +...assignment systems + Official coding guidelines and coding compliance + Working knowledge of medical … more
    Houston Methodist (07/18/25)
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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 (06/21/25)
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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 ... Health Records (EHR) systems and clinical workflows. + Understanding of clinical terminologies and coding systems (eg, SNOMED, LOINC, ICD-10). + Experience… more
    CVS Health (07/28/25)
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  • Sr Compliance RCM & Coding Auditor

    Humana (Austin, TX)
    …with business partners to uphold ethical standards and mitigate risks. The Senior Clinical Compliance Professional will support the Director of Compliance, by ... data requires an in-depth evaluation of variable factors. As the Senior Clinical Compliance Professional, you will develop and/or evaluate compliance policies and… more
    Humana (08/23/25)
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