• Clinical Denial Coding Review Specialist

    HCA Healthcare (Plano, TX)
    **Description** **Introduction** Do you have the career opportunities as a Clinical Denial Coding Review Specialist you want with your current employer? We have an ... which is part of the nation's leading provider of healthcare services, HCA Healthcare . **Benefits** Parallon offers...colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no… more
    HCA Healthcare (11/26/25)
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  • Investigator, Coding Special Investigative…

    Molina Healthcare (Dallas, TX)
    … Coding Investigator is responsible for investigating and resolving instances of healthcare fraud and abuse by medical providers. This position uses ... to law enforcement or for payment recovery. **KNOWLEDGE/SKILLS/ABILITIES** + Reviews post pay claims with corresponding medical records to determine accuracy of … more
    Molina Healthcare (11/20/25)
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  • Senior Compliance Coding Analyst - Business…

    Houston Methodist (Houston, TX)
    …and capture potential revenue opportunities. This position performs quality assurance, detailed claims analysis, and medical record reviews of complex claims ... At Houston Methodist, the Sr Compliance Coding Analyst position is responsible for supporting accurate...Conducts risk-based and baseline reviews of complex and escalated claims or records in a timely manner, evaluates corrective… more
    Houston Methodist (10/23/25)
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  • Medical Coding Auditor

    Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
    …maintaining compliance with healthcare laws and organizational policies. The Medical Coding Auditor collaborates with practice, providers, and other ... **42910BR** **Extended Job Title:** Medical Coding Auditor **Org Level 1:**...with policies andregulations + Stay current with changes in coding guidelines, healthcare regulations, and payer policies… more
    Texas Tech University Health Sciences Center - El Paso (11/22/25)
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  • DRG Coding Auditor

    Elevance Health (Grand Prairie, TX)
    …spending. The **DRG CODING AUDITOR** is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit ... you will make an impact:** + Analyzes and audits claims by integrating medical chart coding...dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with… more
    Elevance Health (10/25/25)
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  • Medical Coding Appeals Analyst

    Elevance Health (Grand Prairie, TX)
    …not eligible for employment based sponsorship. **Ensures accurate adjudication of claims , by translating medical policies, reimbursement policies, and clinical ... issues and to audit claims adjudication for accuracy. + Perform pre-adjudication claims reviews to ensure proper coding was used. + Prepares correspondence… more
    Elevance Health (09/12/25)
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  • Coding Manager ELP

    Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
    … coding operational activities of assigned divisions for both physician and hospital coding within the Medical Coding SOM Department. + Provide direct ... on reimbursement and documentation rules and regulations related to coding . Consults with physicians or other healthcare ...personnel or personnel undergoing HR coaching to improve their medical coding skills set for accuracy lo… more
    Texas Tech University Health Sciences Center - El Paso (11/19/25)
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  • Supervisor Coding (Outpatient) Hybrid

    Houston Methodist (Houston, TX)
    …(AR) metrics. Oversees the investigation and appeal of unpaid and partially paid claims by third-party payors related to coding or clinical denials. ... Classification of Diseases 10th Revision (ICD-10), Current Procedural Terminology (CPT), and The Healthcare Common Procedure Coding System (HCPCS) coding and… more
    Houston Methodist (11/18/25)
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  • Hospital Concurrent Coding Analyst

    Intermountain Health (Austin, TX)
    …Classification of Diseases ICD-10 and Diagnosis Related Groups (DRG) codes for claims concurrently while a patient is in a hospital. It ensures accurate ... codes in support of the provision of value-based care by Intermountain Healthcare to appropriate populations. It ensures compliance and accurate submission of… more
    Intermountain Health (11/26/25)
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  • Medical Biller/ Claims Processing…

    IQVIA (Houston, TX)
    **Patient Support Medical Claims Processing ​Representative** _Contract Remote Role - Location (Open to Remote US)_ As the only global provider of commercial ... a 100% remote (work from home-WFH) contact **Patient Support Medical Claims Processing Representative** to join our...or equivalent + Experience in claim processing required + Medical Billing Certification required + Coding Certification… more
    IQVIA (11/20/25)
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