• Medical Review Nurse (RN)

    Molina Healthcare (TX)
    …appropriateness of services provided, length of stay, level of care, and inpatient readmissions. + Validates member medical records and claims submitted/correct ... applicable software program(s) proficiency. **PREFERRED QUALIFICATIONS:** + Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified… more
    Molina Healthcare (09/06/25)
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  • Coding Educator FT-Katy CC (Hybrid)

    Houston Methodist (Houston, TX)
    …(includes CPT) (for inpatient /outpatient coding) coding classification systems + For inpatient /outpatient coding: MS- DRG , APR DRG and APC assignment ... teaching/training experience **LICENSES AND CERTIFICATIONS - REQUIRED** + For inpatient /outpatient coding: RHIT, RHIA, or CCS certification from AHIMA is… more
    Houston Methodist (10/22/25)
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  • Clinical Coding Educator - Full Time - Remote

    Texas Health Resources (Arlington, TX)
    …or CCS - Certified Coding Specialist Upon Hire REQUIRED or CIC - Certified Inpatient Coder Upon Hire REQUIRED Skills Proficient in software applications (Excel, ... Bachelor's Degree Other (ie, business) 3 years experience in inpatient acute facility coding preferred or HS Diploma or...knowledge of ICD 10-CM, PCS. Knowledgeable in APC and DRG methodologies and all regulatory/payer requirements as they relate… more
    Texas Health Resources (11/04/25)
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  • Manager, Appeals & Grievances

    Molina Healthcare (Houston, TX)
    …least 1 year management/leadership experience. * Experience reviewing all types of medical claims (eg HCFA 1500, Outpatient/ Inpatient UB92, Universal Claims, ... Completion of a health care related vocational program in health care (ie, certified coder , billing, or medical assistant). To all current Molina employees: If… more
    Molina Healthcare (11/13/25)
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  • Manager Compliance Coding

    Texas Health Resources (Arlington, TX)
    …procedures. Coding & Documentation Review - Assist the audit team with inpatient , outpatient, and provider coding assessments to ensure assigned codes are supported ... Certified Coding Specialist Upon Hire Required Or CPC - Certified Professional Coder Upon Hire Required Skills Strong understanding of leadership principles and best… more
    Texas Health Resources (10/15/25)
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