• Manager, Medical Economics (Medicaid)…

    Molina Healthcare (Dallas, TX)
    …and different standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding / billing (UB04/1500 form) + Demonstrated understanding of key ... **JOB DESCRIPTION** **Job Summary** The Manager, Medical Economics provides support and consultation to the...health plan performance and identify the root causes of medical cost trends. With those root causes identified, drives… more
    Molina Healthcare (08/27/25)
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  • Medical Biller/Claims Processing - Patient…

    IQVIA (Houston, TX)
    …+ High School Diploma or equivalent + Experience in claim processing required + Medical Billing Certification required + Coding Certification required + ... **Patient Support Medical Claims Processing ​Representative** _Contract Remote Role -...to deliver nationally and internationally. Our teams help biopharma, medical device and diagnostic companies get their therapies to… more
    IQVIA (08/21/25)
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  • Clinical Provider Auditor II

    Elevance Health (Houston, TX)
    …related questions as necessary to aid in investigations and stays abreast of current medical coding and billing issues, trends and changes in ... an Impact:** + Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities for fraud...+ Requires a AA/AS and minimum of 3 years medical coding /auditing experience, including minimum of 1… more
    Elevance Health (09/26/25)
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  • Clinical Provider Auditor II

    Elevance Health (Houston, TX)
    …related questions as necessary to aid in investigations and stays abreast of current medical coding and billing issues, trends and changes in ... an impact:** + Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities for fraud...+ Requires a AA/AS and minimum of 4 years medical coding /auditing experience, including minimum of 1… more
    Elevance Health (09/06/25)
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  • AR II Specialist - Hybrid Position

    Methodist Health System (Dallas, TX)
    …- Investigate and address claim denials promptly. Utilize knowledge of payor policies, medical coding guidelines, and billing regulations to appeal denials ... - Strong knowledge of healthcare billing processes, medical terminology, CPT, ICD-10 coding , and billing regulations. - Excellent analytical skills… more
    Methodist Health System (08/28/25)
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  • Facility Coding Inpatient DRG Quality

    Banner Health (TX)
    …you. **Requirements:** + **5 years recent experience in acute-care Inpatient facility-based medical coding (clearly reflected in your attached resume);** + **DRG ... coding . CORE FUNCTIONS 1. Provides guidance on coding and billing , utilizing coding ...as recommended by the American Health Information Management Association coding competencies. Requires an in-depth knowledge of medical more
    Banner Health (09/06/25)
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  • Provider Services Representative I

    Methodist Health System (Dallas, TX)
    …interpersonal interactions with physicians and office staffs. * Must demonstrate understanding of medical claims billing and coding practices. * Ability to ... to share information, (e) Working with physicians on the development of medical neighborhood and assisting in communication flow, (f) Educating physicians on HCCs… more
    Methodist Health System (09/28/25)
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  • Pro Fee Coding Quality Review Educator

    HCA Healthcare (Arlington, TX)
    …and reporting purposes. This individual will assist in training and support of medical coding staff through education forums, written coding resources, ... CCU coding workflow among peer groups. + Stay abreast of coding / billing regulatory requirements and company compliance policies, ensuring timely staff… more
    HCA Healthcare (09/27/25)
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  • Inpatient Coding Resolution Specialist

    HCA Healthcare (El Paso, TX)
    …Monday-Friday flexible schedule. This position requires acute care/facility based Inpatient Coding experience. Are you passionate about the patient experience? At ... integrity. We care like family! Jump-start your career as an Inpatient Coding Resolution Specialist today with Parallon. **Benefits** Parallon, offers a total… more
    HCA Healthcare (09/27/25)
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  • Medical Necessity Coding Compliance…

    HCA Healthcare (Pasadena, TX)
    …NC, SC, TN, TX, UT, VA). Do you have the career opportunities as a Medical Necessity Coding Compliance Coordinator you want with your current employer? We have ... a committed, caring group of colleagues. Do you want to work as a Medical Necessity Coding Compliance Coordinator where your passion for creating positive… more
    HCA Healthcare (09/27/25)
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