• Coding Charges & Denials Specialist - (Telecommute…

    Houston Methodist (Houston, TX)
    …denials, denial reason and trending, interpretation of payer manuals, medical policies, and local/national coverage determinations. **SERVICE ESSENTIAL FUNCTIONS** + ... are needed. **QUALITY/SAFETY ESSENTIAL FUNCTIONS** + Analyzes data from various sources ( medical records, claims data, payer medical policies, etc.), determines… more
    Houston Methodist (06/13/25)
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  • Director Coding - Revenue Cycle - (Museum…

    Houston Methodist (Houston, TX)
    …Methodist facilities. The Director manages personnel performing inpatient and outpatient medical record coding, DRG and APC assignment, abstracting, and data entry ... functions; ensures accuracy and quality of coded and abstracted medical record data. This position coordinates coding and abstracting activities; provides data… more
    Houston Methodist (05/13/25)
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  • Clinical Fraud Investigator II

    Elevance Health (Grand Prairie, TX)
    …II** **Location** : _Hybrid1:_ This role requires associates be in the office 1-2 days per week, fostering collaboration and connectivity, while providing ... flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic… more
    Elevance Health (06/24/25)
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