• Sr Analyst, Scope Management - Healthcare

    Evolent (Austin, TX)
    Coder (CHONC) + Certified Coding Associate (CCA) + Certified Professional Coder (CPC) + Certified Coding Specialist (CCS) **To comply with HIPAA ... of coding updates from authoritative sources, including the American Medical Association (AMA), Centers for Medicare & Medicaid Services (CMS), Food and… more
    Evolent (07/18/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Grand Prairie, TX)
    …you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance ... of medical audit activities. + Draws on advanced ICD-10 coding expertise, mastery of clinical guidelines, and industry knowledge to substantiate conclusions. +… more
    Elevance Health (08/09/25)
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  • Nurse Practitioner or Physician Assistant- N.…

    CenterWell (Fort Worth, TX)
    …advanced practice professionals, Pharm D, Care Coach Nurse, MA, Behavioral health specialist , Quality based Coder , Referral Coordinator and more. Our approach ... accordance with standards of care. . Follows level of medical care and quality for patients and monitors care...in a timely manner working with a quality- based coder to optimize coding specificity. . Follows… more
    CenterWell (07/03/25)
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  • Manager, Clinical Documentation Integrity (CDI)…

    Ascension Health (Austin, TX)
    …/ Registration: + One or more of the following required: + Certified Coding Specialist (CCS) credentialed from the American Health Information Management ... **Details** + **Department: Coding Documentation** + **Schedule: M-F** + **Hospital: Seton...hire date or job transfer date. + Certified Professional Coder (CPC) credentialed from the American Academy of Professional… more
    Ascension Health (05/16/25)
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  • Clinical Appeals Nurse (RN)

    Molina Healthcare (Fort Worth, TX)
    …Any one or more of the following: + Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager ... be licensed for the state they reside This position will support Medical Review for Medicare and Marketplace request authorization. Strongly prefer candidates with… more
    Molina Healthcare (08/02/25)
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