• Supervisor, Medical Referrals

    CenterWell (San Antonio, TX)
    …6 years in a physician office, health care, or managed care environment + Certified Medical Coder with one of the following active certifications and with a high ... our caring community and help us put health first** The Supervisor, Medical Referrals schedules and pre-registers patients for exams and procedures with specialists… more
    CenterWell (09/25/25)
    - Related Jobs

  • Clinical Compliance Medical Director

    Elevance Health (Grand Prairie, TX)
    **Clinical Compliance Medical Director** _Please note that per our policy t_ _his role enables associates to work virtually full-time, with the exception of required ... unless an accommodation is granted as required by law._ The **Clinical Compliance Medical Director** is responsible for providing clinical guidance related to the … more
    Elevance Health (09/24/25)
    - Related Jobs

  • Medical Coding Appeals Analyst

    Elevance Health (Grand Prairie, TX)
    …of Evaluation and Management, CPT, HCPCS and ICD-10 code. + Reviews company specific, CMS specific, and competitor specific medical policies, reimbursement ... based sponsorship. **Ensures accurate adjudication of claims, by translating medical policies, reimbursement policies, and clinical editing policies into effective… more
    Elevance Health (09/12/25)
    - Related Jobs

  • Nurse Practitioner/Physician Assistant

    CenterWell (Arlington, TX)
    …professionals, Pharm D, Care Coach Nurse, MA, Behavioral health specialist, Quality based Coder , Referral Coordinator and more. Our approach allows us to provide an ... 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 policy and… more
    CenterWell (08/15/25)
    - Related Jobs

  • Coding Data Quality Auditor

    CVS Health (Austin, TX)
    …**Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and an **employee stock purchase plan** . + **No-cost programs ... passionate about transforming health care. As the nation's leading health solutions company , we reach millions of Americans through our local presence, digital… more
    CVS Health (09/27/25)
    - Related Jobs

  • Coding Quality Auditor

    Houston Methodist (Houston, TX)
    …and/or inpatient encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory ... good feedback during coding section meetings, coding education in-services, and coder /CDMP meetings. Takes initiative to assist others and shares knowledge with… more
    Houston Methodist (09/30/25)
    - Related Jobs

  • Investigator

    Highmark Health (Austin, TX)
    ** Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** This job is responsible for developing and maintaining an anti-fraud program which includes ... to prevent further improper payments.Forwards case to the Credentialing and/or Medical Review Committee, law enforcement and regulatory agencies. + Responsible for… more
    Highmark Health (09/10/25)
    - Related Jobs

  • Vendor Resource Management Manager

    HCA Healthcare (El Paso, TX)
    …educated + Reviews all official data quality standards, coding guidelines, company policies and procedures, and clinical/ medical resources to assure ... and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low… more
    HCA Healthcare (09/27/25)
    - Related Jobs

  • Mgr II Grievance/Appeals- Medical Coding

    Elevance Health (Houston, TX)
    …support overall QI program and meet regulatory compliance/accreditation and the company standards. + Hires, trains, coaches, counsels, and evaluates performance of ... background. **Preferred Skills, Capabilities and Experience:** + Certified Professional Coder -AAPC Please be advised that Elevance Health only accepts resumes… more
    Elevance Health (09/24/25)
    - Related Jobs

  • Inpatient Supervisor and Inpatient Coding…

    Guidehouse (San Antonio, TX)
    …None **Clearance Required** **:** None **REMOTE REMOTE REMOTE!** **Join Our Growing Medical Coding Team! All roles are 100% REMOTE.** As an organization experiencing ... claims - it's about making an impact. As a coder here, you'll be part of a collaborative, mission-driven...off + A flexible, remote work arrangement + Remote medical coding package-laptop, dual monitors, and mouse + The… more
    Guidehouse (08/18/25)
    - Related Jobs