• Diagnosis Related Group Clinical Validation…

    Elevance Health (Houston, TX)
    …Related Group Clinical Validation Auditor-RN** is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and ... you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance of … more
    Elevance Health (12/09/25)
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  • Physician VSP/PRN

    CenterWell (Beaumont, TX)
    …Doctors, Advanced Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based Coders, Referral Coordinators ... 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 (10/21/25)
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  • Program Management Lead, Offshore Coding…

    CenterWell (Austin, TX)
    …Program Management Lead, Offshore Coding Operations conducts quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the ... business rules to respond to inquiries and issues. + May participate in coder education programs on coding compliance. + Follows state and federal regulations as… more
    CenterWell (10/23/25)
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  • 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 (12/28/25)
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  • Clinical Fraud Investigator II - Registered Nurse…

    Elevance Health (Grand Prairie, TX)
    …Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Clinical Fraud Investigator II** is responsible for ... control. + Review and conducts analysis of claims and medical records prior to payment. Researches new healthcare-related questions...in Nursing and/or current certification as a Certified Professional Coder (AAPC or AHIMA) and minimum of 4 years… more
    Elevance Health (12/18/25)
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  • Coding Quality Auditor - $5,000 Sign-On Bonus

    Houston Methodist (Katy, 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 (12/29/25)
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  • Payment Integrity Clinician

    Highmark Health (Austin, TX)
    …Care **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Medical Coder or related **SKILLS** + Demonstrated ability to solve ... ** Company :** Highmark Inc. **Job Description :** **JOB...claims review basis. Review process includes a review of medical documentation, itemized bills, and claims data to assure… more
    Highmark Health (11/14/25)
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  • Profee Coding Consultant (Surgery Coding) - PRN

    Datavant (Austin, TX)
    Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the ... to make a significant impact in the field of medical coding. You will provide essential consulting services and...care settings. **_We are seeking an experienced Profee Surgery Coder PRN with strong proficiency in coding surgical procedures… more
    Datavant (12/23/25)
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  • Coding Educator FT-Katy CC (Hybrid)

    Houston Methodist (Houston, TX)
    …is required **LICENSES AND CERTIFICATIONS - PREFERRED** + CPC-I - Certified Professional Coder Instructor (AAPC) -- (CBO Coders only) **OR** + CPMA - Certified ... Professional Medical Auditor (AAPC) -- (CBO Coders only) **KNOWLEDGE, SKILLS,...review your interest but recommend to apply at houstonmethodistcareers.org ** Company Profile:** Houston Methodist is one of the nation's… more
    Houston Methodist (10/22/25)
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  • Software Developer 3

    Oracle (Austin, TX)
    …a start-up, with the scale and customer focus of the leading enterprise software company in the world. Values are OCI's foundation and how we deliver excellence. We ... for major components of Oracle's Cloud Infrastructure. You should be both a rock-solid coder and a distributed systems generalist, able to dive deep into any part of… more
    Oracle (12/22/25)
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