• Medical Review Nurse (RN)

    Molina Healthcare (TX)
    …appropriateness of services provided, length of stay, level of care, and inpatient readmissions. + Validates member medical records and claims submitted/correct ... applicable software program(s) proficiency. **PREFERRED QUALIFICATIONS:** + Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified… more
    Molina Healthcare (09/06/25)
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  • 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 body ... 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 (11/12/25)
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  • Clinical Coding Educator - Full Time - Remote

    Texas Health Resources (Arlington, TX)
    …or CCS - Certified Coding Specialist Upon Hire REQUIRED or CIC - Certified Inpatient Coder Upon Hire REQUIRED Skills Proficient in software applications (Excel, ... related preferred or Bachelor's Degree Other (ie, business) 3 years experience in inpatient acute facility coding preferred or HS Diploma or Equivalent 7 years… more
    Texas Health Resources (11/04/25)
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  • Senior Clinical Coding Specialist - OR Surgery

    MD Anderson Cancer Center (Houston, TX)
    …primary purpose of the Senior Clinical Coding Specialist position is to analyze medical records and abstracts clinical data by assigning codes from patient records ... Craneware. Knowledgeable in identifying. Initiate queries when appropriate . Review medical record documentation, understand, and assign accurate primary, ICD-10 CM,… more
    MD Anderson Cancer Center (10/28/25)
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  • DRG Coding Auditor

    Elevance Health (Grand Prairie, TX)
    medical -expense spending. The **DRG CODING AUDITOR** is responsible for auditing inpatient medical records and generating high quality recoverable claims for ... its clients. Also responsible for performing clinical reviews of medical records and other documentation to evaluate issues of...a Certified Coding Specialist and/or CIC as a Certified Inpatient Coder . + Requires 5 years of… more
    Elevance Health (10/25/25)
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  • Coding Educator FT-Katy CC (Hybrid)

    Houston Methodist (Houston, TX)
    …teaching/training experience **LICENSES AND CERTIFICATIONS - REQUIRED** + For inpatient /outpatient coding: RHIT, RHIA, or CCS certification from AHIMA is ... AND CERTIFICATIONS - PREFERRED** + CPC-I - Certified Professional Coder Instructor (AAPC) -- (CBO Coders only) **OR** +...(CBO Coders only) **OR** + CPMA - Certified Professional Medical Auditor (AAPC) -- (CBO Coders only) **KNOWLEDGE, SKILLS,… more
    Houston Methodist (10/22/25)
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  • Profee Coding Consultant (Interventional…

    Datavant (Austin, TX)
    …is an opportunity to make a significant impact in the field of medical coding. You will provide essential consulting services and educational support, guiding ... both hospitals and alternative care settings. **Seeking Profee Interventional Radiology coder . Requires expertise in capturing Interventional Radiology CPTs, DX, RVU… more
    Datavant (11/14/25)
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  • System Manager Revenue Cycle (Medicare Hospital…

    Houston Methodist (Katy, TX)
    …areas of Revenue Cycle, to include but not limited to: medical coding, insurance billing, collections, patient account resolution, appeals/denials, customer service, ... or other applicable experience to the area assigned (eg, call center, medical billing, insurance collections) + Two years of supervisory or management experience.… more
    Houston Methodist (11/12/25)
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  • Manager, Appeals & Grievances

    Molina Healthcare (Houston, TX)
    …least 1 year management/leadership experience. * Experience reviewing all types of medical claims (eg HCFA 1500, Outpatient/ Inpatient UB92, Universal Claims, ... health care related vocational program in health care (ie, certified coder , billing, or medical assistant). To all current Molina employees: If you are… more
    Molina Healthcare (11/13/25)
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  • Manager Compliance Coding

    Texas Health Resources (Arlington, TX)
    …procedures. Coding & Documentation Review - Assist the audit team with inpatient , outpatient, and provider coding assessments to ensure assigned codes are supported ... Certified Coding Specialist Upon Hire Required Or CPC - Certified Professional Coder Upon Hire Required Skills Strong understanding of leadership principles and best… more
    Texas Health Resources (10/15/25)
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