• Medical Claim Review Nurse (RN)

    Molina Healthcare (San Antonio, TX)
    …and coding experience. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Certified Clinical Coder , Certified Medical Audit Specialists, Certified Case Manager ... knowledge and experience, responsible for review of documentation to ensure medical necessity and appropriate level of care utilizing MCG/InterQual, state/federal… more
    Molina Healthcare (08/08/25)
    - Related Jobs
  • Senior Client Coding Project Manager

    Datavant (Austin, TX)
    …impacts on schedule and budget. + Coordinate the development of user manuals, coder training materials, and other documents as needed. + Manage client satisfaction ... deliver on them through collaboration with those responsible for coder performance management. + Drive quality assurance and performance...Minimum 5 years managing coders in an outpatient or inpatient setting. + Current CCS, CRC, or CPC required.… more
    Datavant (06/28/25)
    - Related Jobs
  • 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 (07/22/25)
    - Related Jobs
  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Grand Prairie, TX)
    …The **Diagnosis Related Group Clinical Validation Auditor** is responsible for auditing inpatient medical records to ensure clinical documentation supports the ... Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as… more
    Elevance Health (08/09/25)
    - Related Jobs
  • Coding Educator FT-Katy CC

    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 (07/23/25)
    - Related Jobs
  • Director Coding - Revenue Cycle - (Museum…

    Houston Methodist (Houston, TX)
    …Department across all Houston Methodist facilities. The Director manages personnel performing inpatient and outpatient medical record coding, DRG and APC ... data entry functions; ensures accuracy and quality of coded and abstracted medical record data. This position coordinates coding and abstracting activities; provides… more
    Houston Methodist (08/11/25)
    - Related Jobs
  • Manager Revenue Cycle - Self-pay Collections

    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 (07/31/25)
    - Related Jobs