• 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)
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  • Mgr II Grievance/Appeals- Medical Coding

    Elevance Health (Houston, TX)
    …** Preferred Skills, Capabilities and Experience:** + Certified Professional Coder -AAPC Please be advised that Elevance Health only accepts resumes for ... and incentive bonus programs (unless covered by a collective bargaining agreement), medical , dental, vision, short and long term disability benefits, 401(k) +match,… more
    Elevance Health (09/24/25)
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  • Compliance Audit Manager

    Cardinal Health (Austin, TX)
    …detection and correction of documentation, coding, and billing errors and/or medical necessity of services billed. Particular areas of focus include: evaluation ... physicians, physician leadership, senior leadership, management, and staff; physician and coder education; and the making of recommendations for corrective action to… more
    Cardinal Health (08/27/25)
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  • RN Clinical Appeals Nurse

    Molina Healthcare (Dallas, TX)
    … Experience** 5+ years Clinical Nursing experience, including hospital acute care/ medical experience. ** Preferred License, Certification, Association** Any one ... or more of the following: + Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified… more
    Molina Healthcare (09/26/25)
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  • Primary Care Physician

    CenterWell (San Antonio, 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 (09/29/25)
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  • Primary Care Physician

    CenterWell (San Antonio, 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 (09/26/25)
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  • Primary Care Physician

    CenterWell (Arlington, TX)
    …Doctors, Advanced Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based Coders, Referral Coordinators ... of care, health maintenance, and disease prevention. Keeps a medical history and medical records. Refers the...in a timely manner working with a quality- based coder to optimize coding specificity. + Follows policy and… more
    CenterWell (08/08/25)
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  • Outpatient Audit Specialist

    Datavant (Austin, TX)
    …allowing you to help shape the future of healthcare from your own workspace! ** Preferred : Candidate needs a strong skill set in SDS, ED, Observation and I&I** **What ... Will Do:** + Performs Outpatient Facility coding audits of medical records and abstracts using ICD-10-CM, CPT, HCPCS, and...to ensure departmental workflow and case resolution + Provides coder education via the auditing process + Function in… more
    Datavant (09/13/25)
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  • Coding Educator FT-Katy CC (Hybrid)

    Houston Methodist (Houston, TX)
    …CCS-P from AHIMA or CPC from AAPC 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,...Microsoft Office products + AHIMA designated ICD-10 Approved Trainer preferred or for CBO coders AAPC CPC-I or CPMA… more
    Houston Methodist (07/23/25)
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  • Coding Charges & Denials Specialist - (Telecommute…

    Houston Methodist (Houston, TX)
    …denials, denial reason and trending, interpretation of payer manuals, medical policies, and local/national coverage determinations. **SERVICE ESSENTIAL FUNCTIONS** + ... are needed. **QUALITY/SAFETY ESSENTIAL FUNCTIONS** + Analyzes data from various sources ( medical records, claims data, payer medical policies, etc.), determines… more
    Houston Methodist (09/12/25)
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