• Coding Education & Compliance Specialist…

    Health Care Service Corporation (Harlingen, TX)
    …Diploma or GED. + CPC Coding Certification/CPC, CCS, CCSP + 2 years medical coding experience + Experience with process management + PC experience and skills ... medical records when there is a discrepancy in coding , and validate the coding and support...medical records to ensure compliance with the organizations coding procedures and standards according to the CMS … more
    Health Care Service Corporation (09/27/25)
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  • Manager, Risk Adjustment Coding Support

    Evolent (Austin, TX)
    …The Risk Adjustment Coding Manager plays a crucial role in ensuring accurate medical coding and compliance with risk adjustment models. **What You will Be ... related field or equivelent years of work experience. + **Certification in medical coding (CRC- Certified Risk Adjustment Coder) or demonstrated ability.** + 5+… more
    Evolent (09/23/25)
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  • Medical Coding Appeals Analyst

    Elevance Health (Grand Prairie, TX)
    …based sponsorship. **Ensures accurate adjudication of claims, by translating medical policies, reimbursement policies, and clinical editing policies into effective ... and accurate reimbursement criteria.** PRIMARY DUTIES: + Review medical record documentation in support of Evaluation and Management, CPT, HCPCS and ICD-10 code. +… more
    Elevance Health (09/12/25)
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  • Outpatient Coding Compliance Coordinator…

    Guidehouse (San Antonio, TX)
    …Required** **:** None **Fully Remote Fully Remote Fully Remote!** **Join Our Growing Medical Coding Team! All roles are 100% REMOTE.** **What You Will ... by analyzing documentation and discussing correct code assignment. + Reviews medical records flagged through the SMART (Inpatient and Outpatient tools) software… more
    Guidehouse (08/20/25)
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  • Mgr II Grievance/Appeals- Medical

    Elevance Health (Houston, TX)
    …and incentive bonus programs (unless covered by a collective bargaining agreement), medical , dental, vision, short and long term disability benefits, 401(k) +match, ... stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an… more
    Elevance Health (09/24/25)
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  • Coding Analyst Senior

    Elevance Health (Houston, TX)
    …The ** Coding Analyst Senior** is responsible for reviewing, auditing, and coding medical records for the purpose of reimbursement, training, education and ... you will make an impact:** + Audits and reviews medical documentation for appropriate ICD-9 and CPT coding... medical documentation for appropriate ICD-9 and CPT coding and documentation. + Queries physicians when code assignments… more
    Elevance Health (09/04/25)
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  • Medical Records Director

    Dallas Behavioral Healthcare Hospital (Desoto, TX)
    …experience and coding knowledge ICD-10 Knowledge required. Knowledge, Skills & Abilities Medical & Coding Knowledge + Strong knowledge of medical ... (HIM) Director to lead the organizational and administrative operations of our Medical Records Department. This individual will be responsible for ensuring the… more
    Dallas Behavioral Healthcare Hospital (09/02/25)
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  • PRN - Medical Coder/Records Clerk

    Dallas Behavioral Healthcare Hospital (Desoto, TX)
    …service standards. Requirements + Education: Certificate or associate's degree in medical coding /CPC. These additional certifications are not required but ... services + Knowledge, Skills & Abilities: + Knowledge of medical terminology; basic and advanced ICD-9-CM coding ;...of medical terminology; basic and advanced ICD-9-CM coding ; anatomy and physiology; computer data entry; and … more
    Dallas Behavioral Healthcare Hospital (08/08/25)
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  • Coder II - OP Physician Coding

    Baylor Scott & White Health (Austin, TX)
    …data. **ESSENTIAL FUNCTIONS OF THE ROLE** + Examines and interprets documentation from medical records and completes accurate coding of diagnosis, procedures and ... more types of outpatient, Profee, or low acuity inpatient coding . + The Coder 2 may code low acuity...abstracting function. + Sound knowledge of anatomy, physiology, and medical terminology. + Demonstrated proficiency of the use of… more
    Baylor Scott & White Health (09/19/25)
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  • Medical Claim Review Nurse (RN)

    Molina Healthcare (San Antonio, TX)
    …Looking for a RN with experience with appeals, claims review, and medical coding . **Job Summary** Utilizing clinical knowledge and experience, responsible ... appropriate level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding regulations, and Molina policies; validates the medical record… more
    Molina Healthcare (09/06/25)
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