• Office Assistant

    Catholic Health Initiatives (The Woodlands, TX)
    …* Demonstrate the understanding of health insurance authorization/billing requirements, including medical coding . * Ability to file and maintain patient ... associated with patient check-in, check-out, scheduling, referrals, and electronic medical records. Administers and supports the clinic's billing, and insurance… more
    Catholic Health Initiatives (04/24/25)
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  • Client Success Manager

    Datavant (Austin, TX)
    …related field + Knowledge of healthcare industry, payment models, risk adjustment, medical coding , physician workflow, and/or electronic health record systems + ... resources working closely with all internal teams including: data integrations, coding management, engineering, sales, and executive teams. + Ensure smooth… more
    Datavant (05/04/25)
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  • RN Medical Claim Review Nurse

    Molina Healthcare (Fort Worth, TX)
    …appropriate level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding regulations, and Molina policies; validates the medical record ... + Minimum two years of experience in Claims Auditing, Medical Necessity Review and Coding experience +...in Claims Auditing, Medical Necessity Review and Coding experience + Familiar with state/federal regulations **REQUIRED LICENSE,… more
    Molina Healthcare (05/21/25)
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  • PEND Management Coordinator - Remote

    Datavant (Austin, TX)
    …systems and compile medical records to send to other parties for coding + Log all call transactions into the designated computer software system(s) + Requests ... + High school diploma or equivalent + 2+ year of experience in medical records, medical record coding or a related field, preferred + Prior… more
    Datavant (05/03/25)
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  • Manager of Medical Records - HIM

    Prime Healthcare (Weslaco, TX)
    …experience; required. + Successful completion of college level courses in anatomy, physiology, medical terminology and coding + ICD and CPT knowledge; required. ... Overview Knapp Medical Centeris a 227-bed not-for-profit, acute care hospital,...and influencing department activities and enduring maintenance of hospital medical records while maintaining continuous quality improvement. The Manager… more
    Prime Healthcare (05/07/25)
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  • Supervisor Clinic

    Catholic Health Initiatives (The Woodlands, TX)
    …required. * Specialized or technical training from a college or technical school for coding , medical assistant, or . Coding Certification preferred. * Basic ... guidance for resolution. 3. Works with individual clinic management and medical staff, to evaluate, monitor and enforce clinic specific protocols, procedures… more
    Catholic Health Initiatives (05/16/25)
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  • Business Analytics Advisor (South Texas Provider…

    The Cigna Group (Houston, TX)
    …such as SQL, Tableau and advanced Microsoft Excel skills + Knowledge of standard medical coding including CPT-IV, ICD-10, DRG, revenue codes, and HCPCS + Strong ... **Summary** Supports the medical cost position of assigned markets through analysis...contracts, analysis of high performing network solutions, analysis of medical expense reports, data drill downs of trend drivers,… more
    The Cigna Group (05/09/25)
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  • Coding Quality Auditor

    Houston Methodist (Houston, TX)
    …live in TX, LA, FL, TN, WA or GA** At Houston Methodist, the Coding Quality Auditor position is responsible for ensuring accuracy in code assignment of diagnosis ... and/or inpatient encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory… more
    Houston Methodist (04/12/25)
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  • Provider Contract & Network Underwriting Advisor…

    The Cigna Group (Plano, TX)
    …is a plus + Experience working with claim data and familiarity with standard medical coding : CPT, ICD9, HCPC + Understanding of managed care business processes, ... trend and other metrics. You will also partner with network management, medical management, and sales units to understand resulting medical expense… more
    The Cigna Group (05/09/25)
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  • Manager Coding Operations

    Houston Methodist (Houston, TX)
    …APR DRG and APC assignment systems + Official coding guidelines and coding compliance + Working knowledge of medical terminology, anatomy and physiology, ... At Houston Methodist, the Manager Coding Operations position is responsible for the day-to-day operations of managing the inpatient/outpatient coding staff and… more
    Houston Methodist (05/07/25)
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