• Medical Bill Review Analyst

    TEKsystems (West Lake Hills, TX)
    …reasonable value of medical services. You'll use your expertise in medical coding , healthcare finance, and valuation methodologies to support litigation, ... Job Summary: We are seeking a Medical Bill Review Analyst/Expert to join our team...to our mission of delivering accurate, defensible, and cost-effective medical valuation services. As a Medical Bill… more
    TEKsystems (09/17/25)
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  • Coding Educator

    Humana (Austin, TX)
    …interpretation and independent determination of the appropriate courses of action. The Coding Educator 2 reviews medical records and arranges educational ... make an impact** **Required Qualifications** + AAPC or AHIMA Coding Certification + 2 + yrs medical record review knowledge + Comprehensive knowledge of MS Word,… more
    Humana (09/24/25)
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  • Clinical Provider Auditor II

    Elevance Health (Houston, TX)
    …related questions as necessary to aid in investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations. + ... **Minimum Requirements:** + Requires a AA/AS and minimum of 3 years medical coding /auditing experience, including minimum of 1 year in fraud, waste abuse… more
    Elevance Health (09/26/25)
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  • Revenue Cycle Specialist - Plastics…

    Houston Methodist (Houston, TX)
    …Resolves denials as they appear with actionable items that result in resolution. Engages the coding follow up team for any medical necessity or coding ... **FINANCE ESSENTIAL FUNCTIONS** + Expedites and maximizes payment of insurance medical claims by contacting third party payers and patients. This includes… more
    Houston Methodist (08/13/25)
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  • Coder I (Inpatient) - Full Time - Days

    Texas Health Resources (Arlington, TX)
    …and/or other utilized technology. . Assigns/sequences ICD-10-CM and PCS codes to selected medical records per Coding Guidelines, THR Coding Compliance ... Texas Health Family_ **Work location:** Remote **Work hours:** Flexible hours **HIMS Coding Department Highlights:** . 100% remote work . Opportunity to learn… more
    Texas Health Resources (08/14/25)
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  • Clinical Provider Auditor II

    Elevance Health (Houston, TX)
    …related questions as necessary to aid in investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations. + ... **Minimum Requirements** + Requires a AA/AS and minimum of 4 years medical coding /auditing experience, including minimum of 1 year in fraud, waste abuse… more
    Elevance Health (09/06/25)
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  • Clinical Documentation Specialist

    Houston Methodist (Houston, TX)
    …extensive interaction with physicians, nursing staff, other patient care givers, and medical records coding staff to ensure that appropriate reimbursement is ... coding and utilization review experience preferred + For Medical School graduate - One year of clinical experience...Medical School graduate **OR** + CCS - Certified Coding Specialist (AHIMA) -- For Medical School… more
    Houston Methodist (07/31/25)
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  • Administrative Associate III - Medical…

    Texas A&M University System (College Station, TX)
    …sensitive records management. + Medical Office Administration Certificate, Medical Records Certification, Medical Records/ Coding Certification. Special ... Job Title Administrative Associate III - Medical Records Agency Texas A&M University Department Vet...Integrity, and Selfless Service. Who we are The Veterinary Medical Teaching Hospital (VMTH) includes the Small Animal Hospital… more
    Texas A&M University System (09/18/25)
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  • Director of Payment Integrity Consulting

    CGI Technologies and Solutions, Inc. (Dallas, TX)
    …projects and teams . 5 years of experience in healthcare claims adjudication, medical coding , DRGs, and/or reimbursement methodologies . 5 years of experience ... including pre-payment review, post-payment audit, FWA detection and prevention, coding accuracy, clinical integrity, and provider data management. * Leverage… more
    CGI Technologies and Solutions, Inc. (09/25/25)
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  • Account Representative - (Museum District)

    Houston Methodist (Houston, TX)
    …claims resubmission to payors. + Creates and submits appeals when necessary. Engages the coding follow-up team for any medical necessity or coding related ... ESSENTIAL FUNCTIONS** + Expedites and maximizes payment of insurance medical claims by contacting third party payors and patients....of Diseases Tenth Revision (ICD-10), and Healthcare Common procedure Coding System (HCPCS) coding + In depth… more
    Houston Methodist (08/14/25)
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