• Claims Auditor II

    Elevance Health (Houston, TX)
    **Claims Auditor II** **Location :** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing ... for employment, unless an accommodation is granted as required by law._ The **Claims Auditor II** is responsible for audits of high dollar claims across the stop… more
    Elevance Health (09/09/25)
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  • Claims Auditor (Remote)

    WTW (Dallas, TX)
    **Description** As a Lead Auditor you will apply your audit, project management and client management skills to lead client audits. You will serve as the team leader ... demonstrate a high level of claims administration knowledge, including experience with medical , dental, mental health and Medicare + Detailed knowledge of ICD-10 and… more
    WTW (09/26/25)
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  • Coding Quality Audit Reviewer

    HCA Healthcare (Pasadena, TX)
    …of our team. **Job Summary and Qualifications** As a work from home Inpatient Coding Auditor , you will be responsible for performing internal quality assessment ... guidelines and policy + Demonstrates and applies expert level knowledge of medical coding practices and concepts + Participates on special reviews or projects +… more
    HCA Healthcare (09/27/25)
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  • Coding Educator FT-Katy CC (Hybrid)

    Houston Methodist (Houston, TX)
    …Instructor (AAPC) -- (CBO Coders only) **OR** + CPMA - Certified Professional Medical Auditor (AAPC) -- (CBO Coders only) **KNOWLEDGE, SKILLS, AND ABILITIES** ... assignment systems + Official coding guidelines and coding compliance + Working knowledge of medical ...and coding compliance + Working knowledge of medical terminology, anatomy and physiology, disease processes and pharmacology… more
    Houston Methodist (07/23/25)
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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 ... CPC-Payer, Certified Interventional Radiology Cardiovascular Coder (CIRCC) and Certified Professional Medical Auditor (CPMA) + Experience: A minimum of 1… more
    Dallas Behavioral Healthcare Hospital (08/08/25)
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  • Inpatient Audit Specialist

    Datavant (Austin, TX)
    …will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, ... of healthcare from your own workspace! Preferred: Strong IP Auditor 3+ years experience, Cerner/3M a plus. Must have...topics. **What You Will Do:** + Performs Inpatient Facility coding audits according to scope of work, for the… more
    Datavant (08/13/25)
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  • Vendor Resource Management Team Lead

    HCA Healthcare (Arlington, TX)
    … guidelines and policies + Demonstrates and applies expert level knowledge of medical coding practices and concepts; assists in ensuring vendor coders adherence ... work from home position.** **This position has a specialization in Inpatient Coding .** **Benefits** Parallon offers a total rewards package that supports the health,… more
    HCA Healthcare (09/27/25)
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  • Specialist, Config Oversight (healthcare…

    Molina Healthcare (Fort Worth, TX)
    …Healthcare claim audits including, but not limited to; vendor, focal, audit the auditor . Confirm that documentation is clear and concise to ensure accuracy in ... modules within the core processing system (QNXT). * Conducts focal healthcare Medical claim audits on samples of processed transactions impacted by these… more
    Molina Healthcare (09/24/25)
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  • Clinical Documentation Specialist

    University of Texas Rio Grande Valley (Harlingen, TX)
    …(RN) will be required after 6 months of employment. Preferred: Certified Professional Medical Auditor ( CPMA ) from American Academy Professional Coders ( ... provides supporting evidence and makes recommendations regarding identified documentation and coding deficiencies or gaps. Identifies trends and provides feedback to… more
    University of Texas Rio Grande Valley (09/23/25)
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  • Internal Audit IT Analyst

    Coinbase (Austin, TX)
    …importance of controls, an effective control environment, and the role of Internal Auditor . * Promote new ideas / innovative means of executing projects and internal ... Google Suite or MS Excel, Word and PowerPoint. * Basic scripting experience in coding languages such as Python, Ruby, etc. *Nice to haves:* * Professional Internal… more
    Coinbase (09/19/25)
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