• Revenue Integrity Educator II (contract)

    Robert Half Management Resources (Dallas, TX)
    Coder (CPC) credential Minimum of 10 years of experience in medical coding and auditing Strong knowledge of surgical procedures and documentation ... MD Audit (preferred, but not required) Requirements Certified Professional Coder (CPC) credential Minimum of 10 years of experience...(CPC) credential Minimum of 10 years of experience in medical coding and auditing Strong knowledge of… more
    Robert Half Management Resources (07/18/25)
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  • Medical Claim Review Nurse (RN)

    Molina Healthcare (San Antonio, TX)
    coding experience. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Certified Clinical Coder , Certified Medical Audit Specialists, Certified Case Manager , ... appropriate level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding regulations, and Molina policies; validates the medical record… more
    Molina Healthcare (08/08/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Grand Prairie, TX)
    …you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance ... of medical audit activities. + Draws on advanced ICD-10 coding expertise, mastery of clinical guidelines, and industry knowledge to substantiate conclusions. +… more
    Elevance Health (08/09/25)
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  • Clinical Documentation Specialist

    University of Texas Rio Grande Valley (Harlingen, TX)
    …provides supporting evidence and makes recommendations regarding identified documentation and coding deficiencies or gaps. Identifies trends and provides feedback to ... medical staff, coders, and management. * Acts as a...expert to service providers and coders through familiarity with coding conventions. * Works closely with Revenue Cycle … more
    University of Texas Rio Grande Valley (06/25/25)
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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, ... facility. **What You Will Do:** + Performs Inpatient Facility coding audits according to scope of work, for the...to ensure optimal workflow and turnaround time + Provides coder education via the auditing process + Function in… more
    Datavant (07/29/25)
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  • Nurse Practitioner or Physician Assistant- N.…

    CenterWell (Fort Worth, TX)
    medical record documentation in a timely manner working with a quality- based coder to optimize coding specificity. . Follows policy and protocol defined by ... Care Coach Nurse, MA, Behavioral health specialist, Quality based Coder , Referral Coordinator and more. Our approach allows us...accordance with standards of care. . Follows level of medical care and quality for patients and monitors care… more
    CenterWell (07/03/25)
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  • Clinical Quality Consultant NP 100% Virtual,…

    Elevance Health (TX)
    …documentation, coding and care. will review all provider visit medical encounters and apply most appropriate diagnosis codes. + Overall accountability for ... + Liaison to coding team. + Participate in peer review of medical documentation for completed visit notes and patient profile information in EMR. + Reviews… more
    Elevance Health (08/08/25)
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  • Manager, Clinical Documentation Integrity (CDI)…

    Ascension Health (Austin, TX)
    **Details** + **Department: Coding Documentation** + **Schedule: M-F** + **Hospital: Seton Family of Hospitals** + **Location: Remote (Austin, TX)** **Benefits** ... Registration: + One or more of the following required: + Certified Coding Specialist (CCS) credentialed from the American Health Information Management Association… more
    Ascension Health (05/16/25)
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  • Primary Care Physician

    CenterWell (Arlington, TX)
    medical record documentation in a timely manner working with a quality- based coder to optimize coding specificity. + Follows policy and protocol defined by ... Doctors, Advanced Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based Coders, Referral Coordinators… more
    CenterWell (08/08/25)
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  • Clinical Appeals Nurse (RN)

    Molina Healthcare (Fort Worth, TX)
    …Any one or more of the following: + Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified ... be licensed for the state they reside This position will support Medical Review for Medicare and Marketplace request authorization. Strongly prefer candidates with… more
    Molina Healthcare (08/02/25)
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