• Medical Coding Auditor

    CenterWell (Austin, TX)
    …The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical ... (eg, ICD-10-CM, CPT) to patient records . The ** Medical Coding Auditor** work assignments are varied and frequently...from the list below: * CPC - Certified Professional Coder (AAPC) * CCS - Certified Coding Specialist (AHIMA)… more
    CenterWell (10/01/25)
    - Related Jobs

  • Medical Claim Review Nurse (RN)

    Molina Healthcare (San Antonio, TX)
    …documentation for denial and modification of payment decisions + Independently re-evaluates medical claims and associated records by applying advanced clinical ... and coding experience. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Certified Clinical Coder , Certified Medical Audit Specialists, Certified Case Manager… more
    Molina Healthcare (09/06/25)
    - Related Jobs

  • Clinical Compliance Medical Director

    Elevance Health (Grand Prairie, TX)
    **Clinical Compliance Medical Director** _Please note that per our policy t_ _his role enables associates to work virtually full-time, with the exception of required ... an accommodation is granted as required by law._ The **Clinical Compliance Medical Director** is responsible for providing clinical guidance related to the company's… more
    Elevance Health (09/24/25)
    - Related Jobs

  • Supervisor, Medical Referrals

    CenterWell (San Antonio, TX)
    …6 years in a physician office, health care, or managed care environment + Certified Medical Coder with one of the following active certifications and with a high ... Full Time / 40 Hours / M-F / 8a-5p **Job Type** : Medical Records **Specialty** : Primary Care for Seniors **Position Type:** Clinic / On-site **Additional… more
    CenterWell (09/25/25)
    - Related Jobs

  • 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)
    - Related Jobs

  • Inpatient Supervisor and Inpatient Coding…

    Guidehouse (San Antonio, TX)
    …care cases by analyzing documentation and discussing correct code assignment. + Reviews medical records flagged (Inpatient and Outpatient tools) for patterns of ... Required** **:** None **REMOTE REMOTE REMOTE!** **Join Our Growing Medical Coding Team! All roles are 100% REMOTE.** As...claims - it's about making an impact. As a coder here, you'll be part of a collaborative, mission-driven… more
    Guidehouse (08/18/25)
    - Related Jobs

  • Nurse Practitioner/Physician Assistant

    CenterWell (Arlington, TX)
    …professionals, Pharm D, Care Coach Nurse, MA, Behavioral health specialist, Quality based Coder , Referral Coordinator and more. Our approach allows us to provide an ... accordance with standards of care. . Follows level of medical care and quality for patients and monitors care...in a timely manner working with a quality- based coder to optimize coding specificity. . Follows policy and… more
    CenterWell (08/15/25)
    - Related Jobs

  • HIM - Inpatient Coding Supervisor (remote)

    Guidehouse (Dallas, TX)
    …cases by analyzing documentation and discussing correct code assignment. + Reviews medical records flagged through the SMART (Inpatient and Outpatient tools) ... software for patterns of coding errors and opportunities for coder and /or clinical education. + Serves as a...any other EHR + Knowledge of Anatomy, Physiology and Medical Terminology The annual salary range for this position… more
    Guidehouse (08/19/25)
    - Related Jobs

  • Mgr II Grievance/Appeals- Medical Coding

    Elevance Health (Houston, TX)
    …background. **Preferred Skills, Capabilities and Experience:** + Certified Professional Coder -AAPC Please be advised that Elevance Health only accepts resumes ... and incentive bonus programs (unless covered by a collective bargaining agreement), medical , dental, vision, short and long term disability benefits, 401(k) +match,… more
    Elevance Health (09/24/25)
    - Related Jobs

  • Compliance Audit Manager

    Cardinal Health (Austin, TX)
    …to work in a team environment and perform multi-job functions. + Knowledge of medical terminology and electronic medical records . + Professional and/or ... requirements. + Facilitates assigning of ICD-9 and ICD-10 codes by analyzing patient medical records . + Availability to assist with research of denied claims.… more
    Cardinal Health (08/27/25)
    - Related Jobs