• Diagnosis Related Group Clinical Validation…

    Elevance Health (Houston, TX)
    …Related Group Clinical Validation Auditor-RN** is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions ... you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance of … more
    Elevance Health (12/09/25)
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  • Program Management Lead, Offshore Coding…

    CenterWell (Austin, TX)
    …The Program Management Lead, Offshore Coding Operations conducts quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to ... as well as internal policies and guidelines while analyzing coding information and medical records . **Mergers and Acquisitions:** + Partner with coding teams… more
    CenterWell (10/23/25)
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  • Primary Care Physician

    CenterWell (El Paso, TX)
    …Doctors, Advanced Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based Coders, Referral Coordinators ... 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 (11/26/25)
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  • Primary Care Physician

    CenterWell (Baytown, TX)
    …Doctors, Advanced Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based Coders, Referral Coordinators ... 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 (11/18/25)
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  • Primary Care Physician

    CenterWell (Houston, TX)
    …doctors, advanced practice professionals, pharm D, care coach nurses, medical assistants, behavioral health, specialists, quality-based coders, referral coordinators ... 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 (11/05/25)
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  • Primary Care Physician

    CenterWell (Port Arthur, TX)
    …Doctors, Advanced Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based Coders, Referral Coordinators ... 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 (11/05/25)
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  • RN Clinical Appeals Nurse Remote

    Molina Healthcare (Dallas, TX)
    …to reduce the likelihood of a formal appeal being submitted. * Reevaluates medical claims and associated records independently by applying advanced clinical ... suite/applicable software program(s) proficiency. **Preferred Qualifications** * Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS),… more
    Molina Healthcare (01/02/26)
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  • Physician VSP/PRN

    CenterWell (Beaumont, TX)
    …Doctors, Advanced Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based Coders, Referral Coordinators ... 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 (10/21/25)
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  • Profee Coding Consultant (Surgery Coding) - PRN

    Datavant (Austin, TX)
    …surgeries as well as EPIC System a plus._** **What You Will Do:** + Review medical records and assign precise codes to ensure accurate coding aligned with client ... to make a significant impact in the field of medical coding. You will provide essential consulting services and...care settings. **_We are seeking an experienced Profee Surgery Coder PRN with strong proficiency in coding surgical procedures… more
    Datavant (12/23/25)
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  • Cardiology Nurse Practitioner

    CenterWell (Houston, TX)
    …treats center patients in accordance with standards of care. + Follows level of medical care and quality for patients and monitors care using available data and ... Acts as an active participant and key source of medical expertise with the care team through daily huddles....in a timely manner working with a quality- based coder to optimize coding specificity. + Follows policy and… more
    CenterWell (12/03/25)
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