• CDQI Nurse Specialist - Part Time - Remote

    Datavant (Austin, TX)
    …you will play a pivotal role in elevating the impact of our medical record documentation. You will conduct daily evaluations and engage in direct communication ... with providers to enhance documentation clarity, completeness, and overall medical record quality. By ensuring accurate and comprehensive physician documentation,… more
    Datavant (11/11/25)
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  • Clinical Provider Auditor II

    Elevance Health (Grand Prairie, TX)
    …and abuse prevention and control. + Reviews and conducts analysis of claims and medical records prior to payment and uses required systems/tools to accurately ... related questions as necessary to aid in investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations. +… more
    Elevance Health (11/14/25)
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  • Prior Authorization Specialist

    Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
    …of basic medical terminology. + Knowledge of CPT and ICD-10 coding . Familiarity with payer authorization processes. + Ability to apply a strong attention ... insurance coverage and eligibility, and obtaining required pre-authorizations for medical procedures, treatments and services. **Requisition ID:** 42970BR **Optional… more
    Texas Tech University Health Sciences Center - El Paso (11/11/25)
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  • Office Assistant

    Catholic Health Initiatives (Lake Jackson, TX)
    …requirements, including medical coding . * Ability to file and maintain patient records and reports in the Electronic Medical Records system. * Must ... processes associated with patient check-in, check-out, scheduling, referrals, and electronic medical records . Administers and supports the clinic's billing, and… more
    Catholic Health Initiatives (11/10/25)
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  • Clinical Data Abstracter - Lymphoma Myeloma

    MD Anderson Cancer Center (Houston, TX)
    …for abstracting and coding clinical and research data from patient medical records using established classification systems. Ensures data quality through ... field. They possess extensive experience, spending approximately 95% of their time-reviewing medical records and entering data into study databases, particularly… more
    MD Anderson Cancer Center (11/18/25)
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  • RN UM Clinical Appeals Nurse Remote

    Molina Healthcare (Austin, TX)
    …to reduce the likelihood of a formal appeal being submitted. * Reevaluates medical claims and associated records independently by applying advanced clinical ... - 5:00pm Central time Remote position **Essential Job Duties** * Performs clinical/ medical reviews of previously denied cases in which a formal appeals request… more
    Molina Healthcare (11/14/25)
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  • HIM Technician

    HCA Healthcare (Austin, TX)
    …**Job Summary and Qualifications** **GENERAL SUMMARY OF DUTIES:** Processes medical records and documentation. **SUPERVISOR:** **Practice Manager** **DUTIES ... NOT LIMITED TO:** * Completing the necessary steps in medical releases. * Organizing medical records...reports. * Verifying workers comp cases with employers. * Coding workers comp encounter forms and setting up workers… more
    HCA Healthcare (10/05/25)
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  • Assistant Professor, Clinical Faculty Appointment…

    MD Anderson Cancer Center (Houston, TX)
    …all charge documents within 5 working days. * Complete patient documentation for medical records within time frames provided by institutional policy. Will ... involve collaborations with internal and external stakeholders. * Enter and complete medical record documentation and compliance records * Participate in… more
    MD Anderson Cancer Center (09/08/25)
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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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  • Trauma Data Abstractor II PRN

    HCA Healthcare (San Antonio, TX)
    …system (eg, COMET, TheraDoc, Digital Innovations, NHSN, etc.). + Responsible for reviewing medical records to abstract information according to the standards of ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...system. + Resolve errors resulting in the rejection of records from the data entry system. **What qualifications you… more
    HCA Healthcare (10/29/25)
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