• Coder II

    Catholic Health Initiatives (Lufkin, TX)
    …identifying compliance concerns, trends, and educational opportunities to ensure proper coding , documentation, and accuracy of billing within their areas of ... or in writing. Responsible for working encounters in the coding work queue or task lists in a timely...Specialist Physician Based (CCS-P) or the American Academy of Professional Coders (AAPC) as a Certified Professional more
    Catholic Health Initiatives (12/27/25)
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  • Certified Medical Coder

    Dallas Behavioral Healthcare Hospital (Desoto, TX)
    …professionals to resolve issues resulting from denied claims + Adhere to coding policies and procedures consistent with the industry standard guidelines for CPT, ... ICD-9 and ICD-10. + Answer coding questions + Review clinical documentation to ensure it meets level of CPT codes and ICD-10 codes + Performs related duties, as… more
    Dallas Behavioral Healthcare Hospital (11/11/25)
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  • PRN - Medical Coder/Records Clerk

    Dallas Behavioral Healthcare Hospital (Desoto, TX)
    …professionals to resolve issues resulting from denied claims + Adhere to coding policies and procedures consistent with the industry-standard guidelines for CPT, ... ICD-9 and ICD-10. + Answer coding questions + Review clinical documentation to ensure it meets the level of CPT codes and ICD-10 codes + Assemble and analyze medical… more
    Dallas Behavioral Healthcare Hospital (11/06/25)
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  • Quality Improvement Professional

    CenterWell (Houston, TX)
    …our caring community and help us put health first** The Quality Improvement Professional 1 will support clinicians and staff, working collaboratively with the Stars ... various stakeholders/partners (internal and external) including market operations/provider relations, coding teams; medical directors, clinical and health plan teams,… more
    CenterWell (12/19/25)
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  • Senior Coder - Outpatient

    Highmark Health (Austin, TX)
    …Technician (RHIT) + Registered Health Information Associate (RHIA) + Certified Coding Specialist Physician (CCS-P) + Certified Professional Coder (CPC) ... and apply diagnoses and procedures utilizing ICD and CPT coding systems and assists in decreasing the average accounts...and cash flow as it pertains to the unbilled coding report. (10%) + Keeps informed of the changes/updates… more
    Highmark Health (12/18/25)
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  • Remote Medical Coder

    TEKsystems (Dallas, TX)
    …start at the end of January! MUST HAVE: 1-3 or more years of Medical Coding Experience, MUST BE CPC Certified! MUST have your own equipment! Description These Coders ... for everyone to have experience in emergency services, inpatient coding , or DRG (diagnosis-related group) coding . This...but just knowledge of. Additional Skills & Qualifications Certified Professional Coder or CPC (Can look at but not… more
    TEKsystems (01/05/26)
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  • Lead Clinical and Population Health Analyst…

    Highmark Health (Austin, TX)
    …Clinical Criteria Writing:** Research, analyze, and synthesize clinical literature, professional society guidelines, and internal data to develop clear, concise, ... clinical outcomes, cost, and member experience. + **Operational Integration & Coding :** Engage non-clinical teams to ensure operational guidelines are aligned with… more
    Highmark Health (12/31/25)
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  • Coder - Inpatient

    Highmark Health (Austin, TX)
    coding courses in anatomy, physiology and medical terminology + Certified Coding Specialist (CCS) **OR** Certified In-patient Professional Coder (CIC) + ... data, interpret and apply diagnoses and procedures utilizing ICD coding systems and assists in decreasing the average accounts...and cash flow as it pertains to the unbilled coding report. (10%) + Keeps informed of the changes/updates… more
    Highmark Health (12/13/25)
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  • DRG Revenue Integrity Auditor

    Insight Global (Plano, TX)
    …Group (DRG) validation and quality audits on inpatient charts to ensure accurate coding and compliance with federal regulations. This is a remote opportunity and the ... accurately reflect the patient's clinical picture. Utilize ICD-10-CM and ICD-10-PCS coding systems to ensure proper code sequencing and accuracy. Validate Present… more
    Insight Global (10/30/25)
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  • Medical Review Nurse (RN)- Remote

    Molina Healthcare (Houston, TX)
    …readmissions. + Validates member medical records and claims submitted/correct coding , to ensure appropriate reimbursement to providers. + Resolves escalated ... services and supports (LTSS), claims auditing, medical necessity review and/or coding experience, or equivalent combination of relevant education and experience. +… more
    Molina Healthcare (01/09/26)
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