• Coder II (Denials) - FT - Days

    Texas Health Resources (Arlington, TX)
    …(Denials) _like you to join our Texas Health family._ Position Highlights + Work location: Remote work + Work hours: Monday - Friday generally between 7:00 am - 6:00 ... pm HIMS Coding Department Highlights: * Flexible hours/scheduling once training is...Degree Related field preferred Experience 2 Years Professional (Profee) Coding experience. Completion of advanced level training in medical… more
    Texas Health Resources (10/18/25)
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  • Inpatient Medical Coder - PRN - Up to $1,000 Sign…

    Datavant (Austin, TX)
    …to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to help shape the future of healthcare ... 2 Coders, where applicable + Champion documentation improvement opportunities and coding issues, facilitating resolution with relevant stakeholders + Uphold an… more
    Datavant (09/24/25)
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  • Medical Review Nurse (RN)

    Molina Healthcare (TX)
    …Looking for a RN that has a current active unrestricted license This a remote role and can sit anywhere within the United States. Work Schedule Monday to ... Looking for a RN with experience with appeals, claims review, and medical coding . **Job Summary** Provides support for medical claim and internal appeals review… more
    Molina Healthcare (09/06/25)
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  • Manager, Fraud & Waste Investigation (Nurse…

    Humana (Austin, TX)
    …audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support ... and interprets medical documentation to ensure capture of all relevant coding . Identifies members with high-risk CMS Hierarchical Condition Categories (HCC) and… more
    Humana (11/04/25)
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  • Investigator, Special Investigative Unit - FLORIDA

    Molina Healthcare (San Antonio, TX)
    …performing accurate and reliable medical review audits that may also include coding and billing reviews. The SIU Investigator is responsible for reviewing and ... responsible for recognizing and adhering to national and local coding and billing guidelines in order to maintain ...providers when overpayments are identified. + Works may be remote , in office, and on-site travel within the state… more
    Molina Healthcare (09/22/25)
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  • Senior Field Reimbursement Manager - South East

    Danaher Corporation (Dallas, TX)
    …which makes everything possible. The Senior Field Reimbursement Manager (US REMOTE ) position is a provider / customer facing role responsible for ... delivering compliant payer coverage, coding and reimbursement information regarding Cepheid on market diagnostics....Value and Access team. This position will be a remote position ideally located in the South East part… more
    Danaher Corporation (10/15/25)
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  • Quality Practice Advisor

    Centene Corporation (Austin, TX)
    …education for HEDIS measures, appropriate medical record documentation and appropriate coding . Assists in resolving deficiencies impacting plan compliance to meet ... on HEDIS measures, appropriate medical record documentation and appropriate coding . Supports the development and implementation of quality improvement interventions… more
    Centene Corporation (11/07/25)
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  • Medical Director (Medical Policy & Operations)

    CVS Health (Austin, TX)
    …to take your career to the next level with a Fortune 6 company? This is a remote Work at Home position and can be located anywhere in the United States. In this role ... support and business direction in these areas. Knowledge of Aetna clinical and coding policy and experience with appeals, claim review, reimbursement issues, and … more
    CVS Health (10/19/25)
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  • Assistant Project Manager - Traffic

    System One (Austin, TX)
    …- Traffic **Employment Type:** Full Time **Date Posted:** 9/29/2025 **Location:** Remote (Based in the US) **Pay Range:** Negotiable **Job Number:** JO-2509-2735 ... productivity in a fast-paced environment. Ad trafficking involves coordinating, substantiating, coding , reviewing and optimizing campaign tactics so they're ready to… more
    System One (09/30/25)
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  • Oncology Data Specialist (ODS) Subject Matter…

    St. George Tanaq Corporation (Austin, TX)
    …data flow, data collection, data editing, data quality control, and applicable standards for coding and classification. This is a fully remote role that can be ... Oncology Data Specialist (ODS) Subject Matter Expert Fully Remote *United States Job Type Full-time Description **Overview** Tanaq Management Services (TMS) delivers… more
    St. George Tanaq Corporation (11/15/25)
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