• Clinical Documentation Specialist ( Remote…

    UTMB Health (Galveston, TX)
    …Certified Coding Specialist (CCS) certification, and a minimum of 3 years of medical coding experience. **Or** . Registered nurse (or medical school ... Clinical Documentation Specialist ( Remote -Texas Resident) - Clinical Data **Galveston, Texas,...+ Understand the general flow of health information from medical record documentation and discharge, through coding ,… more
    UTMB Health (09/13/25)
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  • Medical Director - Claims Mgmt…

    Humana (Austin, TX)
    …a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make ... reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare, Medicare Advantage, and Medicaid requirements… more
    Humana (11/01/25)
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  • Manager, Medical Economics (Medicaid)…

    Molina Healthcare (TX)
    …different standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding /billing (UB04/1500 form) + Demonstrated understanding of key managed ... **JOB DESCRIPTION** **Job Summary** The Manager, Medical Economics provides support and consultation to the...health plan performance and identify the root causes of medical cost trends. With those root causes identified, drives… more
    Molina Healthcare (11/09/25)
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  • Senior Analyst, Medical Economics (Vbc)…

    Molina Healthcare (TX)
    …different standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding /billing (UB04/1500 form) + Demonstrated understanding of key managed ... **JOB DESCRIPTION** **Job Summary** The Senior Analyst, Medical Economics provides support and consultation to the...health plan performance and identify the root causes of medical cost trends. With those root causes identified, drives… more
    Molina Healthcare (08/31/25)
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  • Software Engineer III ( Remote )

    Patterson Companies, Inc. (Amarillo, TX)
    …of the achievement of Patterson software requirements. This includes writing, coding , testing, and analyzing software programs and applications. The Software ... deployment workflows. + **Visual Studio:** Mastery of Microsoft's flagship IDE for coding , debugging, and testing. + **Git:** Version control, including GitHub or… more
    Patterson Companies, Inc. (11/04/25)
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  • Field Reimbursement Director ( Remote USA)

    Danaher Corporation (Houston, TX)
    …/ customer facing role responsible for delivering compliant payer coverage, coding and reimbursement information regarding Cepheid on market diagnostics. This role ... office staff and financial decision makers on Cepheid diagnostics coverage, coding and reimbursement landscape. + Develop and maintain a comprehensive understanding… more
    Danaher Corporation (10/02/25)
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  • RN UM Clinical Appeals Nurse Remote

    Molina Healthcare (Austin, TX)
    …are highly preferred Work hours: Monday- Friday 8:00am - 5:00pm Central time Remote position **Essential Job Duties** * Performs clinical/ medical reviews of ... reduce the likelihood of a formal appeal being submitted. * Reevaluates medical claims and associated records independently by applying advanced clinical knowledge,… more
    Molina Healthcare (11/14/25)
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  • HCC Risk Adjustment Coder - Full Time…

    Datavant (Austin, TX)
    …healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses using a standardized system, ensuring ... Review, analyze, and code diagnostic information in a patient's medical record based on client specific guidelines for the...guidelines. + Coders must meet and maintain a 95% coding accuracy rate. + Any other task requested by… more
    Datavant (11/14/25)
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  • 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 Documentation Specialist RN…

    Houston Methodist (Houston, TX)
    …extensive interaction with physicians, nursing staff, other patient care givers, and medical records coding staff to ensure that appropriate reimbursement is ... quality and completeness of clinical documentation. This position analyzes medical records for DRG's, complications, and comorbidities; identifies trends; and… more
    Houston Methodist (10/21/25)
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