• PRN - Medical Coder/Records Clerk

    Dallas Behavioral Healthcare Hospital (Desoto, TX)
    THIS IS NOT A REMOTE POSITION We are hiring a Medical ...and Certified Professional Medical Auditor (CPMA) + Experience : A minimum of 1 year coding ... service standards. Requirements + Education: Certificate or associate's degree in medical coding /CPC. These additional certifications are not required but… more
    Dallas Behavioral Healthcare Hospital (11/06/25)
    - Related Jobs

  • Senior Analyst, Network Strategy, Pricing…

    Molina Healthcare (San Antonio, TX)
    …N/A **Preferred Education** Master's Degree **Preferred Experience ** * Preferred experience in healthcare medical economics and/or strong financial analytics ... research, financial modeling, and analysis of complex healthcare claims data ( medical , pharmacy and ancillary) to deliver practical, actionable financial and even… more
    Molina Healthcare (10/31/25)
    - Related Jobs

  • Senior Analyst, Network Strategy, Pricing…

    Molina Healthcare (Austin, TX)
    …**Preferred Education** Master's Degree **Preferred Experience ** + Preferred experience in healthcare medical economics and/or strong financial analytics ... research, financial modeling, and analysis of complex healthcare claims data ( medical , pharmacy and ancillary) to deliver practical, actionable financial and even… more
    Molina Healthcare (10/25/25)
    - Related Jobs

  • Regional Manager, Value-Based Programs…

    Molina Healthcare (Austin, TX)
    …programs, risk adjustment models, quality metrics such as HEDIS and STARS, knowledge of coding + Knowledge of medical economics and financial reporting. Must be ... in Public Health, Business, Finance or equivalent combination of education and experience **Required Experience ** + 4+ years managed care experience + … more
    Molina Healthcare (11/09/25)
    - Related Jobs

  • Code Edit Disputes Medical Coder

    Humana (Austin, TX)
    … as a Certified Medical Coder + Demonstrate ability to problem-solve complex coding issues + Experience with Medicare and Medicaid coding guidelines + ... a code editing related denial or financial recovery. The Medical Coding Coordinator performs advanced administrative, operational,...Qualifications** + Bachelor'sDegree + 5 or more years of experience as a Certified Medical Coder +… more
    Humana (11/14/25)
    - Related Jobs

  • Medical Review Nurse (RN)

    Molina Healthcare (TX)
    …schedule) Looking for a RN with experience with appeals, claims review, and medical coding . **Job Summary** Provides support for medical claim and ... that has a current active unrestricted license This a remote role and can sit anywhere within the United...claims review, long-term services and supports (LTSS), claims auditing, medical necessity review and/or coding experience… more
    Molina Healthcare (09/06/25)
    - Related Jobs

  • Inpatient Medical Coder - FT - Up to $5,000…

    Datavant (Austin, TX)
    …Level I Trauma Center, preferably within an academic medical facility. + Experience with significant level of coding quality review feedback + Experience ... attention to detail and a depth of knowledge in medical terminology. This role is fully remote ...Succeed:** + A minimum of 3 years of inpatient coding facility experience + CCS, RHIT, or… more
    Datavant (09/24/25)
    - Related Jobs

  • Facility Inpatient Complex Senior Coder

    Banner Health (TX)
    …Care, Remote Medical Complex Coder** to join our talented Inpatient Facility- coding team. Candidate should have experience coding all service lines ... a facility-based coding position requiring **strong PCS coding experience ** **as well as ability to...coding Inpatient team members. CORE FUNCTIONS 1. Analyzes medical information from medical records. Accurately codes… more
    Banner Health (10/17/25)
    - Related Jobs

  • Medical Director ( Medical Policy…

    CVS Health (Austin, TX)
    …support and business direction in these areas. Knowledge of Aetna clinical and coding policy and experience with appeals, claim review, reimbursement issues, and ... CVS Health company, has an outstanding opportunity for a Medical Director. Ready to take your career to the...level with a Fortune 6 company? This is a remote Work at Home position and can be located… more
    CVS Health (10/19/25)
    - Related Jobs

  • Director, Operational Excellence

    CenterWell (Austin, TX)
    …+ Bachelor's degree required + Minimum of five (5) years of progressive experience in operational excellence, medical coding operations, or a ... and HHS regulations. + CPC, CCS, or other relevant medical coding certifications preferred **Required Experience...PHI / HIPAA information. Travel: While this is a remote position, occasional travel to Humana's offices for training… more
    CenterWell (11/18/25)
    - Related Jobs