• Revenue Integrity Educator II (contract)

    Robert Half Management Resources (Dallas, TX)
    …Required Qualifications: Certified Professional Coder (CPC) credential Minimum of 10 years of experience in medical coding and auditing Strong knowledge of ... Job Title: Revenue Integrity Educator II (Contract) Location: 100% REMOTE (Central Time Zone hours preferred) Job Type: Interim...Professional Coder (CPC) credential Minimum of 10 years of experience in medical coding and… more
    Robert Half Management Resources (07/18/25)
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  • Medical Director- South Central

    Humana (Austin, TX)
    …us put health first** The Medical Director actively uses their medical background, experience , and judgement to make determinations whether requested ... other healthcare providers, clinical group practice management. + Utilization management experience in a medical management review organization, such as… more
    Humana (07/11/25)
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  • Senior Payment Integrity Professional (RN/Nursing…

    Humana (Austin, TX)
    …Short Stay audits. You will manage daily dispute inventory assignments, coordinate with Medical Directors and coding teams, and prepare regular reports to ... - What it takes to Succeed** + Active Registered Nurse (RN) license + Experience in payment integrity, medical disputes, or a related healthcare compliance role,… more
    Humana (07/21/25)
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  • Investigator, Special Investigative Unit

    Molina Healthcare (Austin, TX)
    …to health care fraud, waste, and abuse. Duties include performing accurate and reliable medical review audits that may also include coding and billing reviews. ... SIU Investigator is also responsible for recognizing and adhering to national and local coding and billing guidelines in order to maintain coding accuracy and… more
    Molina Healthcare (07/19/25)
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  • Medical Director - Care Plus - Florida

    Humana (Austin, TX)
    …30-60 days of hire. The Medical Director actively uses their medical background, experience , and judgement to make determinations whether requested services, ... other healthcare providers, clinical group practice management. + Utilization management experience in a medical management review organization, such as… more
    Humana (06/28/25)
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  • Medical Director - Mid West Region

    Humana (Austin, TX)
    …us put health first** The Medical Director actively uses their medical background, experience , and judgement to make determinations whether requested ... other healthcare providers, clinical group practice management. + Utilization management experience in a medical management review organization, such as… more
    Humana (05/14/25)
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  • Medical Director - Commercial Appeals

    CVS Health (Austin, TX)
    …/ Appeal Hearings / Special Projects and Committee participation when needed. The Medical Director will provide clinical, coding , and reimbursement expertise as ... eg, Clinical Practice and Health Care Industry. *Prior UM (Utilization Management) experience *Active and current state medical license without encumbrances… more
    CVS Health (07/04/25)
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  • Medical Director (South Central Market)

    CVS Health (Austin, TX)
    …Level Appeals / Special Projects and Committee participation when needed. The Medical Director will provide clinical, coding , and reimbursement expertise as ... one of the oldest and largest national insurers. That experience gives us a unique opportunity to help transform...effective use of health care resources. This is a remote based (work from home) role. Candidates must have… more
    CVS Health (07/18/25)
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  • Assistant Professor, Clinical Faculty Appointment…

    MD Anderson Cancer Center (Houston, TX)
    …exemplary manner in standards set forth by the Texas State Board of Medical Examiners properly balanced with other academic activities. B. Capable of providing ... other physicians with the same level of training and experience . 2. Visually review for proper ICD-10 and CPT.... 2. Visually review for proper ICD-10 and CPT coding and approve all charge documents within four working… more
    MD Anderson Cancer Center (04/26/25)
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  • Medical Dosimetrist

    Baylor Scott & White Health (Killeen, TX)
    …and make our clinic and the world a better place QUALIFICATIONS: . Medical Dosimetrist certification and three years dosimetry experience are required for ... and routine market evaluations. This position follows a hybrid remote working model. At BSWH you get to work...Program + EXPERIENCE - 3 Years of Experience CERTIFICATION/LICENSE/REGISTRATION + Cert Medical Dosimetrist (CMD):… more
    Baylor Scott & White Health (07/08/25)
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