• Certified Professional Coder

    CVS Health (Austin, TX)
    …And we do it all with heart, each and every day. **Position Summary** The Certified Professional Coder (CPC) will perform medical claim reviews to ensure ... for meetings and potential to testify **Required Qualifications** - AAPC Coding certification - Certified Professional Coder (CPC). - 3+ years of experience… more
    CVS Health (10/21/25)
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  • Coder II (PCP) - FT - Weekdays

    Texas Health Resources (Arlington, TX)
    …medical terminology, anatomy and physiology, or similar REQUIRED Licenses and Certifications CPC - Certified Professional Coder Upon Hire REQUIRED or CCS-P - ... Coder II _Are you looking for a rewarding...and Associates's Degree Related field preferred Experience 2 Years Professional (Profee) Coding experience. Completion of advanced level training… more
    Texas Health Resources (10/18/25)
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  • Coder II

    Catholic Health Initiatives (Lufkin, TX)
    …(CCS-P) or the American Academy of Professional Coders (AAPC) as a Certified Professional Coder (CPC) required. **Where You'll Work** CommonSpirit Health ... **Job Summary and Responsibilities** The Coder II is responsible for abstracting and assigning...areas of responsibility/specialty. Reviews and resolves denials. Participates in special projects and completes other duties as assigned. **Job… more
    Catholic Health Initiatives (08/29/25)
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  • Investigator, Coding Special Investigative…

    Molina Healthcare (San Antonio, TX)
    …Association** Licensed registered nurse (RN), Licensed practical nurse (LPN) and/or Certified Coder (CPC, CCS, and/or CPMA) **Preferred Education** Bachelor's ... Certified Medical CPC, CPMA, CPCO or similar specialist preferred + Certified Fraud Examiner and/or AHFI professional designations preferred To all current… more
    Molina Healthcare (10/22/25)
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  • Investigator

    Highmark Health (Austin, TX)
    …+ None **Preferred** (any of the following) + Certified Fraud Examiner (CFE) + Certified Professional Coder (CPC) + Certified Outpatient Coder ... for the field investigative work necessary to complete a review of a special project, potential fraud, waste and abuse case, conducting the initial investigations… more
    Highmark Health (09/10/25)
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  • RN Medical Claim Review Nurse Remote

    Molina Healthcare (San Antonio, TX)
    … Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM), ... and support to clinical peers. * Identifies and refers members with special needs to the appropriate Molina program per applicable policies/protocols. * Collaborates… more
    Molina Healthcare (10/19/25)
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  • Medical Claim Review Nurse (RN)

    Molina Healthcare (San Antonio, TX)
    Certified Clinical Coder , Certified Medical Audit Specialists, Certified Case Manager , Certified Professional Healthcare Management, ... and support to clinical peers. + Identifies and refers members with special needs to the appropriate Molina Healthcare program per policy/protocol. **JOB… more
    Molina Healthcare (09/06/25)
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  • Coding Trainer - Full Time - Days

    Texas Health Resources (Arlington, TX)
    …Year Professional Medical Auditing experience Preferred Licenses and Certifications CPC - Certified Professional Coder Upon Hire Required Other CPMA or ... the management team in quality and organizational improvement * Special Projects * Manages additional staff as assigned to...to assist in the performance of quality assurance audits, special projects or in the training and transition of… more
    Texas Health Resources (10/21/25)
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  • Manager Revenue Cycle - Commercial Insurance

    Houston Methodist (Katy, TX)
    …CERTIFICATIONS - REQUIRED** + N/A **LICENSES AND CERTIFICATIONS - PREFERRED** + CPC - Certified Professional Coder (AAPC) -- or equivalent if overseeing ... meetings, resources and equipment, to ensure staff competency and professional pathway progression. + Communicates updates/changes to processes, managed care… more
    Houston Methodist (10/14/25)
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  • Clinical Fraud Investigator II - Registered Nurse…

    Elevance Health (Grand Prairie, TX)
    …Requirements:** + Requires an Associate Degree in Nursing and/or current certification as a Certified Professional Coder (AAPC or AHIMA) and minimum of 4 ... necessary to aid in investigations. + Collaborates with the Special Investigation Unit and other internal areas on matters...our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors… more
    Elevance Health (10/03/25)
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