• Payment Integrity Coding…

    Humana (Austin, TX)
    **Become a part of our caring community and help us put health first** The Payment Integrity Coding Professional within Code Edit Vendor Management ... of situations or data requires an in-depth evaluation of variable factors. The Payment Integrity Coding Professional monitors and analyzes Code Edit… more
    Humana (12/18/25)
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  • DRG Coding Auditor

    Elevance Health (Houston, TX)
    **DRG CODING AUDITOR** **_Virtual_** **_: _** _ _ _​_...an accommodation is granted as required by law._ Carelon Payment Integrity is a proud member of ... the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity , is determined to recover, eliminate and prevent unnecessary… more
    Elevance Health (12/09/25)
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  • DRG Coding Auditor Principal

    Elevance Health (Houston, TX)
    **DRG Coding Auditor Principal** **_Virtual: _** _ ​_ This...an accommodation is granted as required by law._ Carelon Payment Integrity is a proud member of ... the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity , is determined to recover, eliminate and prevent unnecessary… more
    Elevance Health (12/06/25)
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  • Payment Integrity Clinician

    Highmark Health (Austin, TX)
    …consistent with established industry and corporate standards and are within the Payment Integrity Clinician's professional discipline.Effectively function in ... The incumbent is responsible for the implementation of effective Payment Integrity strategies on a pre- payment...coding criteria, as well as other approved guidelines, payment and medical policies.Promote quality and efficiency in the… more
    Highmark Health (11/14/25)
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  • Clinical Denial Coding Review Specialist

    HCA Healthcare (Plano, TX)
    …accounts receivable follow-up, insurance follow-up and appeals, insurance posting, professional medical/billing, medical payment posting, and/or cash ... services include scheduling, registration, insurance verification, hospital billing, revenue integrity , collections, payment compliance, credentialing, health information… more
    HCA Healthcare (12/17/25)
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  • Manager of DRG Coding Audit

    Elevance Health (Grand Prairie, TX)
    …be considered for employment, unless an accommodation is granted as required by law. Carelon Payment Integrity is a proud member of the Elevance Health family of ... Manager of DRG Coding Audit-Program/Project Locations: _The selected candidate must reside...companies, Carelon Insights, formerly Payment Integrity , is determined to recover, eliminate… more
    Elevance Health (12/05/25)
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  • Coding Investigator Auditor

    Health Care Service Corporation (Richardson, TX)
    …license in state.** **Certified Coder preferred** **3 plus years of claim adjudication/ payment integrity ** **3 years clinical experience** **This is a ... be part of a purpose-driven company that will invest in your professional development. **Job Summary** This position is responsible for performing clinical, billing,… more
    Health Care Service Corporation (12/19/25)
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  • Senior Medical and Financial Risk Evaluation…

    Humana (Austin, TX)
    …claims initially paid correctly in the system) + Minimum of 2 years Provider Payment Integrity (formally known as Financial Recovery) experience + CAS claims ... to gather knowledge on Medicare Advantage and Medicaid State Regulations + Certified Professional Coding (AAPC) + Previous experience working with the internal… more
    Humana (12/09/25)
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  • System Manager Revenue Cycle (Medicare Hospital…

    Houston Methodist (Katy, TX)
    …of Revenue Cycle, to include but not limited to: medical coding , insurance billing, collections, patient account resolution, appeals/denials, customer service, cash ... applications, revenue integrity , etc. This position is also responsible for monitoring...meetings, resources and equipment, to ensure staff competency and professional pathway progression. + Communicates updates/changes to processes, managed… more
    Houston Methodist (11/12/25)
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  • Senior Software Engineer - Payments

    EMS LINQ (Austin, TX)
    …needs but to deliver the right answer every time. **LINQ's Values:** * Act with Integrity & Build Trust: Trust is the foundation of our company. We operate with the ... highest standards of integrity , both internally and externally. We believe in transparency,...in Angular, React Native, and .NET technologies, adhering to coding best practices and ensuring system performance. + **Take… more
    EMS LINQ (12/17/25)
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