DRG Revenue Integrity Auditor - REMOTE CorroHealthDRG Revenue Integrity Auditor - REMOTEPlano, TexasRemoteThe DRG Revenue Integrity Auditor (DRG-A) performs comprehensive Diagnostic Related Group (DRG) validation and quality audits on inpatient medical records to ensure accurate representation of each patient's clinical story. As a global healthcare solutions company, we invest in our people through continued education, career advancement opportunities, mentorship from industry experts, and a flexible work environment that supports work-life balance.
Auditing & Education Consultant-Profee CorroHealth IncAuditing & Education Consultant-ProfeeTXRemoteEssential Functions: Perform complex, concurrent and/or retrospective analysis of medical record documentation to Validate coded data as recognized by the AHA, CMS, AMA, AHIMA, AAPC, Coding Clinic, and CPT Assistant. JOB SUMMARY: Serves in a consulting role by evaluating the work of client's coders in their assignment of ICD-10, CPT and/or HCPCS codes to hospital inpatient, outpatient and/or physician practice encounters.
Clinical Nurse Reviewer Zelis Healthcare, Inc.Clinical Nurse ReviewerPlano, TX$59,000–$75,050 / yearThe Nurse Reviewer is primarily responsible for conducting post-service, pre or post payment in-depth claim reviews based on accepted medical guidelines and clinical criteria, billing and coding rules, plan policy exclusions, and payment errors/overpayments. This is a place for builders with a growth mindset who act with agility, embrace change, and use modern technology to shape smarter solutions, exceptional experiences, and the future of our industry for our clients, customers, and our culture.
Medical Practice Assistant Parkland HospitalMedical Practice AssistantDallas, TXProactively outreaches to patients using motivational interviewing, demonstrating effective, caring communication to build patient trust and establish and maintain relationships to gather information, encourage patient self-interest in healthcare, and follow up on patient-established goals. Assists patients and families with health system navigation, making appointments, patient advocacy, determination of community resources to reduce barriers to care, and support set-up and initiation of electronic communication modes (email, MyChart, etc.).
Medical Practice Assistant- ENT/Oral Surg Clinic Parkland HospitalMedical Practice Assistant- ENT/Oral Surg ClinicTXProactively outreaches to patients using motivational interviewing, demonstrating effective, caring communication to build patient trust and establish and maintain relationships to gather information, encourage patient self-interest in healthcare, and follow up on patient-established goals. Assists patients and families with health system navigation, making appointments, patient advocacy, determination of community resources to reduce barriers to care, and support set-up and initiation of electronic communication modes (email, MyChart, etc.).
Medical Practice Assistant - Garland Pediatrics Parkland HospitalMedical Practice Assistant - Garland PediatricsGarland, TXVirtual Care Only: Proactively outreaches patient utilizing motivational interviewing, demonstrating effective and caring communication to develop patient trust and establish and maintain relationships to gather information, encourage patient self-interest in healthcare, and follow up on patient established goals. Assists patients and families with health system navigation, making appointments, patient advocacy, determination of community resources to reduce barriers to care, and support set-up and initiation of electronic communication modes (email, MyChart, etc.).
Medical Practice Assistant - PRN Parkland HospitalMedical Practice Assistant - PRNTXStays abreast of the latest developments, advancements, and trends in the field by attending seminars/workshops, reading professional journals, actively participating in professional organizations, and/or maintaining certification or licensure. Proficiently performs patient service activities in coordination with clinical team, including but not limited to: Ensures patient and family comfort, safety, privacy and confidentiality at all times.
Medical Practice Assistant - Medicine Specialty Group Parkland HospitalMedical Practice Assistant - Medicine Specialty GroupTXVirtual Care Only: Proactively outreaches patient utilizing motivational interviewing, demonstrating effective and caring communication to develop patient trust and establish and maintain relationships to gather information, encourage patient self-interest in healthcare, and follow up on patient established goals. Assists patients and families with health system navigation, making appointments, patient advocacy, determination of community resources to reduce barriers to care, and support set-up and initiation of electronic communication modes (email, MyChart, etc.).
Medical Practice Assistant-HOMES Parkland HospitalMedical Practice Assistant-HOMESTXProactively outreaches to patients using motivational interviewing, demonstrating effective, caring communication to build patient trust and establish and maintain relationships to gather information, encourage patient self-interest in healthcare, and follow up on patient-established goals. Assists patients and families with health system navigation, making appointments, patient advocacy, determination of community resources to reduce barriers to care, and support set-up and initiation of electronic communication modes (email, MyChart, etc.).
ENT AR Rep Career StrategiesENT AR RepIrving, Texas1–3 years of experience in medical billing, AR, or revenue cycle management (ENT or specialty practice experience preferred). High school diploma or GED required; Associate’s degree in business, healthcare administration, or related field preferred.
Benefits Administrator East-West Ministries InternationalBenefits AdministratorPlano, TXReporting directly to the HR Manager, this highly collaborative role acts as the vital, empathetic liaison connecting staff with the Third-Party Administrator (TPA), Health Reimbursement Arrangement (HRA) vendors, and all critical components of the healthcare ecosystem. Working closely with the Compensation and Benefits Specialist, the Administrator manages the continuous flow and auditing of eligibility data using Google Workspace, while actively monitoring claims utilization to ensure plan benefits are used accurately and cost-effectively.
NewBilling Operations Supervisor – Verification Authorization Caris Life SciencesBilling Operations Supervisor – Verification AuthorizationIrving, TexasThe Billing Operations Supervisor provides leadership, training, and performance management to staff, while partnering cross-functionally to optimize workflows and resolve payer issues. ·High School diploma or equivalent required; ·5–7 years of experience in healthcare billing operations, with at least 2–3 years in a supervisory or management role.
Clinical Data AMS Sr. Consultant DeloitteClinical Data AMS Sr. ConsultantDallas, TX$120,200–$140,000 / yearThis role owns the health, stability, and compliance posture of a suite of clinical and regulatory R&D platforms - including Axway Secure Transport (ST), eClinical Elluminate, Eclipse (medical coding), and EAST - across the full engagement lifecycle: implementation, configuration, validation, and steady-state managed services. The team operates at the intersection of IT infrastructure, clinical operations, and quality/regulatory compliance, partnering closely with global business and technology stakeholders to support end-to-end clinical trial data lifecycles from data capture and coding through statistical analysis and submission-ready outputs.
Appeals Manager - AI Trainer MercorAppeals Manager - AI TrainerDallas, TexasRemote$70–$93 / hourDeep knowledge of CARC/RARC denial codes, payer denial patterns, and appeal strategies across commercial, Medicare, and Medicaid payers. 5+ years of experience in denials management, appeals, or revenue cycle operations, with at least 2 years in a management role.
Medical Scribe CVS Health CorpMedical ScribeMesquite, TX$17–$28.46 / hourScribes receive extensive on-the-job training in clinical workflows, value-based medicine, preventative care for chronic conditions, accurate and specific documentation, population health data streams, and team based care. This is an excellent opportunity for pre-med track individuals looking to gain practical, paid experience in a clinical setting before applying to an MD/DO/PA/NP program, as well as those pursuing careers in Health Informatics, Public Health, Healthcare Administration, Medical Coding, and other related fields.
Medical Records Coder 2- Prn Methodist Health SystemMedical Records Coder 2- PrnDallas, TexasNamed one of the fastest-growing health systems in America by Modern Healthcare , Methodist has a network of 12 hospitals (through ownership and affiliation) with nationally recognized medical services, such as a Level I Trauma Center, multi-organ transplantation, Level III Neonatal Intensive Care, neurosurgery, robotic surgical programs, oncology, gastroenterology, and orthopedics, among others. The Coder II classifies and abstracts inpatient/outpatient diagnoses and procedures which are assigned appropriate ICD-10-CM, ICD-10-PCS, and/or CPT codes for optimal reimbursement.
QI SPECIALIST II (HEDIS) Integrated Resources, IncQI SPECIALIST II (HEDIS)Irving, TexasFull timeCandidate Experience: 2 years of experience in directly related HEDIS medical record review and/or Quality Improvement with experience in data and chart reviews to provide consultation and education to providers and provider staff is required. Supports quality improvement program studies and HEDIS as needed, requesting records from providers, maintaining databases, and researching to identify members' provider encounter history.
Senior Quality Engineer- Dallas, TX Photon Interactive UK LtdSenior Quality Engineer- Dallas, TXDallas, TXWe are seeking an experienced Software Quality Engineer to join us in the design and development of innovative technology for financial advisors and their clients using the latest technology stack in a collaborative and engaging environment. You will model and encourage a quality mindset, establish new automation infrastructure, maintain existing automation, and create reusable tests artifacts to streamline testing processes and ensure quality.
Corporate Director, Patient Financial Services Outsourcing & Strategic Initiatives Prime Healthcare Services IncCorporate Director, Patient Financial Services Outsourcing & Strategic InitiativesFarmers Branch, TXThe Director may be responsible for analyzing end-to-end revenue cycle, and knowledgeable around the following: Patient Access: including preregistration, insurance verification, point-of-service collections, financial counseling, registration, self-pay to Medicaid and other programs approval and conversion. The Corporate Director PFS Outsourcing and Strategic Initiatives is responsible for the implementation and management of the Strategic Right-sourcing Program, actively owning the operating portfolio under the Outsourcing program across Revenue Cycle Management for all Prime Healthcare.
Onsite Supervisor, Billing (Healthcare Revenue Cycle Management) IKS Health CareerOnsite Supervisor, Billing (Healthcare Revenue Cycle Management)Coppell, TexasThrough our Provider Enablement Platform, IKS Health provides a strategic blend of technology and expertise with the aim of restoring joy and viability to the practice of medicine by giving providers the tools and resources they need to focus on what matters most – the patient. We are seeking a Supervisor – Billing to lead a team responsible for charge entry, claim scrubbing, and electronic/paper claim submission across Medicare, Medicaid, commercial, and Workers’ Comp payers.