NewMainframe Developer Infosys LtdMainframe DeveloperRichardson, TX2251134No5439237910.00.008/31/2026Mainframe DeveloperIn the assigned Job Role of Technology Consultant 1, your Area Of Responsibility will be as below: Assist in conducting targeted interviews and workshops to capture user needs, and ensure accurate documentation of stakeholder requirements. The Infosys Communications, Media, and Technology (CMT) unit is a dynamic and innovative division dedicated to driving digital transformation and growth for clients in the telecommunications, media, and technology sectors.
Network Pricing Consultant - Remote Pst/Mst/Cst UnitedHealth Group Inc.Network Pricing Consultant - Remote Pst/Mst/CstDallas, TXRemote$72,800–$130,000 / yearAs a Network Pricing Consultant, you will support and validate Provider Network (hospital, physician, ancillary facilities, etc.) contracting and unit cost management activities through financial modeling, analysis, and reporting. While this role primarily supports West Region markets, you'll enjoy the flexibility to work remotely from anywhere in the U.S. For hires residing in the Minneapolis or Washington, D.C. areas, on-site work is required at least four days per week.
CDI Specialist Exceptional Healthcare Inc.CDI SpecialistDallas, TXWorking directly with physicians, nursing staff, and coders in a community hospital setting, this role improves documentation through concurrent record review, compliant physician queries, and provider education. Job Summary: The CDI Specialist reviews inpatient medical records to ensure clinical documentation accurately reflects the severity of illness, treatments delivered, and diagnoses rendered.
Provider Services Business Office Pennant ServicesProvider Services Business OfficeDallas, TexasRemoteWe are a collection of independent, locally led healthcare companies united by a shared purpose and the CAPLICO values-Celebration, Accountability, Passion, Love, Intelligence, Customer Second, and Ownership. The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US.
NewAppeals Representative I CornerStone StaffingAppeals Representative IFort Worth, TXRemoteThis role directly supports provider satisfaction and impacts revenue cycle integrity through clear communication, detailed analysis, and timely resolution. As an Appeals Representative II, you’ll play a critical role in ensuring provider appeals are resolved accurately and in compliance with all applicable policies and healthcare regulations.
Sr. Program Development Manager, Data Solutions, Informaticist American Heart Association IncSr. Program Development Manager, Data Solutions, InformaticistDallas, TXRemote$100,000–$120,000 / yearThis individual will be responsible for designing, implementing and validating quality measures used in national accountability programs and the organizations suite of quality programs: including Get With The Guidelines: Stroke, Heart Failure, Atrial Fibrillation, Resuscitation and Coronary Artery Disease; ambulatory quality initiatives, special disease-focused initiatives (such as: aortic stenosis, cardiovascular-kidney-metabolic health, cardiogenic shock), certification programs, and EMS Mission: Lifeline. Assist in monitoring relevant national digital measurement programs and partners such as the Health Level Seven; Center for Medicare/Medicaid Services (CMS): Merit-Based Incentive Payment System (MIPS) and Hospital Inpatient Quality Reporting Program (HIQR); Office of the National Coordinator for Health Information Technology; as well as The Joint Commission; Million Hearts; etc. for changes that may impact measures or programs.
Lead Software Engineer, Agentic AI Systems CollectiveHealth IncLead Software Engineer, Agentic AI SystemsPlano, TX$138,000–$172,500 / yearDevelop and optimize agent behaviors using Gemini (Pro/Flash) with a focus on reliable tool-calling and multi-step reasoning; implement RAG and grounding strategies to ensure AI agents provide factual, data-driven responses derived from internal claims databases and policy documents. Design and implement complex system instructions, few-shot prompting, and Chain-of-Thought reasoning to ensure agents handle claims logic with high precision, performing Supervised Fine-Tuning on Gemini models to improve domain-specific performance in adjudication and medical coding.
Payment Integrity Supervisor CorVel CorpPayment Integrity SupervisorFort Worth, TXRemote$77,960–$120,368 / yearAdditionally, the supervisor works to reduce response timeframes and mitigate future inquiries or escalations by being proactive, taking ownership of challenges, and formulating solutions to improve overall department activities while maintaining a focus on improving how we deliver service to our customers. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions.
Solution Architect AI & ML for Healthcare solutions NTT DATA Group CorpSolution Architect AI & ML for Healthcare solutionsPlano, TXRemote$119,578–$221,625 / yearWe are seeking an experienced AI Solutions Architect to design and deliver artificial intelligence, machine learning, and generative AI solutions for healthcare systems, hospitals, academic medical centers, physician groups, and integrated delivery networks. The AI Solutions Architect will lead solution design across areas such as clinical documentation, revenue cycle, patient access, capacity management, care coordination, population health, quality improvement, provider experience, patient engagement, supply chain, and administrative automation.
PN Account Specialist II Cook Children's Health Care SystemPN Account Specialist IIFort Worth, TXThe Account Specialist II, Insurance Follow-Up & Denials Management will primarily be responsible for performing duties such as; reimbursement analysis; provides the Manager, Insurance Follow-Up & Denials Management with timely financial and volume data related to claims adjudication and payment trend analyses; performs all required patient account adjustments; provides feedback to practice managers regarding effectiveness of diagnostic and procedural coding; monitors active accounts receivable for identification of potential problems; serves as liaison between assigned practice(s) and billing office; communicates effectively with patients, practice managers, physicians and others regarding collection of outstanding claims; maintains proper documentation and edits of work performed; and at all times maintains a professional demeanor to assure that patients are treated in an appropriate and compassionate manner. With more than 60 primary, specialty and urgent care locations throughout Texas, families can access our top-ranked specialty programs and network of services to meet the unique needs of their child.
HIM Coder Analyst CornerStone Professional PlacementHIM Coder AnalystFort Worth, Texas$35–$40 / hourReview and interpret outpatient medical records to assign ICD-10-CM and CPT-4 codes with the highest level of specificity for ambulatory surgery, observation, special procedures, emergency department, ancillary, and clinic encounters. Support accurate reimbursement, regulatory compliance, and quality reporting by reviewing outpatient medical records and assigning accurate ICD-10-CM and CPT-4 codes.
Authorization and Denials Coordinator CompuGroup Medical SE & Co KGaAAuthorization and Denials CoordinatorRichardson, TXYour Qualification: Experience: Minimum of 3 years of experience in healthcare authorizations/revenue cycle, cardiology, internal medicine, multi-specialty practice billing or authorizations, appeals, denial management, and payer escalation processes. Manage denials and appeals - analyze root causes of denied claims, draft documentation-backed appeal letters, track deadlines, and recover outstanding revenue by overturning invalid denials.
Authorization and Denials Coordinator CompuGroup MedicalAuthorization and Denials CoordinatorRichardson, MichiganYour Qualification: Experience: Minimum of 3 years of experience in healthcare authorizations/revenue cycle, cardiology, internal medicine, multi-specialty practice billing or authorizations, appeals, denial management, and payer escalation processes. Manage denials and appeals — analyze root causes of denied claims, draft documentation-backed appeal letters, track deadlines, and recover outstanding revenue by overturning invalid denials.
NewClinical Review Supervisor CorVel CorpClinical Review SupervisorFort Worth, TXRemote$77,960–$120,368 / yearThe Diagnostic Related Groups (DRG) Clinical Supervisor is responsible for performing DRG validation (clinical/coding) reviews of medical records and/or other documentation to determine correct DRG/coding that is clinically supported as defined by review methodologies specific to the contract for which review services are being provided. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions.
NewMedical Director, Utilization Management Physician - Optum - Remote UnitedHealth Group IncMedical Director, Utilization Management Physician - Optum - RemoteDallas, TXRemote$248,500–$373,000 / yearThe Medical Director for Utilization Management will support WellMed Medical Management, Inc. by making utilization management determinations, identifying utilization trends suggesting possible over or under utilization of services and proactively suggesting improvements to WellMed Medical Management's utilization management program. WellMed is a network of doctors, specialists and other medical professionals that specialize in providing care for more than 1 million older adults with over 16,000 doctors' offices.
Team Lead - Healthcare - Hospital PFS GuidehouseTeam Lead - Healthcare - Hospital PFSLewisville, TexasCompensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs. The Team Lead will and may work closely with their team, project supervisors, operations managers, and the client to work on opportunities with new and emerging approaches to our clients’ business processes.
Revenue Integrity Charge Description Master Analyst Parkland HospitalRevenue Integrity Charge Description Master AnalystDallas, TXStays 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. Reduces risk to Parkland by identifying, documenting documenting, and reporting potential compliance issues within their specific area of accountability, such as analysis of timely contractual and liabilities or charge master coding reviews.
Medical Records Coder 2 Methodist Health SystemMedical Records Coder 2Dallas, TexasYour Job Requirements: • High school graduate or its equivalent • Minimum of 2 years of DRG based coding experience in an acute care hospital with experience using an encoder • Proficient in detailed work • Maintain a professional image in handling confidential patient information • Excellent written and oral communication skills to interact with physicians, other health care workers, the general public, administration, and health information management staff • Team oriented Your Job Responsibilities: • Communicate clearly and openly • Build relationships to promote a collaborative environment • Be accountable for your performance • Always look for ways to improve the patient experience • Take initiative for your professional growth • Be engaged and eager to build a winning team Methodist Dallas Medical Center is one of North Texas’ best places to work. The Coder 2 classifies and abstracts inpatient and outpatient diagnoses and procedures, which are assigned appropriate ICD10-CM, ICD10 PCS and/or CPT codes for optimal reimbursement.
MEDICAL RECORDS CODER 2 Methodist Health SystemMEDICAL RECORDS CODER 2Dallas, TXYour Job Requirements: • High school graduate or its equivalent • Minimum of 2 years of DRG based coding experience in an acute care hospital with experience using an encoder • Proficient in detailed work • Maintain a professional image in handling confidential patient information • Excellent written and oral communication skills to interact with physicians, other health care workers, the general public, administration, and health information management staff • Team oriented Your Job Responsibilities: • Communicate clearly and openly • Build relationships to promote a collaborative environment • Be accountable for your performance • Always look for ways to improve the patient experience • Take initiative for your professional growth • Be engaged and eager to build a winning team. Named 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.
Medical Scribe SuvidaMedical ScribeDallas, TexasPatient Encounter Documentation : Accompany healthcare providers during patient visits and accurately document all relevant medical information, including medical histories, physical examinations, diagnostic tests, and treatment plans in real-time. Working closely with primary care providers, the CIS scribes and records medical histories, physical examinations, diagnostic tests, treatment plans, and other pertinent information into electronic health record (EHR) systems.