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.
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.
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.
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.
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 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.
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.
Administrative Assistant Fleet Quanta Services IncAdministrative Assistant FleetGrand Prairie, TXThe Fleet Administrator plays a critical role in ensuring fleet assets are accurately documented, compliant with regulatory requirements, and properly maintained within company systems to support operational efficiency across the organization. This position is responsible for maintaining fleet records, tracking inspections and compliance requirements, processing invoices and work orders, coordinating equipment inventory updates, and supporting fleet reporting activities.
Senior Architect, Data Engineering West Monroe Partners, LLCSenior Architect, Data EngineeringDallas, TX$199,100–$223,400 / yearThis is an excellent opportunity to work with clients developing Big Data strategy and roadmaps, while gaining exposure to a variety of industries including Healthcare, Financial Services, Insurance, Consumer & Industrial Products, and Energy & Utilities. Proven experience in supporting business development efforts, including identifying client needs, crafting technical solutions, contributing to proposals, and participating in pre-sales activities to drive revenue growth.
PRN Medical Receptionist - Specialty Clinic Baylor Scott & White HealthPRN Medical Receptionist - Specialty ClinicGrapevine, TXProvide front-office coverage during staff absences, PTO, increased patient volumes, and other operational needs to help ensure seamless patient care and clinic operations. May communicate with physicians, patients and healthcare staff to ensure relevant patient information is mutual with appropriate parties as required.
Senior Software Engineer, Billing Workflows - Athenacollector Athenahealth inc.Senior Software Engineer, Billing Workflows - AthenacollectorBoston, MA$119,000–$203,000 / yearWe offer IT solutions and expert services that eliminate the daily hurdles preventing healthcare providers from focusing entirely on their patients - powered by our vision to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all. Use AI coding assistants and agentic tools (e.g., Claude Code, Codex or similar) throughout the SDLC for scaffolding, code generation, test authoring, and first-pass code review while retaining full ownership of correctness, security, and maintainability of everything that ships.
Hospital AR Specialist - EHS Patient Accounts - Full time SolutionHealthHospital AR Specialist - EHS Patient Accounts - Full timeManchester, New HampshireThe Hospital Accounts Receivable (AR) Specialist is responsible for timely and accurate billing, follow-up, and resolution of third-party payer claims including commercial insurance, Medicare, Medicaid, and government-assisted programs. Prepare, review, and submit accurate and timely hospital facility claims (UB-04) using electronic and paper billing methods, ensuring correct assignment of revenue codes, modifiers, and service lines.
Physician Assistant - Emergency Medicine EHS NE SolutionHealthPhysician Assistant - Emergency Medicine EHS NEManchester, New HampshireParticipates in Quality Improvement Activities: ACP will be required to attend and provide input in quality improvement and quality assurance projects as deemed necessary by the Medical Director and Chief Medical Officer, Elliot Hospital & EMG Acute Care Services and/or his/her designee. Vice President, Chief Operating Officer and Chief Medical Officer, Elliot Hospital & EMG Acute Care Services and/or his/her designees and within established EHS and departmental policies and procedures, ACP shall perform the functions set forth below.
Hospital AR Specialist - EHS Patient Accounts - Full Time SolutionHealthHospital AR Specialist - EHS Patient Accounts - Full TimeManchester, New HampshireAbout the Job: The Hospital Accounts Receivable (AR) Specialist is responsible for timely and accurate billing, follow-up, and resolution of third-party payer claims including commercial insurance, Medicare, Medicaid, and government-assisted programs. Prepare, review, and submit accurate and timely hospital facility claims (UB-04) using electronic and paper billing methods, ensuring correct assignment of revenue codes, modifiers, and service lines.
Associate Medical Director, Pharmacovigilance Tango TherapeuticsAssociate Medical Director, PharmacovigilanceBoston, MA$194,400–$291,600 / yearThis includes expanding the universe of precision oncology targets into novel areas such as tumor suppressor gene loss and their contribution to the ability of cancer cells to evade immune cell killing. Author robust and medically sound company comments for ICSRs, clearly documenting the company's medical assessment, clinical rationale, causality considerations, relevant medical history, alternative etiologies, and overall safety evaluation, as applicable.
Associate Medical Director, Pharmacovigilance Tango Therapeutics IncAssociate Medical Director, PharmacovigilanceBoston, MA$194,400–$291,600 / yearThis includes expanding the universe of precision oncology targets into novel areas such as tumor suppressor gene loss and their contribution to the ability of cancer cells to evade immune cell killing. Author robust and medically sound company comments for ICSRs, clearly documenting the company''s medical assessment, clinical rationale, causality considerations, relevant medical history, alternative etiologies, and overall safety evaluation, as applicable.
Lead Software Engineer - AI Humana IncLead Software Engineer - AIBoston, MA$129,300–$177,800 / yearExercises independent judgment and decision making on complex issues regarding job duties and related tasks, and works under minimal supervision, Uses independent judgment requiring analysis of variable factors and determining the best course of action. Clinical and Product Partnership: Collaborate closely with product managers, designers, clinicians, and data stakeholders to understand care delivery workflows and translate them into well-scoped, high-impact AI features.
Manager Clinical Data Monte Rosa Therapeutics, IncManager Clinical DataBoston, MassachusettsFull timeThis individual will work closely with Clinical Operations, Biostats and Programming, Medical, Safety, Regulatory, external CROs, and technology vendors to ensure high-quality, inspection-ready clinical data. Manage CROs, EDC vendors, central labs, imaging vendors, eCOA providers, IRT vendors, and other data providers.