NewFloat Medical Scribe - Bilingual Spanish Required Oak Street HealthFloat Medical Scribe - Bilingual Spanish RequiredHouston, TX$17–$31.30Scribes 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.
NewBilingual Medical Scribe Oak Street HealthBilingual Medical ScribeHouston, TX$17–$31.30Scribes 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.
NewRevenue Cycle Analyst CFSRevenue Cycle AnalystHouston, TXThis is a newly created role designed to maximize patient revenue cycle performance, strengthening vendor accountability, and serving as the bridge between the organization's third-party billing partner, internal stakeholders, and a health system IT partner. If you have a strong physician revenue cycle background, enjoy solving complex billing issues, and thrive on improving processes across clinical, operational, and technical teams, this is an opportunity to make a significant impact.
Coding Quality Educator - Remote Providence St. Joseph HealthCoding Quality Educator - RemoteHouston, TXRemoteTogether, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. This position will assist with new employee training and ongoing department education as well as assist with the identification, development and delivery of new and ongoing provider education and training related to coding and clinical documentation.
Coding Quality Assurance Specialist II Texas Children's HospitalCoding Quality Assurance Specialist IIHouston, TXIn this position, you will assign and audit the accuracy of the ICD-10-CM and CPT codes to ambulatory, emergency center, observation, and day surgery records for purposes of billing, research, and providing information to government and regulatory agencies. Ascertains the accuracy of the physicians'' E/M and procedure coding to their documentation, completes the auditing reporting tool, and provides feedback to the education team and/or provider.
NewCoding Compliance Auditor Memorial Hermann Health SystemCoding Compliance AuditorHouston, TXCoding Compliance Auditor at Memorial Hermann Health SystemJob SummaryPosition responsible for ensuring the accuracy and completeness of clinical coding resulting in the appropriate reimbursement and data integrity and validation of the coded information for external and internal affairs. Principal AccountabilitiesConducts regular coding audits and coordinates ongoing monitoring of coding accuracy, providing continuous feedback to coding staff.
Coordinator, System Services Coding Memorial Hermann Health SystemCoordinator, System Services CodingTXLicenses/Certifications: One of the following licenses is required: Inpatient: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Associate (CCA), Certified Coding Specialist (CCS), or Certified Inpatient Coder (CIC) Coding Certification(s) from American Health Information Management Association (AHIMA) or American Association of Professional Coders (AAPC) required. Physician Organization: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Medical Coder (CMC), or relevant Coding Certification(s) from American Health Information Management Association (AHIMA) or American Association of Professional Coders (AAPC) required.
Senior Python Engineer - AI Coding Agent Evaluation (Freelance) MindriftSenior Python Engineer - AI Coding Agent Evaluation (Freelance)Houston, TXYou'll create challenging tasks and evaluation criteria within realistic simulated environments: Build realistic developer environments - a virtual company with codebase, infrastructure, and context (tickets, docs, conversations) that forms a believable development history. Tasks have many valid solutions - writing tests that accept all correct solutions and reject incorrect ones is harder than it sounds.
NewMedical Coding and Billing Instructor/Externship Coordinator CHCP Healthcare and Educational Services LLCMedical Coding and Billing Instructor/Externship CoordinatorHouston, TXRequired CBCS Certified Billing and Coding Specialist, CPC certified Professional coder, or CCS ( certified Coding Specialist). Have you ever wanted to make an impact on the future generation of Medical Coding and Billing professionals?
Medical Coding & Billing Instructor / Externship Coordinator CHCPMedical Coding & Billing Instructor / Externship CoordinatorHouston, TXThe College of Health Care Professions (CHCP) is seeking a dedicated and experienced Medical Coding & Billing Instructor / Externship Coordinator to support and mentor students as they prepare for rewarding careers in healthcare. Are you passionate about Medical Coding and Billing and ready to make a lasting impact on the next generation of healthcare professionals?
NewManager Coding Compliance Texas Children's HospitalManager Coding ComplianceHouston, TXTexas Children's comprehensive health care network includes our primary hospital in the Texas Medical Center with expertise in over 40 pediatric subspecialties; the Jan and Dan Duncan Neurological Research Institute (NRI); the Feigin Tower for pediatric research; Texas Children's Pavilion for Women, a comprehensive obstetrics/gynecology facility focusing on high-risk births; Texas Children's Hospital West Campus, a community hospital in suburban West Houston; Texas Children's Hospital The Woodlands, the first hospital devoted to children's care for communities north of Houston; and Texas Children's Hospital North Austin, the new state-of-the-art facility providing world-class pediatric and maternal care to Austin and Central Texas families. We have also created Texas Children's Health Plan, the nation's first HMO focused on children; Texas Children's Pediatrics, the largest pediatric primary care network in the country; Texas Children's Urgent Care clinics that specialize in after-hours care tailored specifically for children; and a global health program that is channeling care to children and women all over the world.
CTE Teacher (HEAL)-Medical Coding and Billing Aldine Independent School DistrictCTE Teacher (HEAL)-Medical Coding and BillingHouston, TXid='p3390_'>CTE Teacher (HEAL)-Medical Coding and Billing JobID: 3390. Attachment(s): CTE Teacher (HEAL) - Medical Coding and Billing.pdf.
Coding Training Coordinator University of Texas MD Anderson Cancer CenterCoding Training CoordinatorHouston, TXRemoteThe University of Texas MD Anderson Cancer Center is seeking a Coordinator, Coding Training to support the Revenue Operations and Coding department, which focuses on maintaining the integrity, accuracy, and compliance of coded clinical data across the organization. The ideal candidate holds a bachelor's degree in Health Information Management, Healthcare Administration, or a related healthcare field, along with substantial experience in inpatient or outpatient coding and at least two years of coding training experience.
PRN Clinical Coding Reimbursement Compliance Manager Harris Health SystemPRN Clinical Coding Reimbursement Compliance ManagerHouston, TXHarris Health is among an elite list of health systems in the U.S. achieving Magnet nursing excellence designation for its hospitals, the prestigious National Committee for Quality Assurance designation for its patient-centered clinics and health centers and its strong partnership with nationally recognized physician faculty, residents and researchers from Baylor College of Medicine; McGovern Medical School at The University of Texas Health Science Center at Houston (UTHealth); The University of Texas MD Anderson Cancer Center; and the Tilman J. Fertitta Family College of Medicine at the University of Houston. This person will also coordinate and conduct review of targeted areas to assume timely billing process, correct hospital reimbursements and perform random audits to validate accuracy of DRG, APC, and other coding to ensure compliance with coding and billing requirements.
DRG Coder - RCO Coding University of Texas Medical Branch at GalvestonDRG Coder - RCO CodingGalveston, TXJOB SUMMARY: To provide the advanced skills necessary for proper coding of all pertinent diagnoses and procedures and to provide optimal DRG assignment after thorough review of medical record and analysis of DRG options. Works coding related charge reviews/claim edits daily to ensure timely and accurate billing within filing deadlines.
Medical Billing and Insurance Coding Instructor (63647) International Education CorporationMedical Billing and Insurance Coding Instructor (63647)Houston, TXTo Do What: In this position, you will be responsible for the delivery of quality educational instruction by helping develop the technical and soft skills needed for our students to secure a job in their new career. Were Looking For: Someone with tenacity, passion, discipline and grit to join our team as a Medical Billing and Insurance Coding Instructor at our new campus in Houston, TX!
Sr. Mapping Analyst (Medical Coding) IMO HealthSr. Mapping Analyst (Medical Coding)Houston, TXThe Senior Mapping Analyst contributes to clinical code set mapping projects, supports IMO Health customers and clients with mapping-related inquiries, and serves as a subject matter expert in revenue cycle and health information management across cross-functional projects. The Senior Mapping Analyst is responsible for the creation, support, and maintenance of accurate and compliant administrative code set(s) mappings for customers using IMO Health’s interface terminology.
HIM/MEDICAL RECORDS ANALYST/CODING SPECIALIST-FT University Health Services IncHIM/MEDICAL RECORDS ANALYST/CODING SPECIALIST-FTHOUSTON, TXOperating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 40 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom. Job Duties/Responsibilities: Chart Abstraction and Review Coding Chart Analysis (as needed) Outpatient discharge charts Chart Audits Administrative duties to include answering incoming calls and provide assistance to customers.
Coding Specialist (HCS-D Certification Required) LHC Group IncCoding Specialist (HCS-D Certification Required)Houston, TXRemoteSelects the principal diagnosis according to CMS definitions, and observe sequencing rules identified by the ICD guidelines Assigns and report codes, without physician or clinician consultation, to diagnoses only if these diagnoses are specifically documented by the physician in the body of the medical record and the documentation is clear and concise Assesses clinical documentation to assure that it supports the diagnosis codes selected. LHC Group Inc Home Office a part of LHC Group family of providers - the preferred post-acute care partner for hospitals, physicians, and families nationwide.
Sr Clinical Coding Specialist -Evaluation and Management Coder University of Texas MD Anderson Cancer CenterSr Clinical Coding Specialist -Evaluation and Management CoderHouston, TXRemoteThe Senior Clinical Coding Specialist plays a critical role in ensuring accurate and compliant coding of patient encounters, supporting timely billing and reimbursement processes, and maintaining the integrity of clinical data across systems. The Senior Clinical Coding Specialist at UT MD Anderson is responsible for reviewing medical records, assigning appropriate clinical codes, and supporting departmental goals for accuracy, compliance, and operational efficiency.
Epic Resolute Application Developer (Charge Router and Coding Skills) - 6260321 Accenture PlcEpic Resolute Application Developer (Charge Router and Coding Skills) - 6260321Houston, TXIn addition to delivering innovative solutions for Accenture's clients, you will work with a highly skilled, diverse network of people across Accenture businesses who are using the latest emerging technologies to address today's biggest business challenges. Dropping orders using chart review-> creating new patient encounter -> dropping an order and signing the order/Unite charge entry ->creating new encounter.
Certified Coding Specialist I/II/III- Ob/Gyn University of Texas Health Science Center at HoustonCertified Coding Specialist I/II/III- Ob/GynHouston, TXRegistered Health Information Technician (RHIT) by American Health Information Management Association (AHIMA) within 6 months of hire required or Certified Coding Specialist (CCS) by American Health Information Management Association (AHIMA) within 6 months of hire required or Certified Coding Specialist - Physician-based (CCS-P) by American Health Information Management Association (AHIMA) within 6 months of hire required or Certified Professional Coder (CPC) by American Academy of Professional Coders (AAPC) within 6 months of hire required or Radiology Coding Certification (RCC) by Radiology Coding Certification Board (RCCB) within 6 months of hire requiredMinimum Education:High School Diploma or equivalent required Minimum Experience:2 years Related coding experience requiredPhysical Requirements:Exerts up to 20 pounds of force occasionally and/or up to 10 pounds frequently and/or a negligible amount constantly to move objects. Our total rewards package includes the benefits you'd expect from a top healthcare organization (benefits, insurance, etc.), plus: 100% paid medical premiums for our full-time employees Generous time off (holidays, preventative leave day, both vacation and sick time - all of which equates to around 37-38 days per year) The longer you stay, the more vacation you'll accrue!
Regional Coding Operations Manager WFH HCA Healthcare IncRegional Coding Operations Manager WFHHouston, TXMust be a Certified Coding Specialist (CCS), Certified Coding Specialist - Physician (CCS-P), RHIT (Registered Health Information Technician), RHIA (Registered Health Information Administrator) through AHIMA (American Health Information Management Association) or AAPC's (American Academy of Professional Coders) Certified Professional Coder (CPC) credential or Certified Professional Coder - Hospital (CPC-H) or Certified Risk Adjustment Coder (CRC) EXPERIENCE: Experience with Cerner and eClinicalWorks (eCW) is strongly preferred. Assists the coding process in serving as a liaison between the CCU team and practice management, including the providers and division leadership while building and maintaining strategic working relationships with the practice and division leadership (working through specific issues, committee meetings, monthly updates, etc.).Assumes a lead role for innovation, knowledge sharing and leading best practice identification.
Clinical Coding Supervisor University of Texas MD Anderson Cancer CenterClinical Coding SupervisorHouston, TXRemoteThe ideal candidate has a bachelor's degree in Health Information Management, Healthcare Administration, or a related field, along with extensive coding experience in a physician and/or academic healthcare setting and prior leadership experience. The Clinical Coding Supervisor plays a critical role in ensuring accurate coding, regulatory compliance, and efficient revenue cycle operations that directly support patient care and organizational excellence.
Director, Health Information Management Townsen Memorial HospitalDirector, Health Information ManagementHouston, TexasPlease visit our website for more information: www.townsenmemorial.com Townsen Memorial Hospital is an accredited network of facilities with an emphasis on emergency care, outpatient surgery, and diagnostics and imaging. The Director ensures compliance with federal and state regulations (e.g., HIPAA, CMS, CHIQ) and collaborates with clinical, administrative, and IT teams to support efficient healthcare delivery.
Senior Clinical Coding Specialist - OR Surgery University of Texas MD Anderson Cancer CenterSenior Clinical Coding Specialist - OR SurgeryHouston, TXRemoteThe ideal candidate for the Senior Clinical Coding Specialist will have surgery coder experience in Breast and Plastics, Surgical Oncology, Head and Neck, Urology and advanced knowledge of ICD-10-CM, CPT/HCPCS along with experience in both inpatient and outpatient coding. As a Senior Clinical Coding Specialist in our Revenue Operations and Coding Department, your expertise ensures accurate coding that supports patient care and institutional compliance.
Managed Services - Revenue Cycle Coding - Senior Manager PricewaterhouseCoopers LLPManaged Services - Revenue Cycle Coding - Senior ManagerTX$124,000–$280,000 / yearPwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy . As a Senior Manager, you will leverage your skills and influence to deliver quality results, motivate and coach teams to solve complex problems, and apply sound judgment to recognize when to take action or escalate issues.
Code Enforcement Officer II City of HoustonCode Enforcement Officer IIHouston, TX$26.62–$27.44 / hourPreference shall be given to eligible veteran applicants provided such persons possess the qualifications necessary for competent discharge of the duties involved in the position applied for, such persons are among the most qualified candidates for the position, and all other factors in accordance with Executive Order 1-6. Are you a veteran who served on active duty in the Armed Forces (United States Army, Navy, Air Force, Marine Corps, or Coast Guard) for more than 90 consecutive days and received either an honorable discharge or a general discharge under honorable conditions?.
CODE ENFORCEMENT OFFICER I City of HoustonCODE ENFORCEMENT OFFICER IHouston, TX$23.53–$24.25 / hourAre you a veteran who served on active duty in the Armed Forces (United States Army, Navy, Air Force, Marine Corps, or Coast Guard) for more than 90 consecutive days and received either an honorable discharge or a general discharge under honorable conditions?. Preference shall be given to eligible veteran applicants provided such persons possess the qualifications necessary for competent discharge of the duties involved in the position applied for, such persons are among the most qualified candidates for the position, and all other factors in accordance with Executive Order 1-6.
Fire Code Senior Plans Examiner Harris County TexasFire Code Senior Plans ExaminerHouston, TXThe employee benefits plans of Harris County are extended to all eligible participants across various departments with the exception of the Harris County Community Supervision and Corrections Department, for which the cited Health & Wellness Benefits are administered through the State of Texas. Emergency Deployment & Continuity of Operations Requirement: In accordance with Harris County's Continuity of Operations Plan (COOP) Policy, this position is subject to emergency response and deployment protocols.
NewPlumbing Designer Collaborative, Code-Savvy, Revit Expert O-MPlumbing Designer Collaborative, Code-Savvy, Revit ExpertHouston, TXO'Connell Robertson in Houston, TX is seeking a Plumbing Designer who can translate design intent into detailed drawings for water supply, drainage, fire protection, medical gas, and specialty water systems across a range of project scales. You will collaborate with architects and other engineers, stay current with local codes, perform plumbing calculations, and prepare specifications, drawings, and reports with accuracy and pace.#J-18808-Ljbffr.
Urgent Care - Partner Veterinarian - Houston , {State_Code UsvtaUrgent Care - Partner Veterinarian - Houston , {State_CodeHouston, TexasAn exceptional veterinary hospital, with a dedicated team, is seeking an experienced Partner Veterinarian to provide leadership, superior patient and client care, and financial ownership in the hospital. The ideal leader for this hospital is a veterinarian who is prepared to manage a team of doctors and medical staff and successfully oversee the clinical direction of the practice while building equity.
Medical Billing Specialist - Women''''s Health Prelude Fertility IncMedical Billing Specialist - Women''''s HealthHouston, TXRemoteVersed in CPT code sets and requirements including but not limited to modifiers, CPT bundling/unbundling, proper diagnosis assignment, Evaluation and Management Codes, Lab Codes, and ASC HCPC code sets. The Medical Billing Specialist is responsible for the timely and accurate submission of insurance claims, reviewing and updating denied claims for resubmission and performing reconciliations to ensure timely billing for services provided.
Medical Billing - AR Specialist Gryphon HealthcareMedical Billing - AR SpecialistHouston, Texas$30–$50 / hourJOB SUMMARY The Account Receivable Specialist is responsible for submitting claims, appeals of denied claims and working with commercial insurance carriers to ensure prompt accurate payment. EDUCATION REQUIREMENTS High School Diploma or equivalent required EXPERIENCE REQUIREMENTS 2 years in medical billing preferred with the following detailed experience: Knowledge of medical / billing collection practices.
Freelance Medical & Billing Coder Dane Street, LLCFreelance Medical & Billing CoderHouston, TXYou will communicate with other reviewers and their office teams to ensure clarity of information and ensure all questions posed have been addressed, and ensure that reports are returned within client deadlines. Job Summary: A new program offering on the group health side of our business enables you to apply your clinical knowledge to review reports accompanying medical records to ensure that medical billing information and coding are correct.
Freelance Medical & Billing Coder Dane StreetFreelance Medical & Billing CoderHouston, TXYou will communicate with other reviewers and their office teams to ensure clarity of information and ensure all questions posed have been addressed, and ensure that reports are returned within client deadlines. Job Summary: A new program offering on the group health side of our business enables you to apply your clinical knowledge to review reports accompanying medical records to ensure that medical billing information and coding are correct.
Medical Biller and Coder Bee Busy Wellness CenterMedical Biller and CoderHouston, TXFull timeThis role is responsible for accurately coding medical procedures and diagnoses, submitting insurance claims, posting payments, and ensuring timely reimbursement while maintaining compliance with healthcare regulations and clinic policies. Monitor unpaid claims and follow up with insurance companies regarding denials, underpayments, or delayed payments.
RCM Director MAEVILLE PEDIATRICSRCM DirectorPearland, TXFull timeThis role requires strong leadership skills, in-depth knowledge of medical billing procedures, and the ability to collaborate effectively with healthcare providers and insurance companies. The ideal candidate will oversee the end-to-end revenue cycle management process, ensure accurate and timely billing, and optimize collections.
Hospital Billing Coordinator Deloitte Touche Tohmatsu LtdHospital Billing CoordinatorTX$50,000–$60,000 / yearOur purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
Risk Adjustment Coder II Harris Health SystemRisk Adjustment Coder IITXThe Risk Adjustment Coder II provides advanced support for complex medical record reviews to ensure the correct capture of chronic conditions and complexities to calculate a patient's risk score, by mapping diagnoses to Hierarchical Condition Categories (HCCs) while adhering to CMS guidelines and internal coding policies for the following programs: including, but not limited to, Commercial Risk Adjustment, Medicare Risk Adjustment, and HHS and Medicare RADV (Risk Adjustment Data Validation). ' Community Health Choice (HMO D-SNP), a Medicare Advantage Dual Special Needs plan for people with both Medicare and Medicaid that combines Medicare Part A and Part B benefits, Medicare Part D prescription drug coverage, and Medicaid benefits with additional health benefits like dental, vision, transportation, and more.
Senior Consultant - Clinical Documentation Specialist Deloitte Touche Tohmatsu LtdSenior Consultant - Clinical Documentation SpecialistTX$110,700–$218,300 / yearOther skills include the ability to analyze, act and design action plans upon monthly and quarterly reports related to individual providers, facilities, MS-DRGs, APR, PSIs, severity of illness and risk of mortality, capture rates, quality metrics and can effectively prioritize their work activities. Clinical Payments Optimization: Assisting clients by validating that payments for clinical healthcare services comply with regulatory, clinical based evidence and contractual requirements while also determining that payments are appropriate for the type and level of care provided.
Clinical Billing Manager (Path & Lab) University of Texas Health Science Center at HoustonClinical Billing Manager (Path & Lab)Houston, TXCertified Professional Coder (CPC) by American Academy of Professional Coders (AAPC) requiredCertified Coding Specialist Physician-based (CCS-P) by American Health Information Management Association (AHIMA) requiredRegistered Health Information Administrator (RHIA) by American Health Information Management Association (AHIMA) requiredRegistered Health Information Technician (RHIT) by American Health Information Management Association (AHIMA) requiredMust complete certification within 12 months of employment at UTHSC-H requiredMinimum Education:Bachelor's degree in Business, Healthcare Administration, Health Information Management or related field, or equivalent experience in lieu of degree. Our total rewards package includes the benefits you'd expect from a top healthcare organization (benefits, insurance, etc.), plus: 100% paid medical premiums for our full-time employees Generous time off (holidays, preventative leave day, both vacation and sick time - all of which equates to around 37-38 days per year) The longer you stay, the more vacation you'll accrue!
Provider Success Manager - Houston, Texas Clover Health Investments CorpProvider Success Manager - Houston, TexasTXSupport Provider Recruitment Activities as Product SME: Partner with CA GTM team to execute a provider onboarding and training best practices, with a focus on devising strong in-office workflows and working closely with practices (including clinical + non-clinical staff) to drive effective adoption of the platform. Proven ability to build collaborative relationships with clinicians and staff to drive operational change, and to translate operational data into actionable performance metrics and scorecards that help primary care physicians achieve improved clinical and financial outcomes.
Provider Success Manager - Houston, Texas Clover HealthProvider Success Manager - Houston, TexasHouston, TX$107,700–$140,000 / yearSupport Provider Recruitment Activities as Product SME: Partner with CA GTM team to execute a provider onboarding and training best practices, with a focus on devising strong in-office workflows and working closely with practices (including clinical + non-clinical staff) to drive effective adoption of the platform. Proven ability to build collaborative relationships with clinicians and staff to drive operational change, and to translate operational data into actionable performance metrics and scorecards that help primary care physicians achieve improved clinical and financial outcomes.
Medical Insurance Collector Addison GroupMedical Insurance CollectorHouston, Texas$18–$22 / hourAddison Group is hiring on behalf of our client, a rapidly growing healthcare organization focused on expanding its revenue cycle team. This role involves processing claims, resolving billing discrepancies, and ensuring timely collections from insurance providers.
Sr. Patient Account Specialist - RCO HB Follow Up University of Texas Medical Branch at GalvestonSr. Patient Account Specialist - RCO HB Follow UpGalveston, TXPreferred Qualifications: Role-Specific Experience: Two to three years of hands-on experience in medical billing, revenue cycle, or claims denial management in a hospital (HB) or large clinical setting. Denial Processes: Demonstrated ability to identify, appeal, and resolve complex claim denials (e.g., underpayments, medical necessity rejections, and bundling issues).
Senior Corporate Compliance Auditor (Hybrid) Memorial Hermann Health SystemSenior Corporate Compliance Auditor (Hybrid)Houston, TXDirectly accountable for researching, interpreting, and advising the organization on the regulations, rules, and requirements issued by government agencies and other oversight authorities (Centers for Medicare & Medicaid Services (CMS), U.S. Department of Health and Human Services Office of Inspector General (HHS-OIG), etc.). Leads multiple Corporate Compliance reviews / audits of healthcare coding, billing, documentation, operations, and related areas (e.g., coding assignments, charge capture, clinical documentation, claim submissions, etc.) from planning through completion.
Collections Representative - Kelsey Seybold - Pearland UnitedHealth Group IncCollections Representative - Kelsey Seybold - PearlandPearland, TX$18–$32 / hourThe fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. The Collections Representative is responsible for answering inbound calls and screening patients for financial clearance, collecting outstanding balances, reducing bad debt and arranging payment plans.
Clinical Documentation Specialist (Remote -Texas Resident) - Clinical Data University of Texas Medical Branch at GalvestonClinical Documentation Specialist (Remote -Texas Resident) - Clinical DataGalveston, TXRemote$71,923–$115,077 / yearRegistered nurse (or medical school graduate) with a minimum of 3 years inpatient clinical experience, advanced clinical expertise and an extensive knowledge of complex disease processes with broad clinical experience in an inpatient setting. Minimum Qualifications: Certified Registered Health Information Administrator (RHIA), Technician (RHIT), or an associate degree in a healthcare-related discipline with Certified Coding Specialist (CCS) certification, and a minimum of 3 years of medical coding experience.
Practice Performance Manager (Houston, TX) Apex Health SolutionsPractice Performance Manager (Houston, TX)Houston, TXThe PPM functions as both a trusted clinical partner and a skilled change management professional, delivering direct practice support—on-site and remotely—to drive improvement across key performance domains including HEDIS/Stars quality measures, HCC capture rates, Annual Wellness Visit (AWV) completion, care gap closure, and EHR workflow optimization. The ideal candidate combines deep clinical or quality improvement expertise with strong interpersonal influence skills—capable of coaching frontline staff, engaging physicians, and presenting data-driven strategies to practice leadership.