Medical Billing & Coding Instructor CHCPMedical Billing & Coding InstructorDallas, TXCHCP is on a mission to build a stronger community by inspiring our students to choose hope for their future, practice compassion in their service, and strive for purpose in their careers. The Medical Billing/Coding Instructor will "model" professional behavior, language, and activities for your students, so a strong background in medical billing and coding will be vital as you train the next generation of allied health care workers.
Compliance Consultant IV - Medical Coding - Risk Adjustment Kaiser PermanenteCompliance Consultant IV - Medical Coding - Risk AdjustmentTexas City, TXCompletes work assignments and supports business-specific projects by applying expertise in subject area; supporting the development of work plans to meet business priorities and deadlines; ensuring team follows all procedures and policies; coordinating resources to accomplish priorities and deadlines; collaborating cross-functionally to make effective business decisions; solving complex problems; escalating high priority issues or risks as appropriate; and recognizing and capitalizing on improvement opportunities. Assists with and supports the management of projects or compliance components of larger cross-functional projects by coordinating stakeholder contacts; recommending team resources based on project needs and team member strengths; assisting in the development, analysis, and management of project plans; and coordinating project schedules and resource forecasts.
RN Clinical Reviewer (Cpc Medical Coding Academy) - San Juan, PR UnitedHealth Group Inc.RN Clinical Reviewer (Cpc Medical Coding Academy) - San Juan, PRSan Juan, PRPositions in this function investigates Optum Waste and Error stopped claims by gathering information, researching state and federal guidelines, and following internal procedure to determine the viability of the claim for further review in a production environment. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
RN Clinical Reviewer (CPC Medical Coding Academy) - San Juan, PR UnitedHealth Group IncRN Clinical Reviewer (CPC Medical Coding Academy) - San Juan, PRSan Juan, PRPositions in this function investigates Optum Waste and Error stopped claims by gathering information, researching state and federal guidelines, and following internal procedure to determine the viability of the claim for further review in a production environment. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
Medical Billing Coding Specialist II Catalyst Health GroupMedical Billing Coding Specialist IIPlano, TXDevelop and coordinate educational and training programs regarding elements of coding such as appropriate documentation, accurate coding, coding trends found during chart reviews, third party audit findings, and annual coding updates. Uses Sound JudgmentMakes timely, cost effective, and sound decisionsRole and Responsibilities:Perform paper and EMR chart audits for all providers in accordance with third party and CMS requirements.
Certified Inpatient Medical Coding Specialist (Remote) Memorial Hermann Health SystemCertified Inpatient Medical Coding Specialist (Remote)TXRemoteLicenses/Certifications: 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. Reviews medical record documentation to identify pertinent diagnosis/procedures that require code assignment for inpatient records and accurately code the diagnoses and procedures using ICD-10 coding conventions for the purpose of reimbursement, research, and compliance with federal regulations.
Medical Coding Trainer/Auditor Revenue Cycle Coding StrategiesMedical Coding Trainer/AuditorTexasThe Trainer/Auditor is responsible for providing medical coding, coding training and auditing services to physician practices, billing companies and hospitals and other related entities with a concentration on coding audits of physician and hospital outpatient claims, and coding education. Provide training to all RCCS coders regarding new tasks, new clients, cross-training, and continuing education. .
Medical Billing Specialist Imprimis GroupMedical Billing SpecialistDallas, TX$47,840–$52,000 / yearKey ResponsibilitiesAssign appropriate CPT (Current Procedural Terminology), ICD (International Classification of Diseases), and HCPCS (Healthcare Common Coding System) codes to medical diagnoses, procedures, and services. The billing specialist will ensure that insurance claims are prepared and submitted in a timely and compliant manner, facilitating the revenue cycle and reimbursement process for healthcare providers.
Medical Claim Review Nurse Integrated Resources, IncMedical Claim Review NurseDallas, TXRemoteRequired Years of Experience: · Requires a minimum of 2 years of experience in inpatient payment integrity medical claim review including DRG Validation or Itemized Bill Review, including 2 years’ experience working with ICD-10, MS-DRG, AP-DRG and APR-DRG, CPT, HCPCS; or any combination of education and experience, which would provide an equivalent background. Clinical Validation Reviewer: Performs focused clinical reviews of inpatient and outpatient claims to verify that coded diagnoses, procedures, revenue codes, and corresponding reimbursement methodologies accurately reflect the patient’s documented clinical condition, services rendered, and billed charges.
Medical Coding Leader - AI Trainer MercorMedical Coding Leader - AI TrainerHouston, TexasRemoteMonitor coding KPIs, including coder productivity, accuracy rates, unbilled accounts, and claim denial rates due to coding errors. Evaluate AI-generated coding assignments, including ICD-10-CM/PCS , CPT/HCPCS , and DRG assignments.
Provider Educator (Foreign Medical Graduate) Herself HealthProvider Educator (Foreign Medical Graduate)Dallas, TXRemoteDevelop and update presentations, quick-reference sheets, case studies, and other educational resources, ensuring content is clinically accurate, current, appropriately sourced, and aligned with applicable guidance. That's why our care model gives patients more time with their care team and focuses on the health issues that matter most to women later in life—from post-menopausal care and bone health to weight management, preventive care, and mental, emotional, and social well-being.
Medical Compliance Auditor Texas Children's HospitalMedical Compliance AuditorBellaire, TXThis process includes clinical judgment, utilization review, application of product benefits, understanding of regulatory requirements for Medicaid managed care and fraud and abuse, and verification of medical necessity utilizing nationally recognized criteria. In this position, you will review and approve or deny medical claim appeals and perform clinical audits of medical records submitted in support of services billed by providers.
Medical Account Receivable Specialist (Level 3) Aspire Allergy & SinusMedical Account Receivable Specialist (Level 3)Austin, TexasThe Level 3 AR Specialist also identifies root causes of reimbursement challenges, supports Accounts Receivable operations across all financial classes as needed, and ensures compliance with industry regulations, practice protocols, and company policies while driving overall revenue cycle performance. Aspire Allergy & Sinus is seeking a full-time Medical Accounts Receivable Specialist (Level 3) to serve as a subject matter expert (SME) responsible for resolving complex, high-dollar, and systemic reimbursement issues.
Medical Account Receivable Specialist (Level 3) Aspire Allergy And SinusMedical Account Receivable Specialist (Level 3)Austin, TXThe Level 3 AR Specialist also identifies root causes of reimbursement challenges, supports Accounts Receivable operations across all financial classes as needed, and ensures compliance with industry regulations, practice protocols, and company policies while driving overall revenue cycle performance. Aspire Allergy & Sinus is seeking a full-time Medical Accounts Receivable Specialist (Level 3) to serve as a subject matter expert (SME) responsible for resolving complex, high-dollar, and systemic reimbursement issues.
NewQuality Medical Assistant MA WellMed Plano Texas UnitedHealth Group IncQuality Medical Assistant MA WellMed Plano TexasRichardson, TX$20–$36 / hourThis evaluates the quality and completeness of clinical documentation processes by performing quality medical record reviews, assisting in the improvement of the clinical documentation process, identifying trends, maintaining accurate records of review activities, ensures all data submitted to the health plan meets the HEDIS/Star technical specifications for medical records. This position requires Tuberculosis screening as well as proof of immunity to Measles, Mumps, Rubella, Varicella, Tetanus, Diphtheria, and Pertussis through lab confirmation of immunity, documented evidence of vaccination, or a doctor's diagnosis of disease.
Professor, Medical Office Management Tyler Junior CollegeProfessor, Medical Office ManagementTyler, TXThe scholarship covers: Tuition (excludes out-of-district surcharge), General Education Fee, Student Life Fee, Health Services Fee, Registration Fee, Parking Fee, Distance Education Fee, Lab Fee and the College Preparatory Fee. Employee and immediate family use of the Apache Recreation Center - an indoor weight and exercise center, 18-hole disc golf course, covered basketball course, and outdoor ping-pong table and cornhole.
Medical Coding and Billing Instructor CHCP Healthcare and Educational Services LLCMedical Coding and Billing InstructorGarland, TXThe instructor will utilize their expertise to prepare students for the evolving demands of the healthcare marketplace, ensuring they are equipped with the skills and knowledge required to excel in medical coding and billing roles. CHCP (The College of Health Care Professions) is a premier healthcare education institution offering comprehensive programs in allied health, nursing, and related fields.
Certified Professional Medical Auditor Kinwell HealthCertified Professional Medical AuditorTXRemote$58,600–$93,800 / yearIn addition to auditing, the auditor is responsible for correcting coding errors, submitting clarifying queries to clinicians, coding outpatient encounters, and delivering targeted coding education. This role supports both revenue cycle optimization and clinical documentation excellence by partnering closely with coding teams, compliance, and primary care providers.
Medical Coding and Billing Instructor CHCPMedical Coding and Billing InstructorGarland, TXThe instructor will utilize their expertise to prepare students for the evolving demands of the healthcare marketplace, ensuring they are equipped with the skills and knowledge required to excel in medical coding and billing roles. CHCP (The College of Health Care Professions) is a premier healthcare education institution offering comprehensive programs in allied health, nursing, and related fields.
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.