• Certified Medical Coder

    Apex Health Solutions (Houston, TX)
    Summary Certified Medical Coder role is responsible for reviewing, abstracting, and coding inpatient and/or outpatient medical records to ensure proper ... Diploma or GED required A certification in one of the following is required : Certified Professional Coder (CPC) Certified Risk Adjustment Coder (CRC)… more
    Apex Health Solutions (12/20/25)
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  • Senior Outpatient Coder

    Houston Methodist (Houston, TX)
    …- Certified Coding Specialist Physician-based (AHIMA) **OR** + CPC - Certified Professional Coder (AAPC) **KNOWLEDGE, SKILLS, AND ABILITIES** + Demonstrates ... At Houston Methodist, the Senior Outpatient Coder position is responsible for ensuring diagnostic and procedure codes are assigned accurately to day surgery and… more
    Houston Methodist (10/29/25)
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  • Inpatient Coder

    Houston Methodist (Houston, TX)
    At Houston Methodist, the Inpatient Coder position is responsible for ensuring diagnostic and procedure codes are assigned accurately to inpatient encounters based ... upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory guidelines. **PEOPLE ESSENTIAL FUNCTIONS**… more
    Houston Methodist (11/12/25)
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  • Lead Inpatient Coder

    Houston Methodist (Houston, TX)
    …GA, FL, TN, LA or WA)** At Houston Methodist, the Lead Inpatient Coder position is responsible for providing administrative support to the department while ensuring ... accurately to inpatient encounters based upon documentation within the electronic medical record and maintaining compliance with established rules and regulatory… more
    Houston Methodist (12/12/25)
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  • Appeals & Grievances Specialist (Complaints…

    Molina Healthcare (Houston, TX)
    …setting. * Completion of a health care related vocational program in health care (ie, certified coder , billing, or medical assistant). To all current Molina ... determine appropriate appeals and grievance outcomes. * Requests and reviews medical records, notes, and/or detailed bills as appropriate; formulates conclusions per… more
    Molina Healthcare (12/14/25)
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  • LVN Delegation Oversight Nurse Remote

    Molina Healthcare (Houston, TX)
    …software program(s) proficiency. **Preferred Qualifications** + Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), ... Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM) or Certified ...(CCM), Certified Professional Healthcare Management (CPHM) or Certified Professional in Healthcare Quality (CPHQ). To all current… more
    Molina Healthcare (11/13/25)
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  • Senior Auditor, Delegation Oversight

    Molina Healthcare (Houston, TX)
    …Licensed Practical Nurse (LPN), Licensed Vocational Nurse (LVN), Certified Clinical Coder (CCD), Certified Medical Audit Specialists (CMAS), Certified ... Professional in Healthcare Management (CPHM) and/or other health care certification/licensure. If licensed, license must be active and unrestricted in state of practice. To all current Molina employees: If you are interested in applying for this position,… more
    Molina Healthcare (12/17/25)
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  • Regional Coding Operations Manager WFH

    HCA Healthcare (Houston, TX)
    …Health Information Management Association) or AAPC's (American Academy of Professional Coders) Certified Professional Coder (CPC(R)) credential or Certified ... Professional Coder - Hospital (CPC-H(R)) or Certified Risk Adjustment Coder (CRC) EXPERIENCE: +...colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no… more
    HCA Healthcare (10/15/25)
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  • Senior Clinical Coding Specialist - OR Surgery

    MD Anderson Cancer Center (Houston, TX)
    Certified Coding Associate American Health Information Management Association (AHIMA). * Certified Coder -AHIMA or AAPC American Academy of Professional Coders ... life-saving work while advancing your career. *What's in it for you?* * *Paid Medical Benefits*: MD Anderson covers *100% of medical benefits* for employees,… more
    MD Anderson Cancer Center (10/28/25)
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  • Medical Coding Appeals Analyst

    Elevance Health (Houston, TX)
    …of education and experience, which would provide an equivalent background. Certified Professional Coder (CPC) or Registered Health Information Administrator ... based sponsorship. **Ensures accurate adjudication of claims, by translating medical policies, reimbursement policies, and clinical editing policies into effective… more
    Elevance Health (12/12/25)
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  • Practice Performance Manager (Houston, TX)

    Apex Health Solutions (Houston, TX)
    …or five years related experience A license in one of the following is preferred: Certified Risk Adjustment Coder (CRC) Certified Professional Coder (CPC) ... . s clinical implementation, analysis, research , support services, training, medical record retrieval projects). Qualifications Bachelors Degree in related field… more
    Apex Health Solutions (12/20/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Houston, TX)
    …Documentation Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential ... Related Group Clinical Validation Auditor-RN** is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and… more
    Elevance Health (12/09/25)
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  • DRG Coding Auditor

    Elevance Health (Houston, TX)
    …Technician and/or CCS as a Certified Coding Specialist and/or CIC as a Certified Inpatient Coder . + Requires 5 years of experience working with ICD-9/10CM, ... Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **DRG CODING AUDITOR** is responsible for auditing… more
    Elevance Health (12/09/25)
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  • Coding Educator FT-Katy CC (Hybrid)

    Houston Methodist (Houston, TX)
    …CPC from AAPC is required **LICENSES AND CERTIFICATIONS - PREFERRED** + CPC-I - Certified Professional Coder Instructor (AAPC) -- (CBO Coders only) **OR** + CPMA ... - Certified Professional Medical Auditor (AAPC) -- (CBO Coders only) **KNOWLEDGE, SKILLS, AND ABILITIES** + Demonstrates the skills and competencies necessary to… more
    Houston Methodist (10/22/25)
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  • Director, Clinical Data Acquisition

    Molina Healthcare (Houston, TX)
    …Health Quality (CPHQ) * Nursing License (RN may be preferred for specific roles) * Certified Risk Adjustment Coder (CRC) To all current Molina employees: If you ... supplemental data source (SDS) acquisition from providers as well as Electronic Medical Record (EMR) access. This position oversees management of training for all… more
    Molina Healthcare (10/22/25)
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  • Primary Care Physician

    CenterWell (Baytown, TX)
    …Doctors, Advanced Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based Coders, Referral Coordinators ... accordance with standards of care. + Follows level of medical care and quality for patients and monitors care...in a timely manner working with a quality- based coder to optimize coding specificity. + Follows policy and… more
    CenterWell (11/18/25)
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  • Primary Care Physician

    CenterWell (Houston, TX)
    …doctors, advanced practice professionals, pharm D, care coach nurses, medical assistants, behavioral health, specialists, quality-based coders, referral coordinators ... accordance with standards of care. . Follows level of medical care and quality for patients and monitors care...in a timely manner working with a quality- based coder to optimize coding specificity. . Follows policy and… more
    CenterWell (11/05/25)
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  • Physician PRN

    CenterWell (Houston, TX)
    …Doctors, Advanced Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based Coders, Referral Coordinators ... accordance with standards of care. + Follows level of medical care and quality for patients and monitors care...in a timely manner working with a quality- based coder to optimize coding specificity. + Follows policy and… more
    CenterWell (10/07/25)
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  • Primary Care Physician

    CenterWell (Houston, TX)
    …Doctors, Advanced Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based Coders, Referral Coordinators ... quality of patient care using available data and chart reviews. + Complete all medical record documentation in a timely manner, working with a quality-based coder more
    CenterWell (10/27/25)
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