• Acute Care Inpatient

    HCA Healthcare (El Paso, TX)
    …Possess:** + Undergraduate degree in HIM/HIT **preferred** + 2+ years of acute care hospital inpatient coding **required** + RHIA, RHIT or CCS ... over 156,000 hours volunteering in our communities. As an Inpatient Coding Specialist with Work from Home...and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. +… more
    HCA Healthcare (11/07/25)
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  • Facility Inpatient Coding Specialist

    HCA Healthcare (San Antonio, TX)
    …from home position. Monday-Friday flexible schedule. This position requires acute care /facility based Inpatient Coding experience. Are you passionate ... degree in HIM/HIT **preferred** + 2+ years of acute care hospital inpatient coding **required** + RHIA, RHIT or CCS **strongly** **preferred**… more
    HCA Healthcare (09/27/25)
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  • Inpatient Coding Quality Auditor

    HCA Healthcare (Houston, TX)
    …GED preferred + Undergraduate degree in HIM/HIT preferred + Minimum of 3 years acute care inpatient /outpatient coding experience preferred + Minimum ... join an organization that invests in you as an Inpatient Coding Quality Auditor? At Parallon, you...and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. +… more
    HCA Healthcare (12/04/25)
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  • Inpatient Coding Denials Analyst…

    Texas Health Resources (Arlington, TX)
    Inpatient Coding Denials Analyst _Are you looking for... experience in lieu of degree REQUIRED Experience 3 Years Coding in an acute care setting ... rewarding career with an award-winning company? We're looking for a qualified_ Inpatient Coding Analyst _like you to join our Texas Health family._ Work… more
    Texas Health Resources (11/18/25)
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  • DRG Coding Auditor

    Elevance Health (Grand Prairie, TX)
    …DRG coding via medical record and attending physician's statement sent in by acute care hospitals on submitted DRG. **Primary duties may include, but are not ... within a commuting distance from an office.** The **DRG Coding Auditor** is responsible for auditing inpatient ...**DRG Coding Auditor** is responsible for auditing inpatient medical records and generating high quality recoverable claims… more
    Elevance Health (12/09/25)
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  • DRG Coding Auditor Principal

    Elevance Health (Houston, TX)
    …of DRG coding via medical record and attending physician's statement provided by acute care hospitals on paid DRG, especially on very complex coding ... to recover, eliminate and prevent unnecessary medical-expense spending. The **DRG Coding Auditor Principal** is responsible for auditing inpatient medical… more
    Elevance Health (12/06/25)
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  • Coord - PAI Inpatient Rehab Facility

    HCA Healthcare (San Antonio, TX)
    …to join an organization that invests in you as a Coordinator - PAI Inpatient Rehab Facility? At Methodist Hospital, you come first. HCA Healthcare has committed up ... and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. +...We are looking for a dedicated Coordinator - PAI Inpatient Rehab Facility like you to be a part… more
    HCA Healthcare (09/19/25)
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  • Senior Inpatient HIM Coder

    Oracle (Austin, TX)
    …improvement of AI models for medical coding . + Utilize your extensive knowledge in acute HIM inpatient medical coding to train and validate AI systems in ... we aim to develop cutting-edge AI solutions for medical coding and billing processes. The successful candidate will play...minimum of 3 years of hands-on experience as an acute HIM inpatient medical coder in a… more
    Oracle (12/10/25)
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  • Healthcare Clinical Documentation Specialist

    Deloitte (Dallas, TX)
    …) certification required. + A minimum of 3 years of experience in acute inpatient settings + Extensive experience in collecting, interpreting and communicating ... payments are appropriate for the type and level of care provided. + Strategic Risk: Helping clients to embrace...inpatient and outpatient service areas for accuracy of coding and documentation to ensure regulatory compliance + Apply… more
    Deloitte (11/21/25)
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  • Nurse Auditor 2

    Humana (Austin, TX)
    …Nurse (RN) license in the state they reside. + Minimum of 2 consecutive years acute inpatient hospital care experience in critical, intensive care ... experience does **not** refer to any other levels of care such as ER, OR, Pre-op, PACU,L&D, mother-baby, behavioral...Qualifications** + Bachelor's Degree in relevant field preferred + Inpatient coding certification (AHIMA or AAPC -… more
    Humana (12/11/25)
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  • Care Review Clinician (RN)

    Molina Healthcare (San Antonio, TX)
    …Required Qualifications * At least 2 years experience, including experience in hospital acute care , inpatient review, prior authorization, managed care ... for a RN with experience with appeals, claims review, and medical coding . JOB DESCRIPTION Job SummaryProvides support for clinical member services review assessment… more
    Molina Healthcare (11/23/25)
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  • Assistant Professor, Internal Medicine - General…

    UTMB Health (Galveston, TX)
    …Management + Care Transitions and Hospital Follow-Up **Hospital Medicine and Inpatient Services:** + Academic Hospitalist Service + Direct Care Hospitalist ... focus):** + Provide attending coverage or direct patient care on general medicine inpatient services with...treatment plans, and follow-up arrangements + Ensure compliance with coding and billing practices for primary care more
    UTMB Health (11/26/25)
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  • Medical Director-Payment Integrity

    Humana (Austin, TX)
    …of decisions to internal associates. The clinical scenarios predominantly arise from inpatient or post- acute care environments. A remote possibility ... reports to a Lead Medical Director. The Medical Director conducts post-service, inpatient care reviews for accurate billing of clinically valid diagnoses… more
    Humana (12/11/25)
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  • Denials Prevention Specialist, Clinician PRN

    Datavant (Austin, TX)
    …BA or BS in Nursing, experience preferred to perform + Minimum Experience: 3 to 5 years acute care experience + 2 years Health Plan or Acute Care ... medical necessity and necessity of continued stay in the inpatient patient care setting and/or discharge to...UR/CM + Preferred Experience: 5 years acute care or health plan UR/CM with 1 year ICU/ER… more
    Datavant (11/12/25)
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  • DRG Revenue Integrity Auditor

    Insight Global (Plano, TX)
    …https://insightglobal.com/workforce-privacy-policy/. Skills and Requirements -Five or more years working in an acute care setting or a third-party vendor as a ... Diagnostic Related Group (DRG) validation and quality audits on inpatient charts to ensure accurate coding and...audits on inpatient charts to ensure accurate coding and compliance with federal regulations. This is a… more
    Insight Global (10/30/25)
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  • Medical Director - Medicaid (remote)

    Humana (Austin, TX)
    …participation in care management. The clinical scenarios predominantly arise from inpatient or post- acute care environments. Has discussions with ... or fellowship, which preferably includes some experience in an inpatient environment and/or related to care of...case management, discharge planning and/or home health or post acute services such as inpatient rehabilitation. **Preferred… more
    Humana (12/07/25)
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  • PCO Medical Director - UM - Part Time (Hourly)

    CenterWell (Austin, TX)
    care facilitation with hospitals. The clinical scenarios predominantly arise from inpatient or post- acute care environments. There are discussions with ... experience post residency or fellowship, which preferably includes some experience in an inpatient environment and/or related to care of a Medicare type… more
    CenterWell (11/06/25)
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  • Medical Director - Medicaid N. Central

    Humana (Austin, TX)
    …participation in care management. The clinical scenarios arise from outpatient, inpatient or post- acute care environments. The Medical Director will ... experience post residency or fellowship, which preferably includes some experience in an inpatient and/or outpatient environment and/or related to care of a… more
    Humana (10/25/25)
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  • Medical Director - IP Claims Management

    Humana (Austin, TX)
    …experience post residency or fellowship, which preferably includes some experience in an inpatient environment and/or related to care of a Medicare type ... management, case management, discharge planning and/or home health or post- acute services such as inpatient rehabilitation. **Preferred Qualifications**… more
    Humana (12/11/25)
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