• Certified Medical Coder

    Dallas Behavioral Healthcare Hospital (Desoto, TX)
    Coder (CPC), CPC-Hospital, CPC-Payer, Certified Interventional Radiology Cardiovascular Coder (CIRCC) and Certified Professional Medical Auditor ... We are hiring a part-time Medical Coder to to assign procedure,diagnosis codes for insurance billing, review claims data, research and corresponds with insurance… more
    Dallas Behavioral Healthcare Hospital (11/11/25)
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  • PRN - Medical Coder /Records Clerk

    Dallas Behavioral Healthcare Hospital (Desoto, TX)
    Coder (CPC), CPC-Hospital, CPC-Payer, Certified Interventional Radiology Cardiovascular Coder (CIRCC) and Certified Professional Medical Auditor ... THIS IS NOT A REMOTE POSITION We are hiring a Medical Records Clerk/ Coder to assign procedure, and diagnosis codes for insurance billing, review claims data,… more
    Dallas Behavioral Healthcare Hospital (11/06/25)
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  • Colorectal Surgery Coder

    Insight Global (Irving, TX)
    Job Description Insight Global is looking a dedicated and experienced Colorectal Surgical Medical Coder to join our team remotely. The ideal candidate will be ... Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/. Skills and Requirements Certified Professional Coder (CPC) certification required. Minimum… more
    Insight Global (11/14/25)
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  • Medical Review Nurse (RN)

    Molina Healthcare (Dallas, TX)
    …applicable software program(s) proficiency. **PREFERRED QUALIFICATIONS:** + Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), ... a RN with experience with appeals, claims review, and medical coding. **Job Summary** Provides support for medical...Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM), Certified Professional… more
    Molina Healthcare (09/06/25)
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  • Associate Specialist, Appeals & Grievances

    Molina Healthcare (Dallas, TX)
    …setting experience. * Completion of a health care related vocational program (ie, certified coder , billing, or medical assistant). To all current ... according to state, federal and Molina guidelines. * Requests and obtains medical records, notes, and/or detailed bills as appropriate to assist with research.… more
    Molina Healthcare (11/15/25)
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  • Specialist, Appeals & Grievances

    Molina Healthcare (Dallas, 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 (11/15/25)
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  • Manager, Appeals & Grievances

    Molina Healthcare (Dallas, TX)
    …setting. * Completion of a health care related vocational program in health care (ie, certified coder , billing, or medical assistant). To all current Molina ... 1 year management/leadership experience. * Experience reviewing all types of medical claims (eg HCFA 1500, Outpatient/Inpatient UB92, Universal Claims, Stop Loss,… more
    Molina Healthcare (11/13/25)
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  • Specialist, Appeals & Grievances

    Molina Healthcare (Dallas, TX)
    …setting. * Completion of a health care related vocational program in health care (ie, certified coder , billing, or medical assistant). To all current Molina ... **Provider No Surprise Act** cases outcomes. . * Requests and reviews medical records, notes, and/or detailed bills as appropriate; formulates conclusions per… more
    Molina Healthcare (11/09/25)
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  • RN UM Clinical Appeals Nurse Remote

    Molina Healthcare (Dallas, TX)
    …software program(s) proficiency. **Preferred Qualifications** * Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), ... Central time Remote position **Essential Job Duties** * Performs clinical/ medical reviews of previously denied cases in which a... Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM), Certified Professional… more
    Molina Healthcare (11/14/25)
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  • LVN Delegation Oversight Nurse Remote

    Molina Healthcare (Dallas, 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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  • Medical Coding Appeals Analyst

    Elevance Health (Grand Prairie, 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 (09/12/25)
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  • Investigator, Coding Special Investigative Unit…

    Molina Healthcare (Dallas, TX)
    …Association** Licensed registered nurse (RN), Licensed practical nurse (LPN) and/or Certified Coder (CPC, CCS, and/or CPMA) **Preferred Education** Bachelor's ... ability to present those findings. **Preferred License, Certification, Association** + AAPC Certified Medical CPC, CPMA, CPCO or similar specialist preferred +… more
    Molina Healthcare (10/22/25)
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  • DRG Coding Auditor

    Elevance Health (Grand Prairie, 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 (10/25/25)
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  • Director, Clinical Data Acquisition

    Molina Healthcare (Dallas, 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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  • Clinical Fraud Investigator II - Registered Nurse…

    Elevance Health (Grand Prairie, TX)
    …Requirements:** + Requires an Associate Degree in Nursing and/or current certification as a Certified Professional Coder (AAPC or AHIMA) and minimum of 4 years ... Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Clinical Fraud Investigator II** is responsible for… more
    Elevance Health (11/04/25)
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  • Compliance Analyst

    HCA Healthcare (Dallas, TX)
    …related experience required + Registered Health Information Technician (RHIT) or Certified Professional Coder (CPC) preferred **Parallon** provides full-service ... and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low… more
    HCA Healthcare (11/15/25)
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