• Caris Life Sciences (Austin, TX)
    …than yourself, Caris is where your impact begins.** **Position Summary** The Certified Medical Coder I is responsible for maintaining regulatory compliance ... to all applicable regulatory requirements. **Job Responsibilities** + Reviews case documentation to confirm patient demographics and enter insurance information received for every case. + Reviews completed patient reports to enter the appropriate diagnosis… more
    DirectEmployers Association (10/15/25)
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  • Certified Medical Coder

    Ascension Health (Austin, TX)
    …Coders (AAPC) obtained prior to hire date or job transfer date. + Certified Professional Coder (CPC) credentialed from the American Academy of Professional ... prior to hire date or job transfer date. + Medical Certified Professional Coder (CPC) credentialed from the Practice Management Institute (PMI) obtained prior… more
    Ascension Health (11/01/25)
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  • Certified Professional Coder

    CVS Health (Austin, TX)
    …we do it all with heart, each and every day. **Position Summary** The Certified Professional Coder (CPC) will perform medical claim reviews to ensure compliance ... potential to testify **Required Qualifications** + AAPC Coding certification - Certified Professional Coder (CPC) + 3+ years of experience in medical coding or… more
    CVS Health (11/12/25)
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  • Code Edit Disputes Medical Coder

    Humana (Austin, TX)
    …required: AAPC CPC (no Apprentice) + Minimum of 3 years' experience as a Certified Medical Coder + Demonstrate ability to problem-solve complex coding issues + ... + Bachelor'sDegree + 5 or more years of experience as a Certified Medical Coder + CPMA certification + MS-DRG auditing or APR auditing experience +… more
    Humana (11/14/25)
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  • Nurse Auditor 2

    Humana (Austin, TX)
    …Previous auditing, Nurse Coder Background, and/or CPT procedural code experience/ certified coder (CPC) + Nursing experience preferred in Acute care, ... OR, Coding, and/or Quality + Clinical documentation improvement (CDI) knowledge + Bachelor's Degree in relevant field preferred + ​Prospective payment methodologies, auditing experience **Additional Information** **Work at Home Requirements** * At minimum, a… more
    Humana (11/15/25)
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  • Investigator, Coding Special Investigative Unit…

    Molina Healthcare (Austin, 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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  • Coding Analyst

    Growth Ortho (Austin, TX)
    …best practices through ongoing training and credential maintenance. Required Qualifications . Certified Professional Coder (CPC) credential required. . Minimum 5 ... data to inform provider education efforts. This role requires an experienced orthopedic coder who can maintain a 95% or higher coding accuracy rate, collaborate… more
    Growth Ortho (10/19/25)
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  • Specialist, Appeals & Grievances

    Molina Healthcare (Austin, TX)
    …* Completion of a health care related vocational program in health care (ie, certified coder , billing, or medical assistant). To all current Molina employees: If ... you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $21.16 -… more
    Molina Healthcare (11/13/25)
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  • Manager, Appeals & Grievances

    Molina Healthcare (Austin, TX)
    …* Completion of a health care related vocational program in health care (ie, certified coder , billing, or medical assistant). To all current Molina employees: If ... you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $77,969 -… more
    Molina Healthcare (11/13/25)
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  • Specialist, Appeals & Grievances

    Molina Healthcare (Austin, TX)
    …* Completion of a health care related vocational program in health care (ie, certified coder , billing, or medical assistant). To all current Molina employees: If ... you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $21.16 -… more
    Molina Healthcare (11/09/25)
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  • RN UM Clinical Appeals Nurse Remote

    Molina Healthcare (Austin, TX)
    …* Microsoft Office suite/applicable software program(s) proficiency. **Preferred Qualifications** * Certified Clinical Coder (CCC), Certified Medical Audit ... Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM), Certified Professional in Healthcare Quality (CPHQ) or… more
    Molina Healthcare (11/14/25)
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  • LVN Delegation Oversight Nurse Remote

    Molina Healthcare (Austin, TX)
    …+ Microsoft Office suite/applicable 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 Professional in Healthcare Quality (CPHQ).… more
    Molina Healthcare (11/13/25)
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  • Medical Review Nurse (RN)

    Molina Healthcare (Austin, TX)
    …Office suite and applicable software program(s) proficiency. **PREFERRED QUALIFICATIONS:** + Certified Clinical Coder (CCC), Certified Medical Audit ... Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM), Certified Professional in Healthcare Quality (CPHQ), or… more
    Molina Healthcare (09/06/25)
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  • HCC Risk Adjustment Coder - Full Time…

    Datavant (Austin, TX)
    …to realize our bold vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses using a ... on client specific guidelines for the project. + The coder will ensure compliance with established ICD-10 CM, third...**What you will bring to the table:** + AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified more
    Datavant (11/14/25)
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  • Payment Integrity Clinician

    Highmark Health (Austin, TX)
    …Managed Care **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Medical Coder or related **SKILLS** + Demonstrated ability ... to solve issues that are complex in nature with minimal direction and latitude to proceed on some actions or decisions **Language (Other than English):** None **Travel Requirement:** 0% - 25% **PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS** **Position… more
    Highmark Health (11/14/25)
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  • Supervisor Medical Coding

    CenterWell (Austin, TX)
    …of billing and coding experience in a health care organization + CPC ( Certified Professional Coder ) Certification required through AAPC or CSS Certification ... through AHIMA **Preferred Qualifications** + Prior Supervisor experience + Passionate about contributing to an organization focused on continuously improving customer experience **Additional Information** + Position is remote but travel will be required; <25%… more
    CenterWell (10/31/25)
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  • Health Services Manager (IC) - Payment Policy…

    CVS Health (Austin, TX)
    …to travel up to 5% for meetings as needed. **Preferred Qualifications** Certified Professional Coder through AAPC or AHIMA (Physician, Inpatient, Outpatient ... or Payer), or Registered Health Information Technician (RHIT) **Education** Associate degree in healthcare administration, communications or related field preferred **Anticipated Weekly Hours** 40 **Time Type** Full time **Pay Range** The typical pay range for… more
    CVS Health (11/08/25)
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  • Inpatient Medical Coder - PRN - Up…

    Datavant (Austin, TX)
    …**What Helps You Stand Out:** + Associate or Bachelor's degree from an AHIMA- certified HIM or Nursing Program, or completion of a certificate program from AHIMA/AAPC ... with a preference for CCS + Minimum of 3 years of inpatient coding experience at a Level I Trauma Center, preferably within an academic medical facility. + Experience with significant level of coding quality review feedback + Experience in computerized… more
    Datavant (09/24/25)
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  • Director, Clinical Data Acquisition

    Molina Healthcare (Austin, 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 ... are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $107,028 -… more
    Molina Healthcare (10/22/25)
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  • Coding Team Lead, HCC Risk Adjustment Coding…

    Datavant (Austin, TX)
    …of the coding team. + Reviews rebuttals submitted by coders. Provides education to the coder if the error is correct or sends the rebuttal through the process if ... they agree the coder 's initial coding was correct. + Answers coding questions...**What you will bring to the table:** + AHIMA certified credentials (CCS, CCS-P) or AAPC certified more
    Datavant (11/07/25)
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