Explore 2 coder jobs from 1 hiring companies in Hillsboro, TX, US. Filter by remote, salary, experience, and company, then open any listing to apply.

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Coder Jobs

Elevance Health

Hybrid

Remote

Anticipated End Date:2026-05-02Position Title:Coding Analyst Sr. - CareBridgeJob Description:Coding Analyst Sr.CareBridge Health is a proud member of the Elevance Health family of companies, within our Carelon business. CareBridge Health exists to enable individuals in home and community-based settings to maximize their health, independence, and quality of life through homecare and community-based services.LOCATION: This is a virtual eligible role. You should be within a reasonable proximity to one of our offices.HOURS: 8:00a - 5:00p, Monday through Friday (Eastern or Central time)Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.The Coding Analyst Sr. is responsible for reviewing, auditing, and coding medical records for the purpose of reimbursement, training, education and compliance.Primary duties may include, but are not limited to:<ul><li>Audits and reviews medical documentation for appropriate ICD-9 and CPT coding and documentation.</li><li>Queries physicians when code assignments are not straightforward or documentation is unclear.</li><li>Trains and educates others on coding documentation, claim payment guidelines, and related issues.</li><li>Reviews CPT and ICD-9 codes annually for accuracy and implements changes.</li><li>Assists physicians and providers with questions and problems related to coding, documentation and billing.</li><li>Serves as a resource to Coding Analysts.</li></ul>Required Qualifications<ul><li>Requires a H.S. diploma or equivalent and minimum of 2 years of experience; or any combination of education and experience, which would provide an equivalent background.</li><li>Certified Medical Code (CPC or CCS-P) required.</li></ul>Preferred Qualifications<ul><li>Experience with the most current CMS Risk Adjustment Model strongly preferred.</li><li>AAPC Certified Risk Adjustment Coder (CRC) is highly preferred.</li><li>Knowledge of medical terminology and anatomy strongly preferred.</li></ul>Job Level:Non-Management Non-ExemptWorkshift:1st Shift (United States of America)Job Family:MED &gt; Licensed/Certified - OtherPlease be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.Who We AreElevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.How We WorkAt Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) &#43;match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact <a target="_blank" href="mailto:elevancehealthjobssupport&#64;elevancehealth.com">elevancehealthjobssupport&#64;elevancehealth.com</a> for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.Prospective employees required to be screened under Florida law should review the education and awareness resources at <a target="_blank" href="https://info.flclearinghouse.com/">HB531 | Florida Agency for Health Care Administration</a>.NOTE: Workday keeps job postings active through 11:59:59 PM on the day before the listed end date. Example: If the end date is 3/13, the posting will automatically come down on 3/12 at 11:59:59 PM. In other words — the job is posted until 3/13, not through 3/13.

Coding Analyst Sr. - CareBridge

Coding Analyst Sr.

Requires HS diploma and minimum 2 years of experience; Certified Medical Coder (CPC or CCS-P) required.

Anticipated End Date:2026-05-14Position Title:Clinical Fraud Investigator IIJob Description:Clinical Fraud Investigator IILocations: This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an officePlease note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.PLEASE NOTE: This position is not eligible for current or future VISA sponsorship.The Clinical Fraud Investigator II is responsible for identifying issues and/or entities that may pose potential risk associated with fraud and abuse.How you will make an Impact:<ul><li>Performs comprehensive analysis and clinical evaluation of the collected data.</li><li>Performs in-depth investigations on identified providers as warranted.</li><li>Examines claims for compliance with relevant billing and processing guidelines and to identify opportunities for fraud and abuse prevention and control.</li><li>Review and conducts retrospective analysis of claims and medical records prior to payment.</li><li>Researches new healthcare related questions as necessary to aid in investigations.</li><li>Collaborates with the Special Investigation Unit and other internal areas on matters of mutual concern.</li><li>Recommends possible interventions for loss control and risk avoidance based on the outcome of the investigation.</li></ul>Minimum Requirements:Requires an Associate Degree in Nursing and/or current certification as a Certified Professional Coder (AAPC or AHIMA) and minimum of 4 years related experience, including minimum of 1 year experience in a Clinical Fraud and Abuse Investigation area; or any combination of education and experience, which would provide an equivalent background.Preferred Skills, Experiences and Competencies:<ul><li>Advanced Excel skills, including Pivot Tables</li></ul>Job Level:Non-Management ExemptWorkshift:1st Shift (United States of America)Job Family:FRD &gt; InvestigationPlease be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.Who We AreElevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.How We WorkAt Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) &#43;match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact <a target="_blank" href="mailto:elevancehealthjobssupport&#64;elevancehealth.com">elevancehealthjobssupport&#64;elevancehealth.com</a> for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.Prospective employees required to be screened under Florida law should review the education and awareness resources at <a target="_blank" href="https://info.flclearinghouse.com/">HB531 | Florida Agency for Health Care Administration</a>.NOTE: Workday keeps job postings active through 11:59:59 PM on the day before the listed end date. Example: If the end date is 3/13, the posting will automatically come down on 3/12 at 11:59:59 PM. In other words — the job is posted until 3/13, not through 3/13.

Clinical Fraud Investigator II

Associate Degree in Nursing and/or Certified Professional Coder (AAPC or AHIMA); 4+ years related experience incl. 1+ year in clinical fraud/abuse investigations. Advanced Excel skills preferred.

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Coder Jobs in Hillsboro, TX, US

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