- Elevance Health (Grand Prairie, TX)
- …medical-expense spending. **Build the Possibilities. Make an Extraordinary Impact.** **Title** : Diagnosis Related Group Clinical Validation Auditor ... and Experiences** : + BA/BS preferred. + Experience with vendor based Diagnosis - Related Group (DRG) Coding/ Clinical Validation Audit setting or… more
- Valor Health (Fort Worth, TX)
- …veterans. Your expertise can change lives! Responsibilities: * Provides individual and group interventions to support patients that are coping with health psychology ... presentations related to mental health diagnoses (eg, sleep, pain, adherence...and/or cognitive ability questions. * Provides immediate access to clinical assessment and appropriate collaborative care and treatment for… more
- Molina Healthcare (Fort Worth, TX)
- …reports quality of care issues. + Assists with complex claim review including diagnosis - related group (DRG) validation, itemized bill review, appropriate ... regulatory requirements, Molina policies and procedures, and medically appropriate clinical guidelines. Contributes to overarching strategy to provide quality and… more
- Option Care Health (Fort Worth, TX)
- …Medicaid). + Provider NPI will be credentialed in association with the Tax ID and group NPI as related to Option Care Infusion Suites and assigns benefits from ... patients with acute and chronic conditions in all 50 states. Through our clinical leadership, expertise and national scale, Option Care Health is re-imagining the… more
- Texas Health Resources (Fort Worth, TX)
- …You Need + High School Diploma or Equivalent (required) + Associate Degree Related field (preferred) + ARDMS - American Registry for Diagnostic and Medical ... ultrasonic recordings and Doppler flow analyses of heart and related structures, using ultrasound equipment, for use by physician...structures, using ultrasound equipment, for use by physician in diagnosis of heart disease and study of heart. +… more
- Elevance Health (Grand Prairie, TX)
- …for auditing inpatient medical records to ensure the accuracy and compliance of Diagnosis - Related Group (DRG) assignments. This role plays a critical ... industry's best practices and payer-specific requirements. .Collaborates cross-functionally with clinical , compliance, provider engagement, and data analytics teams to… more