• RN Hospital Bill Audit /Appeal Lead

    Elevance Health (Dallas, TX)
    **Anticipated End Date:** 2024-09-16 **Position Title:** RN Hospital Bill Audit /Appeal Lead **Job Description:** **RN Hospital Bill Audit /Appeal Lead ** ... eliminate and prevent unnecessary medical-expense spending. The **RN Hospital Audit /Appeal Lead ** is responsible for leading a...line policy edits. + Trains and provides guidance to nurse auditors and manages workflow and priorities for the… more
    Elevance Health (09/06/24)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Grand Prairie, TX)
    …coding principles, clinical guidelines, and objectivity in the performance of medical audit activities. + Draws on advanced ICD-10 coding expertise, mastery of ... clinical guidelines, and industry knowledge to substantiate conclusions. + Utilizes audit tools, auditing workflow systems and reference information to generate … more
    Elevance Health (09/06/24)
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  • Quality Improvement & Data Consultant (Hybrid)

    Baylor Scott & White Health (Dallas, TX)
    …improvement priorities. + Works with applicable staff to use appropriate audit strategies, data extraction, experienced observation, surveys, focus groups or other ... the first two years + Licensed clinician such as nurse , physical therapist, occupational therapist, dietitian, respiratory therapist, etc....skills and the ability to use the data and lead teams to improve performance As a health care… more
    Baylor Scott & White Health (09/04/24)
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