- Molina Healthcare (Dallas, TX)
- …+ Performs monthly auditing of registered nurse and other clinical functions in Utilization Management (UM), Case Management (CM), Member ... Team (MAT), Health Management (HM), and/or Disease Management (DM). + Monitors key clinical staff for compliance with NCQA, CMS, State and Federal requirements. May… more
- Elevance Health (Houston, TX)
- **LTSS Service Coordinator - Auditor (Remote in...law and contract. The audit process does not involve clinical judgment. **How you will make an impact:** + ... of one of our Elevance Health PulsePoints in Indiana or Texas. The **LTSS Service Coordinator- Auditor ** is responsible for auditing member individual service … more
- Houston Methodist (Cypress, TX)
- …accurately support reasons for treatment, billing, payment or operations. The Nurse Auditor position ensures clinical documentation supports all patient billing, ... At Houston Methodist, the Nurse Auditor position is responsible auditing and reconciling patient...audits are worked in proper priority. Recognizes that customer service and fiduciary responsibility must be balanced.… more
- Elevance Health (Grand Prairie, TX)
- …-first lens, to deliver member-centered, lasting pharmacy care. The **Pharmacy Internal Auditor ** is responsible for driving service quality excellence by ... **Pharmacy Internal Auditor ** **Location:** This position will work a hybrid...and billing and claims processing, as well as customer service written and verbal inquiries. **How you will make… more
- Houston Methodist (Austin, TX)
- At Houston Methodist, the Coding Quality Auditor position is responsible for ensuring accuracy in code assignment of diagnosis and procedure to outpatient and/or ... and provides good feedback during coding section meetings, coding education in- services , and coder/CDMP meetings. Takes initiative to assist others and shares… more
- Providence (TX)
- …and much more. Learn more at providence.jobs/benefits. **About the Team** Providence Shared Services is a service line within Providence that provides a variety ... **Description** **Revenue Cycle Auditor RN \*Remote * Candidates residing in AK,...they're invaluable. Join our team at Revenue Cycle Business Services and thrive in our culture of patient-focused, whole-person… more
- UTMB Health (Galveston, TX)
- Auditor , Coding and QA - Revenue Cycle Coding **Galveston, Texas, United States** **Hot** Business, Managerial & Finance UTMB Health Requisition # 2403671 **REQUIRED ... related experience, or related training from an accredited agency. Must meet minimum qualifications of a Sr. Coder and...documents to ensure that the documentation supports the billed services ; to report any coding discrepancies; and to provide… more
- Insight Global (Houston, TX)
- …A large healthcare employer in Houston, TX is seeking a Physician Educator & Auditor to join their growing team. This team will consist of provider auditors and ... documentation is correct and effective from a coding and clinical perspective. The ideal candidate needs to be comfortable...and documentation and how to support a level of service with the correct and efficient documentation. This position… more
- The Arora Group (Abilene, TX)
- … must include: medical diagnostic and therapeutic procedures; ancillary services (which includes but is not limited to, Laboratory, Occupational Therapy, ... + Have practical knowledge of the International Classification of Diseases, Clinical Modification (ICD-CM); Healthcare Common Procedure Coding System (HCPCS); and… more
- Biomat USA, Inc. (Edinburg, TX)
- …Grifols must have an active, nonexpired, Grifols Agency Master Services Agreement with the Grifols Talent Acquisition Department. Additionally, agencies may only ... transfusion medicine and develop, produce and market innovative medicines, solutions and services in more than 110 countries and regions. **Center Quality Manager**… more