• Compliance Clinical Auditor

    Sevita (San Antonio, TX)
    …new opportunities for the people we serve and for our employees. **Summary** The Clinical Compliance Auditor is responsible for collaborating with Operations ... and Revenue Cycle in auditing/monitoring compliance requirements across all Company business units and service...Company business units and service lines. Ensures that existing clinical audit standards and procedures are best practice according… more
    Sevita (07/30/24)
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  • Auditor , Clinical Services - Must…

    Molina Healthcare (Dallas, TX)
    …Team (MAT), Health Management (HM), and/or Disease Management (DM). + Monitors key clinical staff for compliance with NCQA, CMS, State and Federal requirements. ... + Performs monthly auditing of registered nurse and other clinical functions in Utilization Management (UM), Case Management (CM), Member… more
    Molina Healthcare (09/06/24)
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  • Nurse Auditor - Days - Full-Time -…

    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...treatment, payment or operations to ensure accuracy and in compliance with regulatory requirements, hospital and system policies and… more
    Houston Methodist (07/25/24)
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  • Coding Quality Auditor - 100% Remote (Must…

    Houston Methodist (Fort Worth, 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 ... based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory body guidelines. This position… more
    Houston Methodist (08/22/24)
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  • Physician Auditor /Educator

    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 ... to ensure the documentation is correct and effective from a coding and clinical perspective. The ideal candidate needs to be comfortable building rapport with… more
    Insight Global (08/07/24)
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  • Auditor , Coding and QA - Revenue Cycle…

    UTMB Health (Galveston, TX)
    Auditor , Coding and QA - Revenue Cycle Coding **Galveston, Texas, United States** **Hot** Business, Managerial & Finance UTMB Health Requisition # 2403671 **REQUIRED ... Preferred **JOB SUMMARY:** To provide internal coding quality reviews to ensure compliance with official coding guidelines for hospital and physician coding. Review… more
    UTMB Health (07/25/24)
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  • BSWHP Risk Adjustment Auditor I

    Baylor Scott & White Health (Temple, TX)
    …**KEY SUCCESS FACTORS** + Knowledge of ICD-10-CM and CPT coding conventions, and clinical documentation + Knowledge of and compliance with standards of ethical ... coding HCC issues and keeps abreast of coding and compliance changes as communicated by CMS, HHS, AHA, AMA...knowledge with co-workers, as directed + Assists Risk Adjustment Auditor 2 or Manager with educator duties in the… more
    Baylor Scott & White Health (08/30/24)
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  • QA Auditor II

    ThermoFisher Scientific (Austin, TX)
    …**Environmental Conditions** Office **Job Description** Conduct complex internal and external Clinical Research Site audits to ensure compliance with established ... contractual obligations. Identify issues impacting the quality and/or integrity of clinical research programs, determine root cause of non-conformance and develops… more
    ThermoFisher Scientific (08/31/24)
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  • Senior Engineer, IT Controls & Compliance

    Cardinal Health (Austin, TX)
    …data solutions for health care facilities. We are a crucial link between the clinical and operational sides of care, working with more than 4,500 sourcing and ... will play a Lead role focused on identifying key IT controls and compliance requirements and confirming that controls are being designed and implemented as solutions… more
    Cardinal Health (08/28/24)
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  • Medical Coder-Outpatient

    The Arora Group (Abilene, TX)
    …+ Have practical knowledge of the International Classification of Diseases, Clinical Modification (ICD-CM); Healthcare Common Procedure Coding System (HCPCS); and ... times, and completion. May educate and provide feedback to providers and other clinical staff to resolve documentation issues to support coding compliance .… more
    The Arora Group (07/15/24)
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  • Plasma Center Quality Manager

    Biomat USA, Inc. (Edinburg, TX)
    …* Independent level of quality inspection and control -- ensures center compliance with quality standards and regulations. * Collaborates with Center Managers to ... and donor safety. * Directs and monitors processes and ensures center compliance with all applicable state, federal, and company-designated regulations. * Ensures… more
    Biomat USA, Inc. (07/09/24)
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  • Administrative Assistant - Leukemia

    MD Anderson Cancer Center (Houston, TX)
    …in order to prepare for Progress Reports * Continuous monitoring of compliance status of your manuscripts in My NCBI **Protocol Regulatory Coordination:** Works ... independently to prepare research-related protocols (pre- clinical , clinical , laboratory and animal) for review by CRC/IRB/IACUC, including but not limited to… more
    MD Anderson Cancer Center (09/07/24)
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