- Elevance Health (Grand Prairie, TX)
- **Diagnosis Related Group Clinical Validation Auditor - RN ** **Virtual:** This role enables associates to work virtually full-time, with the exception of ... and efficiency recommendations. **Minimum Requirements:** + Requires current, active, unrestricted Registered Nurse license in applicable state(s). + Requires a… more
- Providence (TX)
- **Description** **Providence is calling for Revenue Cycle Auditor RN within our 7 footprints location: AK, WA, OR, CA, TX, NM, or MT** The Revenue Integrity ... Auditor is responsible for providing patient focused, standardized, compliant...+ Bachelor's Degree - Nursing. + 5 years - Clinical experience in an acute care setting. + 3… more
- Elara Caring (Dallas, TX)
- …+ Associate's degree or higher in Nursing + 5 years of experience as a Registered Nurse in Home Health and/or Hospice with coding experience is preferred + ... but are not limited to eligibility, billing, coding, and clinical documentation. Duties of the Billing Compliance Auditor... clinical documentation. Duties of the Billing Compliance Auditor include but are not limited to: (1) conducting… more
- Molina Healthcare (Houston, TX)
- …Member & Community Interventions oversees and implements new and existing clinical quality member intervention initiatives including all lines of business (Medicare, ... departments within the organization + Supports provision of high-quality clinical care and services by facilitating/building strategic relationships with… more
- University of Texas Rio Grande Valley (Harlingen, TX)
- …Medicine/ Revenue Cycle FTE1.0 FLSAExempt Scope of Job To promote appropriate clinical documentation through collaboration with the School of Medicine clinical ... process is followed. Description of Duties * Obtains and promotes appropriate clinical documentation through interaction with clinical staff and physicians to… more
- Houston Methodist (Houston, TX)
- …in nursing or other healthcare related field; may consider HM employee with Registered Nurse license and four additional years of directly related experience ... accreditation or health care certifications **OR** + CQA - Certified Quality Auditor (ASQ) -- Related quality, accreditation or health care certifications **OR** +… more
- Molina Healthcare (Houston, TX)
- …requirements and oversees the use of automated software tools and processes; Clinical Quality Interventions, which develops, implements and monitors the success of ... improved reporting and use of reporting tools. + Leads key Clinical Intervention activities including implementation of national and state-based Quality… more