- Methodist Health System (Dallas, TX)
- …for reviewing claim information to ensure accuracy and provide feedback to the clinical and non- clinical areas regarding claim errors and/or denials, and for ... organization with a mission to improve and save lives through compassionate, quality healthcare. For nearly a century, Dallas-based Methodist Health System has been… more
- UWorld, LLC (Irving, TX)
- … clinical /practicing physicians, subject matter experts, editors, and illustrators on high- quality clinical and/or basic science content for our question ... including writing vignettes and/or comprehensive explanations that follow UWorld style + Review content written by other team members with openness to receiving… more
- HCA Healthcare (San Antonio, TX)
- …provides feedback to clinicians regarding deficiencies or OASIS corrections (with feedback from Quality Review Specialist ) to ensure the medical records ... + Responsible for the planning, coordination, and delivery of quality interdisciplinary home health care services. Will ensure compliance...personal growth, we encourage you to apply for our Clinical Manager RN opening. We promptly review … more
- Molina Healthcare (San Antonio, TX)
- …Association** Any one or more of the following: + Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager ... **JOB DESCRIPTION** **Job Summary** Clinical Appeals is responsible for making appropriate and...Long-Term Services & Supports issues. + Identifies and reports quality of care issues. + Prepares and presents cases… more
- Elevance Health (Grand Prairie, TX)
- …state(s). + Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5 years ... Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Clinical Documentation Specialist (CCDS), Certified Documentation Improvement… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Sr Utilization Review Specialist Nurse (URSN) position is a licensed registered nurse (RN) responsible for promoting the achievement of ... expert level at all objectives delineated in the Utilization Review Nurse and Utilization Review Specialist...regarding any claim issues or concern that may require clinical review during the pre-bill, audit, or… more
- Methodist Health System (Richardson, TX)
- …Your Job Responsibilities : * Can perform the duties of a staff pharmacist, clinical pharmacist, and/or clinical pharmacy specialist when necessary. * ... Uses knowledge of current developments in health care to develop progressive, clinical pharmacy programs; organizes clinical pharmacy programs to meet patient… more
- Ascension Health (Austin, TX)
- …related to case mix index, MS DRG and value-based purchasing reimbursement, and quality /outcomes and compliance requirements. + Manage the review of physician ... CDI quality audit experience strongly preferred + Prior adult clinical documentation leadership experience preferred + \#CDI25 **Why Join Our Team** Ascension… more
- Texas Health Resources (Allen, TX)
- ** Clinical Concierge MA/LVN - Executive Direct Collin 18107** _Bring your passion to Texas Health so we are Better + Together_ **Work location:** Texas Health ... Nurse program (Required) **Experience** . 2 years Health care facility clinical experience. Must include previous experience as a Certified Medical Assistant… more
- Methodist Health System (Dallas, TX)
- …Description :** Your Job: ODS Certification required. We need high-performing, experienced Clinical Data Specialist that is responsible for the abstraction, ... analysis, investigation, reporting and follow-up for quality indicators/measures from internal and external initiatives to improve patient care, processes of care… more
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