• Clinical Fraud Investigator II

    Elevance Health (Grand Prairie, TX)
    …Requirements:** + Requires an Associate Degree in Nursing and/or current certification as a Certified Professional Coder (AAPC or AHIMA) and minimum of 4 years ... related experience, including minimum of 1 year experience in a Clinical Fraud and Abuse Investigation area; or any combination of education and experience, which would provide an equivalent background. **Preferred Skills, Capabilities, and Experiences:** +… more
    Elevance Health (06/24/25)
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  • Clinical Quality LPN

    Adecco US, Inc. (San Antonio, TX)
    …. Two or more years of experience with data analysis/quality chart reviews. . Certified Professional Coder is preferred **Why work for Adecco?** Weekly Pay ... 401(k) Plan Skills Training Excellent medical, dental, and vision benefits **IMPORTANT:** This **LPN** role is being recruited for by Adecco's Healthcare & Life Sciences division, not your local Adecco Branch Office. For opportunities available at Adecco… more
    Adecco US, Inc. (05/09/25)
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  • Manager Revenue Cycle - Self-pay Collections

    Houston Methodist (Katy, TX)
    …- REQUIRED** + N/A **LICENSES AND CERTIFICATIONS - PREFERRED** + CPC - Certified Professional Coder (AAPC) -- or equivalent if overseeing revenue integrity ... related functions **KNOWLEDGE, SKILLS, AND ABILITIES** + Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluations + Sufficient proficiency in… more
    Houston Methodist (05/01/25)
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  • Clinical Coding and OASIS Review Manager

    BAYADA Home Health Care (Austin, TX)
    …OASIS Review, Utilization Review, Quality Assurance, Remote, Home Health Coding, Coder , Medicare **As an accredited, regulated, certified , and licensed ... service. + Provide customer service/education and act as a resource to Medicare Certified Offices with regards to CMS guidelines, Home Care Coding, PDGM guidelines… more
    BAYADA Home Health Care (05/17/25)
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  • Non-Clinical Coding and OASIS Review Manager

    BAYADA Home Health Care (Austin, TX)
    …service. + Provide customer service/education and act as a resource to Medicare Certified Offices with regards to CMS guidelines, Home Care Coding, PDGM guidelines ... + Candidates should be available Monday-Friday from 8:30am-5:00pm. _Medicare, Coder , OASIS Review, Utilization Review, Quality Assurance, Remote, Home Health… more
    BAYADA Home Health Care (05/17/25)
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  • Primary Care Physician

    CenterWell (San Antonio, TX)
    …medical record documentation in a timely manner working with a quality- based coder to optimize coding specificity. + Follows policy and protocol defined by Clinical ... DO program of accredited university + Board Certification or Eligible to become certified (ABMS or AOA) in Family Medicine, Internal Medicine or Geriatric Medicine… more
    CenterWell (06/27/25)
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  • Manager, Coding Operations

    Datavant (Austin, TX)
    …access, developing training plans, and creating support structures for successful coder engagement and outcomes. + Supervise quality assurance and performance ... Bring to the Table:** + Relevant Associate or Bachelor's degree, ideally from an AHIMA- certified HIM Program or Nursing Program. + At least **5 years of management… more
    Datavant (06/24/25)
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  • Physician- PRN

    CenterWell (Humble, TX)
    …record documentation in a timely manner, working with a quality-based coder to optimize coding specificity. + Coordinate patient services, including specialty ... accredited ACGME/AOA residency program. + Board Certification or eligibility to become certified (ABMS or AOA) in Family Medicine, Internal Medicine, or Geriatric… more
    CenterWell (06/24/25)
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  • Primary Care Physician

    CenterWell (San Antonio, TX)
    …medical record documentation in a timely manner working with a quality- based coder to optimize coding specificity. + Follows policy and protocol defined by Clinical ... DO program of accredited university + Board Certification or Eligible to become certified (ABMS or AOA) in Family Medicine, Internal Medicine or Geriatric Medicine… more
    CenterWell (06/07/25)
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  • Bilingual Spanish Physician- CenterWell

    CenterWell (Houston, TX)
    …medical record documentation in a timely manner working with a quality- based coder to optimize coding specificity. . Follows policy and protocol defined by Clinical ... accredited ACGME/AOA residency program; + Board Certification or Eligible to become certified (ABMS or AOA) in Family Medicine, Internal Medicine or Geriatric… more
    CenterWell (06/03/25)
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