- Citigroup (Irving, TX)
- …controls including data profiling, data analysis, logic tuning, and advanced SQL coding . + Manages the end-to-end data quality control development lifecycle and will ... releases, agreeing to and tracking business priorities, incorporating regulatory and compliance requirements. + Create and Implement data quality controls by… more
- Walmart (Dallas, TX)
- …componentmodulesimple requirements for example based on scalability etc For agile methodology Coding Requires knowledge of Coding standards and guidelines ... etc for software codingconfiguration Take initiative to learn the fundamentals of different coding languages and frameworks that would be useful for future scope of… more
- Walmart (Dallas, TX)
- …detailed functional logic of the modules for specific modules components of a product Coding Requires knowledge of Coding standards and guidelines Coding ... scripting Applicable to IC PL Guide the team on coding patterns languages and frameworks in line with evolving...direction to others in their use and application ensuring compliance with them and utilizing and supporting the Open… more
- Elevance Health (Houston, TX)
- …and abuse. **How you will make an Impact:** + Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities for fraud ... aid in investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations....Requires a AA/AS and minimum of 3 years medical coding /auditing experience, including minimum of 1 year in fraud,… more
- Houston Methodist (Houston, TX)
- …Portability and Accountability Act (HIPAA) and Payment Card Industry (PCI) compliance regulations. **QUALITY/SAFETY ESSENTIAL FUNCTIONS** + Reviews third party payor ... + Creates and submits appeals when necessary. Engages the coding follow-up team for any medical necessity or ...coding follow-up team for any medical necessity or coding related appeals. **GROWTH/INNOVATION ESSENTIAL FUNCTIONS** + Stays current… more
- ManpowerGroup (Dallas, TX)
- …7-10 Years **Client Industry:** Banking / Financial Services Preferred Interview: CODING TEST FOLLOWED BY VIDEO/ON-SITE INTERVIEW **Job ID: Connect with RECRUITER ... solutions in a real-time transaction environment. If you're passionate about financial-grade coding , security, and system design and ready to own your impact; this… more
- CGI Technologies and Solutions, Inc. (Dallas, TX)
- …key client stakeholders, including executive leadership, claims operations, finance, compliance , and clinical teams. * Lead client discovery sessions, workshops, ... including pre-payment review, post-payment audit, FWA detection and prevention, coding accuracy, clinical integrity, and provider data management. * Leverage… more
- Robert Half Accountemps (Dallas, TX)
- …appeals in accordance with billing office policies and procedures. * Forwards medical or coding denials to the QA Department for nurse review and appeal. * Demands ... and Portability Act (HIPAA). * Works with Manager and Compliance Committee to ensure Compliance Program is...information. * Knowledge of medical terminology, CPT and ICD-10 coding , office ethics, and spelling. * Must be computer… more
- Molina Healthcare (San Antonio, TX)
- …complex business challenges that impact cost containment and regulatory compliance . The position requires strong business judgment, cross-functional coordination, ... and solutions that drive measurable improvement. + Partners with finance and compliance to develop business cases and support reporting that ties operational… more
- HCA Healthcare (San Antonio, TX)
- …clinical documentation for evidence of co-morbid conditions. Verifies accuracy of coding under direction of attending Rehab physician. 2. Responsible for staff ... supervisors in areas needing improvement to support and validate rehab criteria compliance . Serves as an information source and educator to IRF-PAI users. Serves… more
Recent Jobs
-
Executive Assistant (Secretary IV)
- Walt Disney Company (Sierra Madre, CA)