- Insight Global (Plano, TX)
- …(DRG) validation and quality audits on inpatient charts to ensure accurate coding and compliance with federal regulations. This is a remote opportunity and the ... asked to audit clients' CDI programs, including query reviews and coding analysis. Responsible for maintaining access credentials for company systems and EMRs.… more
- Molina Healthcare (Austin, TX)
- …Manager (CCM), Certified Professional Healthcare Management (CPHM), Certified Professional in Healthcare Quality (CPHQ) or other health care coding or management ... of care provided to members. Contributes to overarching strategy to provide quality and cost-effective member care. Candidates with UM and Appeals experience are… more
- Abbott (Plano, TX)
- …Every day, our technologies help more than 10,000 people have healthier hearts, improve quality of life for thousands of people living with chronic pain and movement ... + Timely follow up for requested authorizations. + For each procedure, audit required clinical documents for completeness and accuracy. + Obtain authorization for… more
- PwC IT Services Co. (Fort Worth, TX)
- …Requirements Analysis, C#.NET, C++ Programming Language, Client Management, Code Review , Coding Standards, Communication, Computer Engineering, Computer Science, ... needs of your teams and clients, and to deliver quality . Embracing increased ambiguity, you are comfortable when the...technical standards (eg refer to specific PwC tax and audit guidance), the Firm's code of conduct, and independence… more
- Houston Methodist (Houston, TX)
- …the daily work activities of the work unit/department staff, ensuring quality , productivity, functional excellence and efficiency while assisting management in ... competent and engaged employee group by conducting regular department meetings to review policies and procedures and operational matters, rounding on all employees,… more
- Coinbase (Austin, TX)
- …and business risk owners. * Maintain source of truth risk register: Quality control of data, tooling support, and implementing automation/process improvements to ... for risks, assessments, and reporting to meet regulatory requirements. * Support audit and regulatory inspections: Support data compilation to respond to US and… more
- BrightSpring Health Services (Lubbock, TX)
- …and communicating payroll discrepancies to the business center + Collection and review of employee punch correction forms and/or manual timesheets. Obtain applicable ... reports received from the Resource Center to supervisors for review + Collection and review of employee...Center weekly + Process accounts payable invoices including invoice coding to General Ledger Account and locations in Oracle,… more
- Charles Schwab (Southlake, TX)
- …a structured, dynamic, fast-moving environment and is passionate about developing high quality , high performance, and scalable solutions. The candidate will lead and ... is to maintain all aspects of the system health and ensure the on-time, quality delivery of software releases. This position will be part of the Operational Data… more
- Fresenius Medical Center (Midland, TX)
- …in a specialty area of practice management such as clinical quality , compliance, business development, information technology, revenue cycle, patient care systems, ... + Develops and updates organizational design for maximum productivity and control of quality and costs. + Monitors the financial viability of the practice through… more
- Molina Healthcare (Fort Worth, TX)
- …for Risk Adjustment, RADV, or Risk Adjustment-like projects, and other state specific audit projects and deliverables related to accurate billing and coding . ... This role also works with the Health Plan Risk/ Quality leaders to strategically plan for supplemental data source (SDS) acquisition from providers as well as… more