- Elevance Health (Houston, TX)
- ** Clinical Provider Auditor II** **Supports the Payment Integrity line of business** **Hybrid 1** : This role requires associates to be in-office **1-2** days ... is determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** Clinical Provider Auditor II** is responsible for identifying issues… more
- Elevance Health (Grand Prairie, TX)
- ** Clinical Provider Auditor II** This role requires associates to be in-office **1 - 2** days per week, fostering collaboration and connectivity, while providing ... is determined to recover, eliminate and prevent unnecessary medical-expense spending. The Clinical Provider Auditor II is responsible for identifying issues… more
- HCA Healthcare (Houston, TX)
- …recognized. Submit your application for the opportunity below: Inpatient Coding Quality Auditor Parallon. **This is a fully work from home position.** **This ... by location._** We are seeking an Inpatient Coding Quality Auditor for our team to ensure that we continue...Health Information Management Service Center (HSC) coders to ensure compliance with national coding guidelines, the HSC coding policies… more
- Humana (Austin, TX)
- …with business partners to uphold ethical standards and mitigate risks. The Senior Clinical Compliance Professional will support the Director of Compliance , ... requires an in-depth evaluation of variable factors. As the Senior Clinical Compliance Professional, you will develop and/or evaluate compliance policies… more
- Highmark Health (Austin, TX)
- …with coding principles and guidelines. Promotes cooperation with CDMP and compliance programs to improve documentation which supports compliant coding. Interacts ... and modifier systems, missed secondary diagnoses and procedures and ensures compliance with DRG/APC structure and regulatory requirements. Performs periodic claim… more
- Houston Methodist (Houston, TX)
- …TX, LA, FL, TN, WA or GA** At Houston Methodist, the Coding Quality Auditor position is responsible for ensuring accuracy in code assignment of diagnosis and ... based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory body guidelines. This position… 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
- MD Anderson Cancer Center (Houston, TX)
- …by the National Cancer Institute. The primary purpose of the Senior Clinical Studies Coordinator position is to provide independent and advanced patient care ... services and operational management for clinical trials. *KEY FUNCTIONS* *1. Protocol Management* . Assumes...information that is requested for the audit by the auditor . . Participates in departmental audits and collaborates with… more
- Molina Healthcare (Fort Worth, TX)
- …* Nursing License (RN may be preferred for specific roles) * Certified HEDIS Compliance Auditor (CHCA) To all current Molina employees: If you are interested ... **Job Description** **Job Summary** The Director, Clinical Data Acquisition is responsible for the implementation, monitoring, and oversight of all chart collection… more
- Cardinal Health (Austin, TX)
- …customized solutions for hospitals, healthcare systems, pharmacies, ambulatory surgery centers, clinical laboratories, physician offices and patients in the home. We ... as well as completes risk assessments. The IT Governance and Compliance function within the organization develops, enhances, and maintains security policies… more