- Molina Healthcare (Houston, TX)
- …conducting various audits including, but not limited to; vendor, focal, audit the auditor . Confirm that documentation is clear and concise to ensure accuracy in ... EXPERIENCE, SKILLS & ABILIITIES:** + Minimum 2 years as an operational auditor for at least one core operations function + Previous examiner/processing experience… more
- HCA Healthcare (Brownsville, TX)
- …in you as a Coding Quality Audit Reviewer? At Parallon, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team ... + Employee Stock Purchase Plan with 10% off HCA Healthcare stock + Family support through fertility and family...and Qualifications** As a work from home Inpatient Coding Auditor , you will be responsible for performing internal quality… more
- HCA Healthcare (San Antonio, TX)
- **Description** **Introduction** Are you passionate about the patient experience? At Methodist Healthcare , we are committed to caring for patients with purpose and ... on years of service) + Employee Stock Purchase Plan with 10% off HCA Healthcare stock + Family support through fertility and family building benefits with Progyny… more
- Molina Healthcare (Fort Worth, TX)
- …requirements/rules and are aligned with effective practices as identified in the healthcare quality improvement literature and within Molina plans. + Develops and ... **REQUIRED EDUCATION:** Bachelor's Degree in a clinical field, Public Health, Healthcare , or equivalent. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:** * 8+… more
- Dallas Behavioral Healthcare Hospital (Desoto, TX)
- …and correspond with insurance companies to obtain accurate reimbursement for healthcare claims. This person will also be responsible for analyzing, abstracting, ... + Conduct medical records research and correspond with insurance companies and healthcare professionals to resolve issues resulting from denied claims + Adhere to… more
- HCA Healthcare (San Antonio, TX)
- …Methodist Hospital which is part of the nation's leading provider of healthcare services, Methofdist Healthcare . **Benefits** Methodist Hospital, offers a total ... discrepancy and complete incident reports as required. You will review RX Auditor report and generate investigation reports for nurse managers/directors to review.… more
- Molina Healthcare (Fort Worth, TX)
- …Improvement function oversees, plans, and implements new and existing healthcare quality improvement initiatives and education programs; ensures maintenance of ... Degree or higher in a clinical field, IT, Public Health or Healthcare Administration. **Preferred Experience** + HEDIS reporting or collection experience + CAHPS… more
- Molina Healthcare (El Paso, TX)
- …equivalent combination of education and work experience. + 3 years' experience in healthcare with a minimum of 2 years' experience in health plan member ... License (RN may be preferred for specific roles) + Certified HEDIS Compliance Auditor (CHCA) To all current Molina employees: If you are interested in applying… more
- Molina Healthcare (Austin, TX)
- …**Job Duties** + Performs the role of the HEDIS medical record review overreader/ auditor which includes ongoing review of records reviewed and data entered by the ... **N** **C** **E/KNOWLEDGE, SKILLS & ABILITIES:** * 5 years experience in healthcare Quality/HEDIS specific to abstraction and overreading. **PR** **E** **FE** **R**… more
- Molina Healthcare (Fort Worth, TX)
- …compliance. + Professional certification(s) such as Certified Information Systems Auditor (CISA), Certified Information Systems + Security Professional (CISSP), or ... for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare … more