• Inpatient DRG Quality Auditor

    Humana (Austin, TX)
    …is a full-time, remote/work-from- home position. **Description** The Inpatient Medical Coding Auditor extracts clinical information from medical records and ... home position.** **Required Qualifications** + 7+years of DRG Coding + 5 years of Quality Auditing + Medical...managing diverse priorities, adept at swiftly transitioning between tasks based on urgency and demand with minimal instruction. +… more
    Humana (05/03/25)
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  • Business Intelligence Engineer

    Humana (Austin, TX)
    **Become a part of our caring community and help us put health first** The Clinical Insights & Program Design (CIPD) Analytic Solutions Team is part of the ... Clinical Analytics organization at Humana. We work closely with...logic, and converting operational data into analytic/modeling datasets + ** Coding ** : SQL and Python/Pyspark will be your primary… more
    Humana (05/03/25)
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  • Health Information Management Informatics Analyst

    HCA Healthcare (Dallas, TX)
    …As a work from home Informatics Analyst, you will join the HIM, Coding , and Abstraction department. This department partners with internal HIM, Coding , and ... **Description** **Introduction** This is a remote/work from home position. Are you passionate about the patient...a 100% match on 3% to 9% of pay ( based on years of service) + Employee Stock Purchase… more
    HCA Healthcare (04/10/25)
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  • Revenue Integrity Clin Charge Review Analyst RN

    HCA Healthcare (Pasadena, TX)
    …opportunities. **In this role you will:** + Conduct reviews of charging, coding , and clinical documentation, collaborating with Corporate Revenue Integrity ... against clinical documentation, making necessary corrections in Patient Accounting. Based on audit findings, present recommendations to Corporate and SSC Revenue… more
    HCA Healthcare (03/22/25)
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  • Coord IRF PAI - PRN

    HCA Healthcare (Kingwood, TX)
    …protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, ... a 100% match on 3% to 9% of pay ( based on years of service) + Employee Stock Purchase...+ Referral services for child, elder and pet care, home and auto repair, event planning and more +… more
    HCA Healthcare (02/12/25)
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  • Quality Practice Advisor - Medical Affairs

    Centene Corporation (Houston, TX)
    …**TRAVEL IS REQUIRED - 3 DAYS - Meetings are IN-PERSON with Providers** **Work From Home : 2 days per week** **Monday - Friday: 800 am - 500 pm (CST)** **Position ... education for HEDIS measures, appropriate medical record documentation and appropriate coding . Assists in resolving deficiencies impacting plan compliance to meet… more
    Centene Corporation (04/27/25)
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  • Licensed Clinic Supervisor

    HCA Healthcare (San Antonio, TX)
    …protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, ... a 100% match on 3% to 9% of pay ( based on years of service) + Employee Stock Purchase...+ Referral services for child, elder and pet care, home and auto repair, event planning and more +… more
    HCA Healthcare (03/09/25)
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  • Medical Director - Spine

    CVS Health (Austin, TX)
    …reviews ad reviews of claim determinations, providing clinical , coding , and reimbursement expertise, using multiple computer based applications. ... transparent and consumer-focused, and it recognizes physicians for their clinical quality and effective use of health care resources....use of health care resources. **This is a remote based (work at home ) based more
    CVS Health (04/17/25)
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  • Medical Director - National Medicare

    Humana (Austin, TX)
    …this knowledge in their daily work. The Medical Director's work includes computer based review of moderately complex to complex clinical scenarios, review of ... these may require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and… more
    Humana (04/24/25)
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  • Medical Director - Medicaid N. Central

    Humana (Austin, TX)
    …this knowledge in their daily work. The Medical Director's work includes computer- based review of moderately complex to complex clinical scenarios, review ... but may not be limited to, an overview of coding practices and clinical documentation, grievance and...well as a focus on collaborative business relationships, value based care, population health, or disease or care management… more
    Humana (04/24/25)
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