• Quality Practice Advisor - Medical Affairs

    Centene Corporation (Houston, TX)
    …HEDIS measures and risk adjustment. Provides education for HEDIS measures, appropriate medical record documentation and appropriate coding . Assists in resolving ... DAYS - Meetings are IN-PERSON with Providers** **Work From Home : 2 days per week** **Monday - Friday: 800...for the health plan peers on HEDIS measures, appropriate medical record documentation and appropriate coding . Supports… more
    Centene Corporation (04/27/25)
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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...colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no… more
    HCA Healthcare (04/10/25)
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  • Lead Medical Technologist

    HCA Healthcare (Conroe, TX)
    …affect department specific responsibilities (examples may include but not limited to PEPP, medical necessity, lab compliance, billing and coding ). + If an ethics ... you want to join an organization that invests in you as a Lead Medical Technologist? At HCA Houston Healthcare Conroe, you come first. HCA Healthcare has committed… more
    HCA Healthcare (04/26/25)
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  • Business Intelligence Engineer

    Humana (Austin, TX)
    …case/when (or if/then) logic, and converting operational data into analytic/modeling datasets + ** Coding ** : SQL and Python/Pyspark will be your primary coding ... a positive impact on health outcomes; working with data; coding ; new technology; innovation + **Mindset** : curious; eager...data elements is a plus **Additional Information** To ensure Home or Hybrid Home /Office employees' ability to… more
    Humana (05/03/25)
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  • Medical Director - Spine

    CVS Health (Austin, TX)
    …has an exciting opportunity for a Medical Director (Spine) that can be remote based , work from home . The Medical Director (Spine) will be a Subject ... use of health care resources. **This is a remote based (work at home ) based ...predetermination reviews ad reviews of claim determinations, providing clinical, coding , and reimbursement expertise, using multiple computer based… more
    CVS Health (04/17/25)
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  • AR II Specialist - Hybrid Position

    Methodist Health System (Dallas, TX)
    …tasks, meet deadlines, and work efficiently in a fast-paced environment. + Certification in medical coding (eg, CPC) or revenue cycle management (eg, CRCR) is a ... be successfully completed before being approved to work from home . WFH schedule based on business needs....address claim denials promptly. Utilize knowledge of payer policies, medical coding guidelines, and billing regulations to… more
    Methodist Health System (04/30/25)
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  • Medical Business Office Specialist

    HCA Healthcare (Austin, TX)
    …colleagues invested over 156,000 hours volunteering in our communities. As a Medical Business Office Specialist with North Austin Surgery Center you can be ... and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low… more
    HCA Healthcare (04/25/25)
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  • Medical Collections Specialist

    HCA Healthcare (Houston, TX)
    …Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a Medical Collections Specialist with HCA Healthcare you can be a part of an ... and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low… more
    HCA Healthcare (05/02/25)
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  • Medical Director - National Medicare

    Humana (Austin, TX)
    …and will understand how to operationalize this knowledge in their daily work. The Medical Director's work includes computer based review of moderately complex to ... caring community and help us put health first** The Medical Director relies on medical background and...conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes,… more
    Humana (04/24/25)
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  • Medical Assistant - Conviva Padre Island…

    CenterWell (Corpus Christi, TX)
    …* Value Based Care experience including knowledge of HEDIS, CPT/ICD coding , and CAHPS/HOS Patient Experience. * Bilingual proficiency in English and Spanish - ... caring community and help us put health first** The Medical Assistant is the first point of contact for...positive patient engagement. **Job Functions** + Perform pre-visit planning based on patient visit type + Manage the provider's… more
    CenterWell (04/24/25)
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