• Account Representative - (Museum District)

    Houston Methodist (Houston, TX)
    …and written communication. + Identifies denial trends and notifies supervisor and/or manager to prevent future denials and further delay in payments. Collaborates ... and provides support to other team members as advised by the manager and/or supervisor. **SERVICE ESSENTIAL FUNCTIONS** + Completes special projects to improve… more
    Houston Methodist (04/15/25)
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  • Clinical Provider Auditor II

    Elevance Health (Grand Prairie, TX)
    …and abuse. **How you will make an impact:** + Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities for fraud ... aid in investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations....Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
    Elevance Health (05/02/25)
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  • SR Reimbursement Analyst

    Methodist Health System (Dallas, TX)
    …**Job Description :** Your Job: The SR REIMBURSEMENT(MEDICARE) ANALYST will assist the Manager of Regulatory Compliance , the Manager of Governmental ... related to special projects as required for the Director of Reimbursement and Manager of Regulatory Compliance * Keeping aware of changing Medicare and… more
    Methodist Health System (04/24/25)
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  • (USA) Senior Quality Engineer

    Walmart (Dallas, TX)
    …contribute to innovate VIZIO products. **What you'll do ** Provides solutions for coding errors by collaborating with software developers to review coding ... cross-functional teams; troubleshooting open issues and bug-fixes; interacting with project manager to provide input on project plan; and ensuring on-time delivery… more
    Walmart (04/29/25)
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  • Trauma Data Abstractor PRN

    HCA Healthcare (San Antonio, TX)
    …knowledge of various abstracted measures. + Communicate in a timely manner with manager to maintain compliance . + Submit data timely through the appropriate ... bodies and HCA Healthcare/Parallon. + Performs timely abstraction to ensure compliance with standards. + Completes high priority or 'flagged' accounts (per… more
    HCA Healthcare (04/25/25)
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  • Director, Billing and Collections

    MD Anderson Cancer Center (Houston, TX)
    …processes within HB Billing and Collections are measurable for productivity, compliance , and quality standards. This position collaborates with all operating units ... including communication to Financial Clearance Center, Revenue Operations and Coding (ROC), Patient Access Services, Health Information Management, Managed Care,… more
    MD Anderson Cancer Center (04/18/25)
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  • Cardiovascular Data Abstractor PRN

    HCA Healthcare (San Antonio, TX)
    …clinical knowledge of various abstracted measures. + Communicate in a timely manner with manager to achieve measure compliance . + Submit data timely through the ... agencies (eg, CMS, TJC, NHSN, etc.). + Performs timely abstraction to ensure compliance with standards. + Completes edit checks and makes appropriate changes on a… more
    HCA Healthcare (04/27/25)
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  • Infection Data Abstractor

    HCA Healthcare (San Antonio, TX)
    …clinical knowledge of various abstracted measures. + Communicate in a timely manner with manager to achieve measure compliance . + Submit data timely through the ... agencies (eg, CMS, TJC, NHSN, etc.). + Performs timely abstraction to ensure compliance with standards. + Completes edit checks and makes appropriate changes on a… more
    HCA Healthcare (04/20/25)
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  • Data Abstractor Cardiovascular Surgical

    HCA Healthcare (Austin, TX)
    …clinical knowledge of various abstracted measures. + Communicate in a timely manner with manager to achieve measure compliance . + Submit data timely through the ... agencies (eg, CMS, TJC, NHSN, etc.). + Performs timely abstraction to ensure compliance with standards. + Completes edit checks and makes appropriate changes on a… more
    HCA Healthcare (04/11/25)
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  • Director, Payment Integrity- DRG Validation

    Elevance Health (Grand Prairie, TX)
    …+ Develop, inspire, and retain and high-performing team of DRG coding validation, clinical validation, and readmission auditors through coaching, mentoring, and ... and vendor management, influencing outcomes across clinical, operational, and compliance channels. + Collaborate across business units- including Medical Management,… more
    Elevance Health (04/22/25)
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