• Clinical Fraud Investigator II - Registered Nurse…

    Elevance Health (Grand Prairie, TX)
    …Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Clinical Fraud Investigator II** is responsible for ... control. + Review and conducts analysis of claims and medical records prior to payment. Researches new healthcare-related questions...in Nursing and/or current certification as a Certified Professional Coder (AAPC or AHIMA) and minimum of 4 years… more
    Elevance Health (07/02/25)
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  • Clinical Coding and OASIS Review Manager

    BAYADA Home Health Care (Austin, TX)
    …HCS-O or COQS and HCS-D or BCHH-C in order to be considered, there is no flexibility around this requirement.** BAYADA Home Health Care has an immediate opening for ... Paid holidays, vacation and sick leave, vision, dental and medical health plans, employer paid life insurance, 401k with...required certifications with a minimum of 2 years clinical experience . + Please note, while this is a clinical… more
    BAYADA Home Health Care (07/01/25)
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  • Non-Clinical Coding and OASIS Review Manager

    BAYADA Home Health Care (Austin, TX)
    …HCS-O or COQS and HCS-D or BCHH-C in order to be considered, there is no flexibility around this requirement.** BAYADA Home Health Care is hiring a full time OASIS ... Paid holidays, vacation and sick leave, vision, dental and medical health plans, employer paid life insurance, 401k with...Care Coding Certification (Required)** + Minimum of 1 year experience with coding and OASIS review. + Knowledge of… more
    BAYADA Home Health Care (07/01/25)
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