• Investigator, Special Investigative Unit - FLORIDA

    Molina Healthcare (San Antonio, TX)
    …to health care fraud, waste, and abuse. Duties include performing accurate and reliable medical review audits that may also include coding and billing reviews. ... responsible for recognizing and adhering to national and local coding and billing guidelines in order to maintain ...position may also work with other internal departments, including Compliance , Corporate Legal Counsel, and Medical Officers… more
    Molina Healthcare (09/22/25)
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  • Burn Registrar

    Methodist Health System (Dallas, TX)
    …Paramedic or Coding Specialist with 2 years' experience in general medical /surgical nursing, critical care or trauma patient care + Preferred: Burn Care Quality ... to the burn population. This can include identification, collection, coding , scoring, and entering of data into the burn...to data management protocols set forth to insure regulatory compliance standards, as well as requirements to obtain and/or… more
    Methodist Health System (08/16/25)
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  • Medical Director - Florida

    Humana (Austin, TX)
    **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background,...authorized. All work occurs with a context of regulatory compliance , and work is assisted by diverse resources which… more
    Humana (10/03/25)
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  • Medical Director-Payment Integrity

    Humana (Austin, TX)
    …a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make ... at the Inpatient level. All work occurs within a context of regulatory compliance , and work is assisted by diverse resources, which may include national clinical… more
    Humana (09/26/25)
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  • Medical Director - Claims Management

    Humana (Austin, TX)
    …a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make ... service should be authorized. All work occurs within a context of regulatory compliance , and work is assisted by diverse resources, which may include national… more
    Humana (09/17/25)
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  • Dialysis Clinical Manager Registered Nurse - RN

    Fresenius Medical Center (Marble Falls, TX)
    …solving. **PHYSICIANS:** + Facilitates the application process for physician privileges and compliance with FMS Medical Staff By-Laws. + Responsible for strong ... vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. Ensure… more
    Fresenius Medical Center (09/16/25)
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  • (USA) Staff, Software Engineer

    Walmart (Dallas, TX)
    …functional logic of the modules for specific modules / components of a product. Coding : Requires knowledge of: Coding standards and guidelines; Coding ... etc.), platforms (Microsoft Azure, Apple IOS etc.), and environments for software coding /configuration and scripting (Applicable to IC ; PL). Guide the team on… more
    Walmart (08/15/25)
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  • Medical Records Technician

    InGenesis (El Paso, TX)
    …clinic and IHSC staff prior to each appointment where applicable. * Determines coding for relevant medical record forms from appropriate references. * ... InGenesis is currently sourcing for Medical Records Technician candidates to work for our...for patients and clinical staff where applicable. * Tracks compliance with scheduled patient appointments, making timely reminders notices,… more
    InGenesis (09/24/25)
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  • Back Office Coordinator/Certified Medical…

    Methodist Health System (Dallas, TX)
    …facilities with 5 or more Physicians. Your Job Requirements: * Certified Medical Assistant * Strong communication skills with consistent incorporation of judgement ... of 2 years in a back office within a medical setting or two years nursing experience. Your Job...Monitors education certifications of nursing staff to assure legislative compliance . * Responsible for pharmaceutical handling system upgrade and… more
    Methodist Health System (09/19/25)
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  • Medical Assistant 2 - Live Oak Clinic

    CenterWell (San Antonio, TX)
    **Become a part of our caring community and help us put health first** As a Medical Assistant, you will be a part of the Clinical Care Team engaging with our ... patients to develop lifelong well-being and health. The Medical Assistant role makes a difference in the patient care we offer and assists physicians and other… more
    CenterWell (09/30/25)
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