• Investigator, Special Investigative Unit…

    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 (07/24/25)
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  • Clinical Provider Auditor II

    Elevance Health (Grand Prairie, TX)
    …related questions as necessary to aid in investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations. + ... you will make an impact:** + Examines claims for compliance with relevant billing and processing guidelines and identifies...+ Requires a AA/AS and minimum of 3 years medical coding /auditing experience, including minimum of 1… more
    Elevance Health (08/08/25)
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  • Revenue Integrity Charge Review Analyst

    HCA Healthcare (Houston, TX)
    …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 ... health coverage as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision benefits, life and… more
    HCA Healthcare (07/11/25)
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  • Dialysis Clinical Manager Registered Nurse - RN

    Fresenius Medical Center (Houston, 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 (07/30/25)
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  • Medical Director- South Central

    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 (07/11/25)
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  • Dialysis Outpatient Registered Nurse - RN

    Fresenius Medical Center (Houston, TX)
    …Quality Enhancement Goals (QEP). Adheres to all requirements of the FMCNA Compliance Program, and FMS patient care and administrative policies. **PRINCIPAL DUTIES ... of safe and effective delivery of chronic hemodialysis therapy to patients in compliance with standards outlined in the facility policy procedure manuals, as well as… more
    Fresenius Medical Center (08/02/25)
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  • (USA) Software Engineer III

    Walmart (Dallas, TX)
    …module simple requirements for example based on scalability etc For agile methodology Coding : Requires knowledge of Coding standards and guidelines Coding ... etc development standards and tools Eg Mondaycom Linux Embold etc for software coding configuration. Take initiative to learn the fundamentals of different coding more
    Walmart (07/29/25)
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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 (05/16/25)
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  • Billing Specialist

    Community Health Systems (Corsicana, TX)
    …+ Associate Degree in a healthcare related field preferred or + Technical School for Medical Billing or Coding preferred + 0-2 years of experience in medical ... and other payers, researching and resolving claim issues while maintaining compliance with billing regulations and organizational policies. The Billing Specialist I… more
    Community Health Systems (07/18/25)
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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 (06/25/25)
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