• Primary Care Physician

    CenterWell (San Antonio, TX)
    …Doctors, Advanced Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based Coders, Referral Coordinators ... accordance with standards of care. + Follows level of medical care and quality for patients and monitors care...manner working with a quality- based coder to optimize coding specificity. + Follows policy and protocol defined by… more
    CenterWell (06/07/25)
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  • Clinical Appeals Nurse (RN)

    Molina Healthcare (Houston, TX)
    …the likelihood of a formal appeal being submitted. + Independently re-evaluates medical claims and associated records by applying advanced clinical knowledge, ... compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) performs clinical/ medical reviews of previously denied cases in which a formal… more
    Molina Healthcare (07/20/25)
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  • Division Director of Research GME

    HCA Healthcare (Austin, TX)
    …This position is incentive eligible. **Job Summary and Qualifications** HCA Graduate Medical Education is one of the nation's largest providers of residency and ... HCA GME is building a leading network of innovative, patient-centered graduate medical education programs. We believe graduate medical education is much… more
    HCA Healthcare (06/21/25)
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  • CenterWell- Physician- Beaumont/Port Arthur

    CenterWell (Beaumont, TX)
    …treats center patients in accordance with standards of care. . Follows level of medical care and quality for patients and monitors care using available data and ... limited to specialty referrals, hospital and SNF coordination, durable medical equipment and home health care. . Acts as...manner working with a quality- based coder to optimize coding specificity. . Follows policy and protocol defined by… more
    CenterWell (04/29/25)
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  • Clinical Fraud Investigator II

    Elevance Health (Houston, TX)
    …and abuse prevention and control. + Review and conducts analysis of claims and medical records prior to payment. + Researches new healthcare related questions as ... provide an equivalent background. **Preferred Skills, Capabilities, and Experiences:** + Coding Certificate or Registered Nurse strongly preferred + Law Enforcement… more
    Elevance Health (07/17/25)
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  • Orthotist-Prosthetist

    Veterans Affairs, Veterans Health Administration (San Antonio, TX)
    …diagnosis, work history, vocational activities, signs and symptoms, medical history (including allergies to materials), reimbursement status, patient ... above, the candidate must demonstrate the following KSAs: Knowledge of medical terminology, anatomy, physiology, biomechanics, kinesiology, physics, and etiology of… more
    Veterans Affairs, Veterans Health Administration (07/14/25)
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  • MRI Tech - Per Diem

    MD Anderson Cancer Center (Houston, TX)
    …in both direct and indirect patient care situations using information from clinical history, medical records , and imaging to ensure the clinical needs of the ... Whiteboards, CARE, and modality imaging systems. Exam Charges, Billable Medical Supplies, CPT/Procedure Codes, Patient Demographics, etc.) Maintain up to… more
    MD Anderson Cancer Center (05/22/25)
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  • Dispute Resolution Reviewer I

    St. George Tanaq Corporation (Austin, TX)
    …position that can be based anywhere in the United States. **Responsibilities** + Reviews medical records /case file, writes a decision that is clear, concise, and ... made, and documents review + Makes sound, independent decisions based on medical evidence in accordance with statutes, regulation, rulings, and policy + Responds… more
    St. George Tanaq Corporation (05/07/25)
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  • Primary Care Physician

    CenterWell (Houston, TX)
    …Doctors, Advanced Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based Coders, Referral Coordinators ... quality of patient care using available data and chart reviews. + Complete all medical record documentation in a timely manner, working with a quality-based coder to… more
    CenterWell (04/29/25)
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  • Physician- PRN

    CenterWell (Humble, TX)
    …Doctors, Advanced Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based Coders, Referral Coordinators ... quality of patient care using available data and chart reviews. + Complete all medical record documentation in a timely manner, working with a quality-based coder to… more
    CenterWell (06/24/25)
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