- CVS Health (Austin, TX)
- …Registered Nurse (RN). + Previous experience with Behavioral Health coding /auditing of records. **Education:** + Bachelor's degree preferred or a combination of ... within the Special Investigations Unit (SIU) to ensure compliance with coding practices through comprehensive record reviews for medical, behavioral, transportation,… more
- UTMB Health (Galveston, TX)
- … Coding Specialist (CCS) certification, and a minimum of 3 years of medical coding experience. **Or** . Registered nurse (or medical school graduate) with a ... or CDIP certification within 3 years of hire **Preferred Qualifications:** + **For nurse candidates, one year of CDI experience is highly desirable.** + Bachelor of… more
- HCA Healthcare (Brownsville, TX)
- **Description** **Introduction** Do you have the PRN career opportunities as a(an) Nurse Practitioner NICU PRN you want with your current employer? We have an ... of colleagues. Do you want to work as a(an) Nurse Practitioner NICU PRN where your passion for creating...intermediate level of care patient(s) to assist in documentation, coding , reduce length of stay, improve coordination of care… more
- CenterWell (Fort Worth, TX)
- …part of our caring community and help us put health first** The Nurse Practitioner applies advanced education and clinical competencies to achieve optimal patient ... outcomes. The Nurse Practitioner works on problems of diverse scope and...manner working with a quality- based coder to optimize coding specificity. . Follows policy and protocol defined by… more
- Datavant (Austin, TX)
- …case mix index, secondary diagnoses, and procedure impact on DRG. + Improve coding specificity by educating physicians and caregivers on the importance of clear ... throughout a patient's stay. + Follow AHA guidelines and coding clinics for accurate coding and required...clinical experience in an academic medical center + Registered Nurse license, Bachelor's degree in Nursing + CCDS or… more
- Molina Healthcare (San Antonio, TX)
- …appropriate level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding regulations, and Molina policies; validates the medical record and ... claim submitted support correct coding to ensure appropriate reimbursement to providers. **Job Duties** + Performs clinical/medical reviews of retrospective medical… more
- Elevance Health (Grand Prairie, TX)
- ** Nurse Reviewer I** **Location:** Virtual: This role enables associates to work virtually full-time, with the exception of required in person training sessions, ... for employment, unless an accommodation is granted as required by law. The ** Nurse Reviewer I** will be responsible for conducting preauthorization, out of network… more
- Molina Healthcare (Fort Worth, TX)
- **JOB DESCRIPTION** For this position we are seeking a (RN) Registered Nurse who must be licensed for the state they reside This position will support Medical Review ... outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) performs clinical/medical reviews of previously denied cases… more
- Fresenius Medical Center (Houston, TX)
- …Functions as part of the hemodialysis health care team as a Staff Registered Nurse to ensure provision of quality patient care on a daily basis in accordance ... at any or all area facilities as required by management. + Icd-9 coding Training. + Nurses Technical Training. + Must meet appropriate state requirements (if… more
- United Musculoskeletal Partners (Addison, TX)
- …inpatient consultations. **Administrative Responsibilities** + Provide supporting documentation and coding information for all health care services provided. + ... **REQUIREMENTS** + Graduate of an accredited Physician Assistant program or Nurse Practitioner program + NP candidates- First Assist Certification (Preferred) +… more