- Compass Group, North America (Austin, TX)
- …development, deployment, and support. + Ensure adherence to best practices for coding , security, and compliance. **Solution Delivery & Support** + Manage support ... operations for SharePoint Online and Server, Akumina-based intranet sites, and WordPress websites. + Develop and maintain custom integrations between M365 apps and internal systems to streamline processes. + Ensure operational stability and performance of all… more
- Molina Healthcare (Dallas, TX)
- …related to utilization management, pharmacy, quality of care, and correct coding . * Independently delivers training and presentations to assigned providers and ... their staff, answering questions that come up on behalf of the Health plan. May also deliver training and presentations to larger groups, such as leaders and management of provider offices (including large multispecialty groups or health systems, executive… more
- Oracle (Austin, TX)
- …applied scientists. * Develop production code and advocate for the best coding and engineering practices. * Participate in project planning, review, and ... retrospective sessions. * Identify and mitigate risks in our plans and executions, especially at the intersection of business and engineering. Preferred Qualifications * Knowledge of healthcare and experience delivering healthcare AI models are a significant… more
- Oracle (Austin, TX)
- …agents for clinical and operational workflows (summarization, prior auth, patient messaging, coding ). 2. Select and version foundation models and prompts to meet ... privacy, cost, latency, and safety targets. 3. Add guardrails, uncertainty handling, human-in-the-loop, and evidence-grounded citations. 4. Adapt LLMs with healthcare data via prompt engineering, instruction tuning, and preference optimization. 5. Evaluate… more
- Oracle (Austin, TX)
- …resolving incidents, and continuously improving network performance. You possess strong coding abilities, a deep understanding of networking and distributed systems, ... and a passion for automation to drive operational excellence. You thrive in a collaborative, agile environment, effectively manage multiple projects and priorities, and consistently deliver results in fast-paced, dynamic conditions. Most importantly, you are a… more
- Molina Healthcare (Fort Worth, TX)
- …the financial impact to effectively negotiate new or amended contracts (eg coding and chargemaster impact analysis) * Strong written and verbal communication skills ... required to present analytical results and findings to healthplans' senior management team and key stakeholder meetings (PowerPoint) * Coordinates and provides peer review of our quarterly national contract performance analysis by team members to ensure timely… more
- Molina Healthcare (TX)
- …standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding /billing (UB04/1500 form) + Demonstrated understanding of key managed care concepts ... and provider reimbursement principles such as risk adjustment, capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), Ambulatory Patient Groups (APG's), Ambulatory Payment Classifications (APC's), and other payment mechanisms. * Understanding of… more
- Molina Healthcare (Austin, TX)
- …the financial impact to effectively negotiate new or amended contracts (eg coding and chargemaster impact analysis) + Strong written and verbal communication skills ... required to present analytical results and findings to health plans' senior management team and key stakeholder meetings (PowerPoint) + Coordinates and provides peer review of our quarterly national contract performance analysis by team members to ensure… more
- Houston Methodist (Houston, TX)
- **$5,000 Sign-On Bonus - 100% remote Must live in following states (TX, GA, FL, TN, LA or WA)** At Houston Methodist, the Lead Inpatient Coder position is ... department results. Interacts and communicates effectively with members of the coding team and the appropriate stakeholders. Participates and provides good feedback… more
- Datavant (Austin, TX)
- …will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, ... presenting solutions for customer issues. This role is fully remote with a flexible schedule, allowing you to help...profee auditor proficient in multi-specialty including procedure and E/M coding in multiple settings **What You Will Do:** +… more