- 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. ... SIU Investigator is also responsible for recognizing and adhering to national and local coding and billing guidelines in order to maintain coding accuracy and… more
- Humana (Austin, TX)
- …Investigator: Nurse Audit/Review performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services ... medical documentation to ensure capture of all relevant coding . Identifies members with high-risk CMS Hierarchical Condition Categories...**Use your skills to make an impact** **WORK STYLE:** Remote , work at home (associates can opt to work… more
- Molina Healthcare (San Antonio, TX)
- …Centers for Medicare & Medicaid Services (CMS) and the Affordable Care Act (ACA). + Medical Coding certification. + Strong Medical Claims Audit knowledge To ... processing functions to support systems solutions development and maintenance for Medical Claim Audit. This role includes coordination with stakeholders and subject… more
- Danaher Corporation (Dallas, TX)
- …which makes everything possible. The Senior Field Reimbursement Manager (US REMOTE ) position is a provider / customer facing role responsible for ... delivering compliant payer coverage, coding and reimbursement information regarding Cepheid on market diagnostics....Value and Access team. This position will be a remote position ideally located in the South East part… more
- Centene Corporation (Austin, TX)
- …HEDIS measures and risk adjustment. Provides education for HEDIS measures, appropriate medical record documentation and appropriate coding . Assists in resolving ... for the health plan peers on HEDIS measures, appropriate medical record documentation and appropriate coding . Supports...plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay… more
- Kemper (Dallas, TX)
- Location(s) Remote -AL, Remote -CT, Remote -FL, Remote -GA, Remote -IL, Remote -IN, Remote -MI, Remote -NC, Remote -OH, Remote -PA, ... Experience with cloud development practices. + Advanced certifications for coding /development. Current Guidewire Certified Ace preferred. + Demonstrates advanced… more
- Coinbase (Austin, TX)
- …you, there's no better place to be. While many roles at Coinbase are remote -first, we are not remote -only. In-person participation is required throughout the ... and train other team members on design techniques and coding standards * Write high quality, well tested code...questions may be used to evaluate your onchain experience. \#LI- Remote *Pay Transparency Notice:* Depending on your work location,… more
- Coinbase (Austin, TX)
- …you, there's no better place to be. While many roles at Coinbase are remote -first, we are not remote -only. In-person participation is required throughout the ... and industry best practices. * Mentor team members on design principles, coding standards, and AI productivity tools adoption. * Debug complex technical issues… more
- Coinbase (Austin, TX)
- …you, there's no better place to be. While many roles at Coinbase are remote -first, we are not remote -only. In-person participation is required throughout the ... of AI into daily operations. Mentor team members on design principles, coding standards, and AI productivity tools adoption. * *Drive Adoption & Enablement:*… more
- Pearson (Austin, TX)
- …Health Professions, such as Medical Technology, Medical Terminology, Medical Assistance, and Health Records Management and Coding . The Faculty Advisor ... other Health Professions, such as Medical Technology, Medical Terminology, Medical Assistance, and Health Records Management and Coding a plus + Online… more