- Air Education and Training Command (Sheppard AFB, TX)
- …https://www.opm.gov/policy- data ... grade level or equivalent pay systems which includes analyzing data and prepares a project synopsis which compares alternatives...on a shared commitment to three core values -- integrity first, service before self, and excellence in all… more
- Intermountain Health (Austin, TX)
- …and expertise to work alongside and collaborates with Clinical Documentation Integrity (CDI) Registered Nurses (RN) and Intermountain Physician Advisors to review ... It ensures compliance and accurate submission of publicly reported data for all payers. It assigns ICD-10 and DRG...the various fields of NCCI edits, Drugs and Biologicals, Revenue Codes, Current Procedural Terminology (CPT) codes, ICD-10 codes,… more
- WTW (Houston, TX)
- …users as required eg colleague training / support, sharing of best practices. + Manage data integrity within internal systems of record (such as Dynamics CRM) to ... to managed accounts by partnering with Lead Relationship Managers. + Proactively analyze data to answer key questions for stakeholders, with an eye on what drives… more
- Molina Healthcare (Dallas, TX)
- **Job Description** **Job Summary** The Health Plan Operations, Payment Integrity Program Manager is an individual contributor role designed for a highly capable ... focuses on identifying, leading, and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied… more
- Molina Healthcare (San Antonio, TX)
- …role focuses on identifying and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon ... coordination, and shared ownership of high-value deliverables-distinct from a pure data analyst role. **Job Duties** **Business Leadership & Operational Ownership**… more
- Molina Healthcare (Fort Worth, TX)
- …and responsibility for oversight, production, and resolution of Health Plan Payment Integrity (PI) recovery concepts. This role executes and monitors Health Plan ... lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. + Applies understanding of healthcare regulations,… more
- CVS Health (Austin, TX)
- …And we do it all with heart, each and every day. Aetna's Revenue Integrity team is hiring Senior Coding Data Quality Auditors to support our growing risk ... This role plays a critical part in ensuring coding accuracy and data integrity , directly impacting compliance and financial performance. Ideal candidates… more
- Houston Methodist (Houston, TX)
- …onboarding and training as needed. **PEOPLE ESSENTIAL FUNCTIONS** + Collaborates with revenue integrity teams to review provider services and provide effective ... and baseline compliance reviews and identifying potential risk areas and revenue potential. The Sr Compliance Coding Analyst position partners with stakeholders… more
- HCA Healthcare (Austin, TX)
- …NCDB and the state data systems **What you will need** : + Oncology Data Specialist (ODS) certification **required** + 1-3 years of Cancer Data ... Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity , collections, payment compliance, credentialing, health… more
- Houston Methodist (Houston, TX)
- …body guidelines. This position performs data quality review to ensure data integrity , coding accuracy, and revenue preservation. Additional duties ... + Assists with quality assurance (peer) reviews to ensure data integrity and accuracy of coding, identifies...For inpatient/outpatient coding **OR** + CCS - Certified Coding Specialist (AHIMA) -- For inpatient/outpatient coding **OR** + CCS-P… more