• Diagnosis Related Group Clinical Validation…

    Elevance Health (Grand Prairie, TX)
    …and efficiency recommendations. **Minimum Requirements:** + Requires current, active, unrestricted Registered Nurse license in applicable state(s). + Requires a ... **Diagnosis Related Group Clinical Validation Auditor - RN ** **Virtual:** This role enables associates...One or more of the following certifications are preferred: Registered Health Information Technician (RHIT), Registered Health… more
    Elevance Health (07/17/25)
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  • Revenue Cycle Auditor RN *Remote

    Providence (TX)
    **Description** **Providence is calling for Revenue Cycle Auditor RN within our 7 footprints location: AK, WA, OR, CA, TX, NM, or MT** The Revenue Integrity ... Auditor is responsible for providing patient focused, standardized, compliant revenue cycle support that will assist Providence St Joseph Health in meeting financial… more
    Providence (07/23/25)
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  • Home Health Billing Compliance Auditor

    Elara Caring (Dallas, TX)
    …+ Associate's degree or higher in Nursing + 5 years of experience as a Registered Nurse in Home Health and/or Hospice with coding experience is preferred + ... the Right Place. **Job Description:** **Remote Position** The Billing Compliance Auditor performs comprehensive audits within the Skilled Home Health, Hospice,… more
    Elara Caring (08/01/25)
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  • Sr. Specialist, Member & Community Intervention…

    Molina Healthcare (Houston, TX)
    …and/or interpretation + Certified Professional in Health Quality (CPHQ) + Nursing License ( RN may be preferred for specific roles) + Certified HEDIS Compliance ... Auditor (CHCA) To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing Molina Healthcare… more
    Molina Healthcare (06/19/25)
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  • System Accreditation Specialist

    Houston Methodist (Houston, TX)
    …in nursing or other healthcare related field; may consider HM employee with Registered Nurse license and four additional years of directly related experience ... accreditation or health care certifications **OR** + CQA - Certified Quality Auditor (ASQ) -- Related quality, accreditation or health care certifications **OR** +… more
    Houston Methodist (07/25/25)
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  • Program Director, Quality Improvement (Remote)

    Molina Healthcare (Houston, TX)
    …Association** + Certified Professional in Health Quality (CPHQ) + Nursing License ( RN may be preferred for specific roles) + Certified HEDIS Compliance ... Auditor (CHCA) To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare… more
    Molina Healthcare (08/02/25)
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  • Clinical Documentation Specialist

    University of Texas Rio Grande Valley (Harlingen, TX)
    …- P) from the American Health Information Management Association ( AHIMA ), Registered Health Information Technician ( RHIT ) from the American Health Information ... Management Association ( AHIMA ), Registered Health Information Administrator ( RHIA ) from the...), or Current State of Texas Professional Nursing License ( RN ) will be required after 6 months of employment.… more
    University of Texas Rio Grande Valley (06/25/25)
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