• Home Health Billing Compliance

    Elara Caring (Dallas, TX)
    …Time, in the Right Place. **Job Description:** **Remote Position** The Billing Compliance Auditor performs comprehensive audits within the Skilled Home Health, ... billing, coding, and clinical documentation. Duties of the Billing Compliance Auditor include but are not limited...in Nursing + 5 years of experience as a Registered Nurse in Home Health and/or Hospice… more
    Elara Caring (08/01/25)
    - Related Jobs
  • Sr. Specialist, Member & Community Intervention…

    Molina Healthcare (Houston, TX)
    …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 offers a competitive benefits and compensation package Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $54,922 - $107,099 / ANNUAL… more
    Molina Healthcare (06/19/25)
    - Related Jobs
  • Program Director, Quality Improvement (Remote)

    Molina Healthcare (Houston, TX)
    …Nursing License ( RN may be preferred for specific roles) + Certified HEDIS Compliance Auditor (CHCA) To all current Molina employees: If you are interested ... and implementation of NCQA accreditation surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Program Director is a key Quality… more
    Molina Healthcare (08/02/25)
    - Related Jobs
  • Nurse Auditor 2

    Humana (Austin, TX)
    …each day between 6AM and 9AM in their home time zone. **Required Qualifications** + Active Registered Nurse ( RN ) license in the state they reside. + Minimum ... caring community and help us put health first** The Nurse Auditor 2 performs clinical audit/validation processes...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
    Humana (08/08/25)
    - Related Jobs
  • 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 ... programs; works across the system to assess, measure, and report compliance with standards; and develops, implements and evaluates strategies to promote… more
    Houston Methodist (07/25/25)
    - Related Jobs
  • Clinical Documentation Specialist

    University of Texas Rio Grande Valley (Harlingen, TX)
    …rendered to patients. * Conducts complex reviews of physician/provider billing compliance activities in accordance with applicable laws, regulations, rules or ... * Performs prospective and retrospective audits of documentation to confirm compliance with documentation and billing rules and government regulations. Provides… more
    University of Texas Rio Grande Valley (06/25/25)
    - Related Jobs