• Nurse Auditor 2

    Humana (Austin, TX)
    **Become a part of our caring community and help us put health first** The Nurse Auditor 2 performs clinical audit/validation processes to ensure that ... complete, compliant and accurate to support optimal reimbursement. The Nurse Auditor 2 work assignments are varied...in their home time zone. **Required Qualifications** + Active Registered Nurse ( RN ) license in… more
    Humana (08/08/25)
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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...Learn more at providence.jobs/benefits. **About the Team** Providence Shared Services is a service line within Providence… 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 + ... audits will include, but are not limited to eligibility, billing, coding, and clinical documentation. Duties of the Billing Compliance Auditor include but are… more
    Elara Caring (08/01/25)
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  • Sr. Specialist, Member & Community Intervention…

    Molina Healthcare (Houston, TX)
    …other departments within the organization + Supports provision of high-quality clinical care and services by facilitating/building strategic relationships with ... Member & Community Interventions oversees and implements new and existing clinical quality member intervention initiatives including all lines of business (Medicare,… more
    Molina Healthcare (06/19/25)
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  • Clinical Documentation Specialist

    University of Texas Rio Grande Valley (Harlingen, TX)
    …Medicine/ Revenue Cycle FTE1.0 FLSAExempt Scope of Job To promote appropriate clinical documentation through collaboration with the School of Medicine clinical ... process is followed. Description of Duties * Obtains and promotes appropriate clinical documentation through interaction with clinical staff and physicians to… more
    University of Texas Rio Grande Valley (06/25/25)
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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 ... **Note: Candidates with background in Women's Services , maternal and neonatal care programs and experience with State neonatal and maternal designation programs… more
    Houston Methodist (07/25/25)
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  • Program Director, Quality Improvement (Remote)

    Molina Healthcare (Fort Worth, TX)
    …basis to demonstrate program effectiveness. + Facilitates and builds high quality clinical care/ services through relationships with key departments within Molina ... requirements and oversees the use of automated software tools and processes; Clinical Quality Interventions, which develops, implements and monitors the success of… more
    Molina Healthcare (08/02/25)
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