- Intermountain Health (Austin, TX)
- …To review medical records retrieved from provider offices and abstract medical information for HEDIS (Health Effectiveness Data Information Set) annual audits. ... Interprets relevant clinical criteria through review of medical records annotates via Adobe PDF and populates a data collection tool to support compliance with HEDIS, CMS, and STARS performance measures. **Job Essentials** + Work collaboratively with Select… more
- Humana (Corpus Christi, TX)
- …management as needed. Requires applicable State licensure in field of study: Registered Nurse (RN), Licensed Masters Clinical Social Worker (LCSW), Licensed ... accuracy, and Medicare Conditions of Participation demand meticulous documentation. A QA Auditor will help ensure all records meet federal, state, and payer-specific… more
- Health Care Service Corporation (Richardson, TX)
- …findings.** **Organizational skills and prioritization skills** **Preferred Job Qualifications:** ** Registered Nurse (RN) with unrestricted license in state.** ... **Certified Coder preferred** **3 plus years of claim adjudication/payment integrity** **3 years clinical experience** **This is a Telecommute (Remote) role: Must reside within 250 miles of the office or anywhere within the posted state.** \#LI-Remote \#LI-DP1… more
- Molina Healthcare (TX)
- …related field or equivalent experience, OR completion of any of the following programs: + Registered Nurse (RN) or State Licensed Vocational Nurse (LVN), or ... OR completion of any of the following programs: + Registered Nurse (RN) or State Licensed Vocational...be preferred for specific roles) * Certified HEDIS Compliance Auditor (CHCA) **PHY** **S** **I** **C** **AL DEM** **A**… more
- HCA Healthcare (San Antonio, TX)
- …true discrepancy and complete incident reports as required. You will review RX Auditor report and generate investigation reports for nurse managers/directors to ... year sterile compounding experience preferred + Supervisor experience preferred + Current Registered Pharmacy Technician by Texas State Board of Pharmacy or Intern… more
- HCA Healthcare (San Antonio, TX)
- …true discrepancy and complete incident reports as required. You will review RX Auditor report and generate investigation reports for nurse managers/directors to ... year sterile compounding experience preferred + Supervisor experience preferred + Current Registered Pharmacy Technician by Texas State Board of Pharmacy or Intern… more