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Clinical Quality Auditor jobs in Texas

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AUDITOR, CLINICAL SERVICES - UM (REMOTE IN TX) - NOW HIRING

Performs monthly auditing of registered nurse and other clinical functions in Utilization Management (UM), Case Management (CM), Member Assessment Team (MAT), Health Management (HM), and/or Disease Management (DM). Monitors key cl...

Company	Molina Healthcare
Address	Houston, TX
Category	Accounting/Finance
Salary	$23.76 - $51.49 per hour
Job type	Full-time, Part-time
Date Posted	2 days ago See detail

Auditor, Clinical Services - UM (Remote in TX) - Now Hiring

Molina Healthcare

Houston, TX

$23.76 - $51.49 per hour

2 days ago seen See more...

View all - jobs in Houston, TX

Performance Quality Auditor III

Elevance Health

GRAND PRAIRIE, TX

Evaluates the quality and accuracy of transactions and/or communications with providers, groups, and/or policyholders. . Identifies, documents, and reports any transaction errors or communications issues in a timely manner to ens...

3 weeks ago seen See more...

View all - jobs in GRAND PRAIRIE, TX

Clinical Medical Records Auditor

Elevance Health

PLANO, TX

Audits provider claims for compliance to standard coding and billing practice guidelines. . Reviews the Radiology Interpretive Report as a supporting document for CPT-4 and ICD-9 codes billed. . Identifies providers where upcodin...

3 weeks ago seen See more...

View all - jobs in PLANO, TX

Coding Quality Auditor - Remote

Conifer Physician Services

Frisco, TX

$30.85 - $46.28 an hour

Consulting: Consults facility leaders and staff on best practices, methodology, and tools for accurately coding. Chart Analysis IP, OP Coding Data auditing and validation: Reviews medical records for the determination of accurate...

4 weeks ago seen See more...

View all - jobs in Frisco, TX

CLINICAL QUALITY MANAGEMENT (Remote) - Now Hiring

North Shore Surgi-Center

San Antonio, TX

Graduate of an accredited school of nursing. Current Registered Nurse License. Current American Heart Assn. BLS and ACLS certifications. 1. Responsible for Quality Assurance Activities at the Bureau of Public Health Clinics (BPHC...

a month ago seen See more...

View all - jobs in San Antonio, TX

Healthcare Quality Auditor (Remote)

Community Health Accreditation Partner

Dallas, TX

The ideal candidate will work to ensure compliance with CHAP policies and procedures, and state and federal regulatory requirements. Principal Functions & Qualifications: This position is responsible for auditing a variety of docu...

2 months ago seen See more...

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Clinical Documentation & Integrity Auditor/Educator (Remote)

Memorial Hermann Health System