- CVS Health (Austin, TX)
- …strategic initiatives, along with a team of medical coders/nurses supporting Aetna's Special Investigations Unit. Key Responsibilities: + Leadership: Leads a ... team of coding /nursing professionals who conduct reviews of medical records and...coder/nurse reviews, ensuring compliance with ICD-10, CPT and HCPCS coding guidelines. Assist with department build and implementation of… more
- University of Texas Rio Grande Valley (Mcallen, TX)
- Position Information Posting NumberSRGV8219 Working TitleCOMPLIANCE CODING AND BILLING ANALYST Number of Vacancies1 LocationMcAllen, Texas DepartmentOffice of the ... of Job Responsible for performing compliance reviews of billing and coding compliance functions and activities, compliance risk assessments, developing policies and… more
- Elevance Health (Grand Prairie, TX)
- …payment. + Researches new healthcare related questions as necessary to aid in investigations . + Collaborates with the Special Investigation Unit and other ... **Clinical Fraud Investigator Senior ** **Location:** _Hybrid1:_ This role requires associates be...clinical evaluation of the collected data. + Performs in-depth investigations on identified providers as warranted. + Examines claims… more
- USAA (Plano, TX)
- …claims, and provide expert advice. Conducts review of complex healthcare fraud investigations and providing claims support + Medical Coding Proficiency: At ... our members. Be part of what truly makes us special and impactful. **The Opportunity** USAA Life Company's Claim...assistance to all investigators and claims with regards to coding issues and investigations with deep understanding… more