- CenterWell (Austin, TX)
- …The IPA Coding Leader manages a diverse team responsible for ensuring clinical documentation supports accurate coding and is reflective of the disease ... prevalence within the population. The IPA Coding Leader partners with IPA strategic partners to develop market-specific strategies to promote accurate clinical … more
- Evolent (Austin, TX)
- …the mission. Stay for the culture. **What You'll Be Doing:** Seeking a detail-oriented ** Clinical Rules Management, Associate Director ** who will play a ... role in ensuring the accuracy and integrity of our clinical rule engine, impacting our clinical review...excellent interpersonal skills + Knowledge of ICD-10-CM and CPT coding assignments for billing in an outpatient or physician… more
- Humana (Austin, TX)
- …these may require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and ... community and help us put health first** The Medical Director relies on medical background and reviews health claims....is assisted by diverse resources which may include national clinical guidelines, CMS policies and determinations, clinical … more
- MD Anderson Cancer Center (Houston, TX)
- …students, trainees, professionals, employees and the public. The primary purpose of the Director , s for Hospital Billing and Collections is to manage and coordinate ... billing (ie, cellular therapy). This includes the evaluation and appeal of both clinical and technical denials. Position ensures that all processes within HB Billing… more
- Humana (Austin, TX)
- …these may require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and ... of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations… more
- CenterWell (San Angelo, TX)
- …calls from the field staff and assisting with weekly case conferences. Refers clinical questions to Branch Director as necessary. + Maintains the client ... productivity / geographic issues and forwards schedule to Branch Director for approval prior to distribution to staff. +...internal transfer of patients between branch offices. + If clinical , receives lab reports and assesses for normality, fax… more
- CenterWell (Fort Worth, TX)
- …professional and personal lives. We promote lifelong well-being by giving our associate fresh perspective, new insights, and exciting opportunities to grow their ... care team through daily huddles. . Helps Regional Medical Director (RMD), Physician and Center Administrator in setting a...manner working with a quality- based coder to optimize coding specificity. . Follows policy and protocol defined by… more
- CenterWell (Arlington, TX)
- …professional and personal lives. We promote lifelong well-being by giving our associate fresh perspective, new insights, and exciting opportunities to grow their ... care team through daily huddles. + Helps Regional Medical Director and Center Administrator in setting a tone of...manner working with a quality- based coder to optimize coding specificity. + Follows policy and protocol defined by… more
- CenterWell (San Antonio, TX)
- …expertise with the care team through daily huddles. + Helps Regional Medical Director and Center Administrator in setting a tone of cooperation in practice by ... manner working with a quality- based coder to optimize coding specificity. + Follows policy and protocol defined by... specificity. + Follows policy and protocol defined by Clinical Leadership. + Meets with RMD about quality of… more
- CenterWell (Beaumont, TX)
- …expertise with the care team through daily huddles. . Helps Regional Medical Director and Center Administrator in setting a tone of cooperation in practice by ... manner working with a quality- based coder to optimize coding specificity. . Follows policy and protocol defined by... specificity. . Follows policy and protocol defined by Clinical Leadership. . Meets with RMD about quality of… more
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