- Covenant Health (Lubbock, TX)
- …Provides coding education including but not limited to: Patient Representatives, Billing /Collection Specialists, and/or clinical providers in an effort to ensure ... compliance and capture appropriate revenues. Assures timely data entry for billing or auditing purposes and performs quality checks of billing information in the… more
- Houston Methodist (Katy, TX)
- …to include but not limited to: medical coding, insurance billing , collections, patient account resolution, appeals/denials, customer service, cash applications, ... Access Services, and Utilization Review as needed to ensure operational billing compliance with government/regulatory agencies and the Medicare and Medicaid… more
- Methodist Health System (Dallas, TX)
- …or equivalent; some college credit; Bachelor's degree preferred. Certified Professional Coder ( **CPC** ) certification from AAPC **or** Certified Coding Specialist ... record. **Your Job Responsibilities** : **_Duty 1_** : Audit coder I & II assigned E&M levels and surgical/procedural...concern to assure documentation standards are being met for billing /coding purposes. **_Duty 4_** : Assist in training and… more
- HCA Healthcare (Arlington, TX)
- …Educator, in collaboration with CQR leadership, will work to identify opportunities for coder education via coder reviews, stakeholder feedback, and review of ... educational needs and delivery of coding education at individual or group coder level. + Analyze training course evaluations, and recommend appropriate action to… more
- Highmark Health (Austin, TX)
- …activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code ... which supports compliant coding. Interacts with external consultants regarding billing , coding and/or documentation and evaluates their recommendations and/or… more
- HCA Healthcare (Arlington, TX)
- …reporting of results to enhance quality outcomes. You will prepare and provide coder specific education based on audit outcomes and trends. Additionally, you will ... + Responsible for analyzing weekly/monthly quality data to identify trends by vendor and coder /auditor that need to be addressed + Prepares and presents coder … more
- Cardinal Health (Austin, TX)
- …supervises and manages audits to determine organizational integrity of billing for professional (physician) services and/or hospital (technical) services, including: ... detection and correction of documentation, coding, and billing errors and/or medical necessity of services billed. Particular areas of focus include: evaluation of… more
- HCA Healthcare (El Paso, TX)
- …process issues + Monitors monthly quality scores by vendor and individual coder ; recommends vendor coding personnel to be placed under Quality Improvement Plan ... resources to assure coding knowledge and skills remain current + Ensures coder and VRM staff is in compliance with HCA/Parallon HIM educational requirements… more
- Highmark Health (Austin, TX)
- …hospital or health insurance setting + 1 year in professional billing , facility Patient Financial Services, HIM, Internal Audit, Professional/Facility Reimbursement ... (any of the following) + Certified Fraud Examiner (CFE) + Certified Professional Coder (CPC) + Certified Outpatient Coder (COC) + Accredited Healthcare Fraud… more
- Elevance Health (Houston, TX)
- …and/or CCS as a Certified Coding Specialist and/or CIC as a Certified Inpatient Coder . + Requires 5 years of experience working with ICD-9/10CM, MS-DRG, AP-DRG and ... quality assurance environment preferred. + Broad knowledge of medical claims billing /payment systems provider billing guidelines, payer reimbursement policies, … more
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