- Elevance Health (Houston, TX)
- …recognizing aberrant coding and documentation patterns such as inappropriate billing for readmissions, inpatient admission status, and Hospital-Acquired Conditions ... Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or… more
- Elevance Health (Houston, TX)
- …Technician, CCS as a Certified Coding Specialist, CIC as a Certified Inpatient Coder , or Certified Clinical Documentation Specialist (CCDS). + Requires minimum of 10 ... environment preferred. + Broad, deep and niche knowledge of medical claims billing /payment systems provider billing guidelines, payer reimbursement policies, … more
- Molina Healthcare (Dallas, TX)
- …or is likely to be made, to ensure medical necessity and appropriate/accurate billing and claims processing. + Reevaluates medical claims and associated records by ... applicable software program(s) proficiency. **PREFERRED QUALIFICATIONS:** + Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …Profressional Coder ), CCS (Certified Coding Specialist), or CBCS (Certified Billing and Coding Specialist) **Does this position work in a research laboratory?:** ... Auditor Manager + Participate in the development of coding and billing strategies, evaluating processes related to Revenue Cycle andmaking recommendations while… more
- Kelly Services (Temple, TX)
- …documentation clarification. + Collaborate with clinicians and claims staff regarding coding and billing issues. + Maintain an accuracy rate of 95% or higher for ... ) + Registered Health Information Administrator ( **RHIA** ) + Certified Professional Coder ( **CPC** ) + Expertise in ICD-10-CM, CPT, HCPCS coding. + Familiarity… more
- Highmark Health (Austin, TX)
- …member satisfaction. Will be expected to identify potential discrepancies in provider billing practices and intervene for resolution and education or if necessary ... or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Medical Coder or related **SKILLS** + Demonstrated ability to solve issues that… more
- Molina Healthcare (Fort Worth, TX)
- …projects, and other state specific audit projects and deliverables related to accurate billing and coding. This role also works with the Health Plan Risk/Quality ... Nursing License (RN may be preferred for specific roles) * Certified Risk Adjustment Coder (CRC) To all current Molina employees: If you are interested in applying… more
- Houston Methodist (Houston, TX)
- …with pre-billed claim edits to ensure complaint coding, charting and billing . **GROWTH/INNOVATION ESSENTIAL FUNCTIONS** + Designs, implements, and monitors effective ... is required **LICENSES AND CERTIFICATIONS - PREFERRED** + CPC-I - Certified Professional Coder Instructor (AAPC) -- (CBO Coders only) **OR** + CPMA - Certified… more