- University of Texas Rio Grande Valley (Harlingen, TX)
- …service rendered to patients. * Conducts complex reviews of physician/provider billing compliance activities in accordance with applicable laws, regulations, rules ... retrospective audits of documentation to confirm compliance with documentation and billing rules and government regulations. Provides feedback and education related… more
- Texas Health Resources (Arlington, TX)
- …New Hires**_ **Work location:** Remote **Work hours:** Flexible hours **HIMS Coding Department Highlights:** . 100% remote work . Flexible hours/scheduling . ... or Equivalent **REQUIRED** and Other Completion or training in ICD-10-CM/PCS coding program **REQUIRED** Associate's Degree Health Information Management, Nursing or… more
- Texas Health Resources (Arlington, TX)
- …Eligible New Hires** **Work location:** Remote **Work hours:** Flexible hours **HIMS Coding Department Highlights:** . 100% remote work . Flexible hours/scheduling . ... Health information related preferred. . 2 years of inpatient coding in an acute hospital setting required. . Other...procedures that require code and DRG assignment for properly billing inpatient records. . Presents on Admission indicators and… more
- HCA Healthcare (Houston, TX)
- …you will do in this role:** + Conduct reviews of charging, coding , and clinical documentation, collaborating with Corporate Revenue Integrity Leadership during ... of charging activities. + Perform detailed charge audits by verifying billing data against clinical documentation, making necessary corrections in Patient… more
- Catholic Health Initiatives (Houston, TX)
- …regulatory guidance. This role is typically responsible for less complex coding with oversight. Accurately abstracts information from the service documentation, ... appropriate CPT, ICD-9/10, and HCPCS codes into the appropriate billing systems, ensuring compliance with established guidelines. Communicates professionally with… more
- Molina Healthcare (Houston, TX)
- …and state specific policies and regulations in order to identify incorrect coding , abuse and fraudulent billing practices, waste, overpayments, and processing ... errors of claims. ( _Use for claims specific positions only_ ) * Prepares, tracks and provides audit findings reports according to designated timelines * Presents audit findings and makes recommendations to management for improvements based on audit results.… more
- Houston Methodist (Houston, TX)
- …necessary steps or activity to resolve outstanding denials. + Performs appropriate billing functions, including claims resubmission to payors. + Creates and submits ... appeals when necessary. Engages the coding follow-up team for any medical necessity or ...education, etc.) **WORK EXPERIENCE** + Three years of physician billing experience, preferably in a multi-specialty physician practice **LICENSES… more
- UTMB Health (Galveston, TX)
- …five years of related experience. **Preferred Qualifications:** + Medical coding **JOB SUMMARY** Provides centralized administrative review of clinical trial ... informed consent documents, and budgets to ensure Principal Investigators and other billing entities comply with federal and state regulations for clinical research … more
- Molina Healthcare (Austin, TX)
- …chart reviews and abstracts diagnosis codes + Develop an understanding of current billing practices in provider offices to ensure that diagnosis and CPT codes are ... on how to improve their risk adjustment knowledge as well as provide coding updates related to Risk Adjustment + Builds positive relationships between providers and… more
- Baylor Scott & White Health (Dallas, TX)
- …Relative Value Units, etc.) remain updated with all government and commercial payor coding and regulation changes through a system-wide CDM program for all wholly ... capture methodologies and processes in coordination with the BSWH Revenue Cycle, Coding , Corporate Compliance, and Information Services (IS) teams. + Establishes and… more