- Intermountain Health (Austin, TX)
- …and state regulations, payor guidelines, ensuring compliance and alignment with charge, coding and charge edits including end of year CPT/HCPC changes and updates ... to optimize patient experience and operational success. . **Skills** + Epic + CPT Coding + Healthcare regulations + CMS guidelines + Communication + Data Analysis +… more
- HCA Healthcare (San Antonio, TX)
- …clinical documentation for evidence of co-morbid conditions. Verifies accuracy of coding under direction of attending Rehab physician. 2. Responsible for staff ... to complete the PAI. Submits completed IRF PAI to HIM Department for coding transmittal. 6. Periodically audits PAI, clinical documentation and billing … more
- JPMorgan Chase (Plano, TX)
- …insights that help our clients manage cost of payments and ensuring that their billing is accurate. This includes managing topics such as network fees, rules, new ... discrepancies + Overseeing the governance for correct pricing and billing of interchange and payment brand fees + Identifying...and interchange + Working knowledge of Analytical Tools / Coding (Tableau, SQL, Python) + Prior Merchant Services or… more
- Elevance Health (Grand Prairie, TX)
- …and post implementation audits of providers, claims processing and payment, benefit coding , member and provider inquiries, enrollment & billing transactions and ... organizations within the enterprise. Included are processes related to enrollment and billing and claims processing, as well as customer service written and verbal… more
- Catholic Health Initiatives (The Woodlands, TX)
- …and how they relate to BSLMG (eg electronic medical records, professional billing services, digital sharing of radiographic displays and medical images). 7. Enhances ... 11. Reviews current status of patient accounts to identify and resolve billing /collection and processing problems in a timely manner. 12. Responsible for concurrent… more
- Guidehouse (San Antonio, TX)
- …patient orders within the Oracle Health (Cerner) system, ensuring accurate billing and compliance. + Designing, developing, and maintaining rules, including Discern ... (Cerner) to support clinical and administrative needs, including those related to billing and compliance. + Configuring and managing system alerts, such as Discern… more
- Methodist Health System (Dallas, TX)
- …impact of those topics to Methodist Medical Group practices. * Analyze the coding and payment process to maximize contracted reimbursement. * Administer policies and ... Analyze and develop client forms as needed to improve billing operations. * Tailor operating procedures for billing... billing operations. * Tailor operating procedures for billing and collections based on client desire in consult… more
- UTMB Health (Galveston, TX)
- …**Preferred:** * Certification in healthcare reimbursement, healthcare insurance license, or coding . **ESSENTIAL JOB FUNCTIONS** -Patient Advocacy & Support: * Works ... as needed. -Internal Collaboration: * Work closely with clinical, billing , revenue cycle, and pharmacy teams to ensure all...for patient access. * Stay current on payor policies, coding requirements, and reimbursement trends for gene therapy and… more
- UTMB Health (Galveston, TX)
- …**Preferred Qualifications:** + Medical Practice/Medical Office Management + Medical coding experience; OB/Gyn outpatient and inpatient preferred + Revenue Cycle ... + Charge Capture + Knowledge of coding guidelines + Experience with EPIC **Job Description:** To...Optimization of encounter workflows to ensure accurate and maximum billing and reimbursement by reducing denials and write-offs. +… more
- Guidehouse (San Antonio, TX)
- …of experience in project management + FIVE (5) or more years of Medical Coding experience for like size healthcare organizations with current Medical Coding ... with colleagues, providing feedback and guidance on work performance. + Medical billing experience + PMP or CAPM Certification. + Certified Revenue Cycle… more