- Highmark Health (Austin, TX)
- …and ensures compliance with DRG/APC structure and regulatory requirements. Performs periodic claim form reviews to check code transfer accuracy from the abstracting ... or Outpatient): Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS) + AAPC Credentials (Outpatient): Certified Professional Coder… more
- CenterWell (Athens, TX)
- …Update HCHB and computer programs as appropriate. . Complete End of Period claim workflow as part of Billing Specialist responsibilities. This includes ... team at the branch to ensure other billing requirements are satisfied to release claims timely. . Adhere to and participate in Agency's mandatory HIPAA / Privacy… more
- UIC Government Services and the Bowhead Family of Companies (San Antonio, TX)
- …+ Management Analyst + Application Engineer + Application Programmer + IT Help Desk Specialist + Systems Engineer + Sr. Systems Engineer + Cable and Wire ... Specialist + Systems Administrator + Video Telecommunication ...characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq.,… more
- Houston Methodist (Houston, TX)
- …and capture potential revenue opportunities. This position performs quality assurance, detailed claims analysis and medical record reviews of complex claims and ... FUNCTIONS** + Conducts risk-based and baseline reviews of complex and escalated claims or records in a timely manner, evaluates corrective actions and processes… more
- Elevance Health (Grand Prairie, TX)
- …and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes and audits claims ... applicable state(s). + Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5… more
- Aramco Services Company (Houston, TX)
- …audit program. + Consults with the Audit Manager or Accounting Staff Specialist concerning the subject of an assigned audit, scheduled completion date, assistants ... and researches evidence/documents to analyze the overall fact pattern of claim and synthesize data into a professional report with recommendations. Interviews… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Sr Utilization Review Specialist Nurse (URSN) position is a licensed registered nurse (RN) responsible for promoting the achievement of ... all objectives delineated in the Utilization Review Nurse and Utilization Review Specialist Nurse job roles and is responsible for facilitating appropriate length of… more
- NTT America, Inc. (Houston, TX)
- …people who work here. NTT DATA, Inc. currently seeks a "TEMP BPO Senior Specialist **"** to join our team. **Client's business problem to solve?** Our client ... per the requirement and according to defined business rules of new claims processing platform. + Evaluation of Configuration Requirement and Formulation of… more
- Ascension Health (Pflugerville, TX)
- …health records for purposes of document retrieval, analysis and claim processing. **Responsibilities:** + Abstract pertinent information from patient records. ... + One or more of the following required: + Certified Coding Specialist (CCS) credentialed from the American Health Information Management Association (AHIMA)… more
- Methodist Health System (Dallas, TX)
- …Manager in this role is responsible for of the oversight of 16-20 AR Specialist and a Team Lead. Setting and achieving performance goals by fostering teamwork, ... + Certifications: Certification through HFMA, AAHAM, or Epic (PB Resolute or Claim Edit) required for new hires; encouraged for incumbents. Your Job… more