- Highmark Health (Austin, TX)
- …policies, both developed internally and by vendors. This includes the writing of clinical criteria based on research, engagement of clinical and non- clinical ... guidelines. The incumbent must have an understanding of medical coding (ICD-10, CPT, HCPS) as medical coding ...incumbent participates in various work-groups and sub-committees as a clinical lead/expert. Trains and orients new staff to the… more
- HCA Healthcare (Pasadena, TX)
- …The Senior Revenue Integrity for Cath Lab and Interventional Radiology Coding Specialist plays a critical role in ensuring Cardiovascular and Interventional ... Senior RI Charge Specialist educates specialty physicians and facility departments on coding and billing practices. Consults with IT&S, EHR Specialists, and CDM… more
- HCA Healthcare (San Antonio, TX)
- …to complete the PAI. Submits completed IRF PAI to HIM Department for coding transmittal. 6. Periodically audits PAI, clinical documentation and billing ... of the Patient Assessment Instrument for each rehabilitation inpatient. This individual provides clinical support in completion of data contained in the PAI for each… more
- Integrative Emergency Services (Dallas, TX)
- …Cerner, and Allscripts. + Certification in one of the following: Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Clinical Documentation ... related to specialty service lines, including but not limited to change capture, coding , billing, collections, denials, and appeals. + Serve as a liaison between… more
- Providence (TX)
- …Specialist shall ensure that the Chargemaster (CDM) is consistent with all coding and billing regulations and accurately represents services provided. The Senior CDM ... for the training of Hospital ministry staff regarding the CDM Maintenance process, coding updates and charge capture improvement. The Senior CDM Specialist acts as a… more
- CVS Health (Pasadena, TX)
- …Scribe) at Oak Street Health is to support our primary care providers with clinical documentation so that they can focus on providing exceptional care to our ... Beyond the typical Scribe role, these important care team members serve as clinical documentation assistants to their paired provider. Internally, we call them CISs… more
- Houston Methodist (Baytown, TX)
- …respective HM entity. **PeoplePercent_7** + Demonstrates leadership as a clinical resource, inter-professional consultant, and patient advocate. Participates in ... appropriate. + Communicates organizational information and aspects of administrative and clinical practice in a respectful and positive manner when interacting with… more
- Cardinal Health (Austin, TX)
- …**_Job Purpose:_** Revenue Cycle Management focuses on a series of clinical and administrative processes that healthcare providers utilize to capture, bill, ... & payors as needed to obtain updated insurance and/or clinical information. + Submit authorizations for all internal and...patients in accordance with HIPAA standards. + Utilize CPT coding , ICD-10 coding knowledge to accurately document… more
- Houston Methodist (Houston, TX)
- …International Classification of Diseases Tenth Revision (ICD-10), and Healthcare Common procedure Coding System (HCPCS) coding + In depth knowledge of third ... + Creates and submits appeals when necessary. Engages the coding follow-up team for any medical necessity or ...Group enables physicians to maintain autonomy with respect to clinical practice while growing their practice within an academic… more
- Datavant (Austin, TX)
- …our efforts in selling chart retrieval and HCC (Hierarchical Condition Category) coding solutions to risk-bearing providers. This role will be responsible for ... + Develop and execute a sales strategy to grow adoption of HCC coding solutions among risk-bearing providers (eg, health systems, ACOs, provider groups, IPAs). +… more