- CVS Health (Austin, TX)
- …for predetermination reviews ad reviews of claim determinations, providing clinical , coding , and reimbursement expertise. **Required Qualifications** * ... directing case management. In this role you will provide clinical expertise and business direction in support of medical...in support of medical management programs through participation in clinical team activities You'll act as lead business and… more
- HCA Healthcare (San Antonio, TX)
- …of modifiers and condition codes, as appropriate. + Identify charging, chargemaster coding , or clinical documentation issues and work with appropriate leadership ... Services Center, and ancillary department directors regarding charging issues, clinical documentation issues and revenue opportunities. Provides charge review… more
- Ascension Health (Waco, TX)
- …revenue cycle operations, revenue cycle informatics, surgical nursing, or hospital coding preferred. Preferred Clinical Experience: + Applied direct patient ... supported coded diagnoses, procedures, and charges. + Served as a clinical resource for coding and billing teams, bridging the gap between bedside care and… more
- Ascension Health (Waco, TX)
- …revenue cycle operations, revenue cycle informatics, surgical nursing, or hospital coding preferred. Preferred Clinical Experience: + Applied direct patient ... supported coded diagnoses, procedures, and charges. + Served as a clinical resource for coding and billing teams, bridging the gap between bedside care and… more
- UTMB Health (Galveston, TX)
- …+ Experience in clinical research, ideally with a background in clinical research medical billing and coding **JOB SUMMARY** Provides centralized ... Clinical Trials Coverage Analyst (Research Administration - Galveston)...- Galveston) **Galveston, Texas, United States** Research Academic & Clinical UTMB Health Requisition # 2505124 **EDUCATION & EXPERIENCE**… more
- Houston Methodist (Houston, TX)
- …Makes recommendations for resolution. Pursues appeals when available. Initiates communication with coding team and clinical staff when coding related, ... service and communication skills. + Epic and Hospital experience + ICD10 Billing/ Coding + Timely responses to patient account inquires. + Confidentiality practices… more
- Houston Methodist (Cypress, TX)
- …+ Collaborates in the governance over development of physician order entry, bar coding , clinical decision support, safe medication delivery, and other devices in ... is responsible for implementing the HM vision and strategy for excellence in clinical quality outcomes, value, and patient safety. The CQO position collaborates with… more
- Intermountain Health (Austin, TX)
- …of the complexity and severity of illness of patients through improved clinical documentation and diagnostic coding practices. Job Essentials Reviews medical ... **Job Description:** The goal of the Clinical Documentation Specialist-Auditor is to improve the accuracy...coding staff. Minimum Qualifications Bachelor's degree in a clinical field (eg RN, RRT, PT, OT, SLP, LCSW).… more
- Health Care Service Corporation (Harlingen, TX)
- …this position is responsible for conducting provider trainings on health plan coding initiative guidelines and requirements of the Risk Adjustment program to ensure ... correct coding and documentation. This position will customize presentations to...to educate providers and staff and develop relationships with clinical providers and staff. This position will also research… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Coding Quality Auditor position is responsible for ensuring accuracy in code assignment of diagnosis and procedure to outpatient and/or ... This position performs data quality review to ensure data integrity, coding accuracy, and revenue preservation. Additional duties include participating in quality… more
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