- Houston Methodist (Sugar Land, TX)
- …DRG recoupments/downgrades, and denials for no authorization. The Senior Denials Management Specialist position communicates clinical information ... opportunities to both operational and clinical stakeholders. The Senior Denials Management Specialist position collaborates with physicians, case managers,… more
- HCA Healthcare (Plano, TX)
- …opportunity. We want your knowledge and expertise! **Job Summary and Qualifications** The Clinical Denials Coding Review Specialist is responsible for ... **Introduction** Do you have the career opportunities as a Clinical Denial Coding Review Specialist you want...as it relates to researching, analyzing, and resolving outstanding clinical denials and insurance claims. This job… more
- Datavant (Austin, TX)
- …realize our bold vision for healthcare. The purpose of the Denial Prevention Specialist is to effectively defend utilization of available health services, review of ... recognized medical necessity criteria and standards of care, along with clinical knowledge and expertise successfully. Ideal candidate should be a Licensed… more
- Texas Health Resources (Arlington, TX)
- …with a top-notch health care company? We're looking for a qualified_ Coder II ( Denials ) _like you to join our Texas Health family._ Position Highlights + Work ... Certified Professional Coder Upon Hire REQUIRED or CCS-P - Certified Coding Specialist - Physician-based Upon Hire REQUIRED and Other Specialty certification such as… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Revenue Cycle Specialist is responsible for providing direct and indirect revenue cycle support to the Revenue Cycle Managers. It is ... identified by the Revenue Cycle Managers. In addition, the Revenue Cycle Specialist is responsible for resolving all outstanding third-party primary and secondary… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Utilization Review Specialist Nurse (URSN) position is a licensed registered nurse (RN) who comprehensively conducts point of entry and ... of entry, observation progression of care management, concurrent review and denials reviews. Additionally, the URSN will prospectively or concurrently determines the… more
- System One (Frisco, TX)
- Job Title: Revenue Cycle Specialist Location: Frisco & Carrollton, Texas (Onsite) Hours/Schedule: Full-time, Monday-Friday Type: Direct Hire Overview A growing ... and Carrollton areas is seeking an experienced Revenue Cycle Specialist to join their team. This role plays a...EEG, etc.). + Generate monthly reports on collections, aging, denials , and AR performance for leadership review. + Collaborate… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- **43114BR** **Extended Job Title:** Coding Specialist **Org Level 1:** Texas Tech Unv Hlth Sci Ctr El Paso **Position Description:** Review medical record provider ... staff on documentation and coding guidelines. + Reviewing medical coding claim denials for correction and appeals within the AthenaIDX and Enterprise Task Manager… more
- TEKsystems (San Antonio, TX)
- …issues with non-covered chemotherapy drugs. * Updates coding/payer guidelines for clinical staff. Tracks pathways and performs various other business office ... or alternative resources for non-covered chemotherapy services to prevent payment denials . Provides a contact list for patients community resources including special… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …Act as consultant and subject matter expert to support leadership and clinical departments on physician documentation, CMS regulations, workflows and related coding ... direct oversight of daily coding operations while also performing coding specialist functions. **Requisition ID:** 42720BR **Travel Required:** Up to 25%… more