- Houston Methodist (The Woodlands, TX)
- …to meet needs related to unanticipated patient volume + Ability to review clinical documentation for Medical Necessity and payer requirements + Working knowledge ... as directed. + Initiates authorization for services as needed utilizing clinical information provided by the ordering physician. Monitors and tracks authorizations,… more
- Dallas Behavioral Healthcare Hospital (Desoto, TX)
- …industry-standard guidelines for CPT, ICD-9 and ICD-10. + Answer coding questions + Review clinical documentation to ensure it meets the level of CPT codes and ... appropriate personnel. + Follows through and investigates missing charts. + Clarify documentation with the Physician and Director as needed. + Completes reports and… more
- Baylor Scott & White Health (Temple, TX)
- …priorities to patients and other hospital personnel, as requested. + Provides clinical documentation of patient information. **Key Success Factors** + Master's ... families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are:… more
- Evolent (Austin, TX)
- …Assurance (NCQA) guidelines. + Aids and acts as a resource to Initial Clinical Reviewers. + Ensures documentation of all communications with medical office ... seek to connect the pieces of fragmented health care system and ensure people get the same level of...to make a difference in patients lives, in a non- clinical environment. You can enjoy better work- life balance… more
- Evolent (Austin, TX)
- …Assurance (NCQA) guidelines. + Aids and acts as a resource to Initial Clinical Reviewers. + Ensures documentation of all communications with medical office ... seek to connect the pieces of fragmented health care system and ensure people get the same level of...to make a difference in patients lives, in a non- clinical environment. You can enjoy better work- life balance… more
- Evolent (Austin, TX)
- …Assurance (NCQA) guidelines. . Aids and acts as a resource to Initial Clinical Reviewers. . Ensures documentation of all communications with medical office ... seek to connect the pieces of fragmented health care system and ensure people get the same level of...to make a difference in patients lives, in a non- clinical environment. You can enjoy better work- life balance… more
- Houston Methodist (Houston, TX)
- …based on evaluation of the patient's condition, supported by accurate documentation . Utilizes clinical judgement, using an evidence-based analytical approach. ... the Competent to Proficient stage of Benner's model of clinical practice. The Staff RN position provides professional nursing...system - one of the nation's leading health systems - the Primary Care Group offers efficient access… more
- Evolent (Austin, TX)
- …Assurance (NCQA) guidelines. + Aids and acts as a resource to Initial Clinical Reviewers. + Ensures documentation of all communications with medical office ... seek to connect the pieces of fragmented health care system and ensure people get the same level of...to make a difference in patients' lives, in a non- clinical environment. You can enjoy better work- life balance… more
- Houston Methodist (Houston, TX)
- …specific protocols/plans and processes. The Regulatory Compliance Specialist position maintains documentation for clinical research studies, case report forms ... of regulatory and/or important safety related issues. + Perform high quality clinical review of regulatory forms and associated documentation (during internal… more
- Baylor Scott & White Health (Rockwall, TX)
- …forms related to notification and authorization. + Coordinates the submission of clinical documentation from physicians to payers for authorization needs. + ... families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are:… more