- Highmark Health (Austin, TX)
- …staff, physicians and appropriate individuals. (20%) + Validates the ICD-CM, ICD-PCS, CPT and HCPCS Level II code and modifier systems, missed secondary diagnoses ... appropriate payor specific groups consisting of ICD-CM ICD-PCS and CPT codes for diagnoses and procedures and calculates the...processes as it relates to the DRG/APC and other clinical data quality management factors. With technical direction and… more
- Banner Health (TX)
- …patient care. POSITION SUMMARY This position evaluates medical records, provides clinical and surgical abstraction for full range of complex and/or multispecialty ... edits as appropriate. Reconciliation of charges as required. 2. Abstracts clinical diagnoses, procedure codes and documents other pertinent information obtained from… more
- Houston Methodist (Houston, TX)
- …utilizing the established physician query process. Provides assistance to Clinical Documentation Management Program (CDMP) with appropriate MS-DRG and APR-DRG ... Case Management and Patient Access Departments in providing appropriate CPT codes for pre-admission and pre-certification requirements including the inpatient… more
- Banner Health (TX)
- …care. POSITION SUMMARY This position is responsible for the interpretation of clinical documentation completed by the health care team for the health record(s) ... and for quality assurance in the alignment of clinical documentation and billing codes. Works with clinical documentation improvement and quality management… more
- Methodist Health System (Dallas, TX)
- …Shift :** **Job Description :** Your Job: The Medical Authorization Specialist professional responsible for verification of medical coverage, along with ... equivalent. Some college preferred * 1 year of prior clinical and/or insurance experience. * Knowledge of billing practices...policies and procedures. * Knowledge of ICD-9, ICD-10 and CPT codes for clinic operating policies. * Strong proficiency… more
- Catholic Health Initiatives (Houston, TX)
- …Pharmacy Technician functions in an advanced practice role as a pharmacy specialist within the pharmacy and on interdisciplinary teams. The Lead Certified Pharmacy ... medication diversion + Responds to data requests from other clinical and/or regulatory departments + Assists in implementation of...with the Texas State Board of Pharmacy + Active CPT -EXCPT or CPT -PTCB or CPHT certification in… more
- Veterans Affairs, Veterans Health Administration (Corpus Christi, TX)
- …diagnosed with PTSD. In their primary role as a PTSD specialist , psychological services may include conducting assessments, delivering psychotherapy (in individual ... regarding Veteran care issues. Administrative Responsibilities: 1. May have clinical program management responsibilities, which include the operation and management… more
- Cardinal Health (Austin, TX)
- …Revenue Cycle Management manages a team focused on a series of clinical and administrative processes that healthcare providers utilize to capture, bill, and ... system, including the accurate loading and mapping of fee schedules, effective CPT code management, the upkeep of the ICD-10 diagnosis directory, and insurance… more
- Evolent (Austin, TX)
- …financial scope within Evolent Specialty Services. Reporting to the Director, Clinical Informatics, this role is responsible for acquiring, synthesizing, and ... (UM) agreements. This important work is achieved through collaboration across the clinical , operations, product and technical teams. **What You Will Be Doing:** This… more
- Covenant Health (Lubbock, TX)
- …supervision, coordinates the processing, review and application of ICD-10 coding rule sets, CPT and HCPCS codes to medical records based on documentation provided by ... the providers and adheres to coding compliance for a specified clinical area. Providence caregivers are not simply valued - they're invaluable. Join our team at… more