- Humana (Austin, TX)
- …years of healthcare experience in revenue cycle management (related to billing, coding , collections for Medicare and Medicaid claims) + Experience with Auditing and ... compliance, mainly primary care and risk adjustment, pharmacy knowledge a plus + Certified Coder (CPC, CRC, and/or CMC) + Experience with metrics and reporting… more
- Kemper (Dallas, TX)
- …+ Experience with cloud development practices. + Advanced certifications for coding /development. Current Guidewire Certified Ace preferred. + Demonstrates ... advanced technical skills. Advanced knowledge of a gosu and a good knowledge of related languages. + The ability to provide technical leadership on large/complex application installation, development and support projects; Advanced knowledge of program design… more
- HCA Healthcare (El Paso, TX)
- …Do you want to join an organization that invests in you as a Certified Cancer Registrar? At Parallon, you come first. HCA Healthcare has committed up to ... make a difference. We are looking for a dedicated Certified Cancer Registrar like you to be a part...basis + Follow ACOS and state data standards and coding instructions to abstract all reportable cases + Attend… more
- Molina Healthcare (TX)
- …Medical Surgical, or Pediatrics. Advanced Practice Nursing. Billing and coding experience. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Certified Clinical ... appropriate level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding regulations, and Molina policies; validates the medical record and… more
- San Antonio Behavioral Health (San Antonio, TX)
- The Medical Coder complies with all legal requirements regarding coding procedures and practices. Conducts audits and coding reviews to ensure all documentation ... timely manner. This position will also communicate with insurance companies about coding issues, submit statistical data for analysis and research by other… more
- Veterans Affairs, Veterans Health Administration (San Antonio, TX)
- …(ICD), Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) codes, and various other duties. Responsibilities Duties ... and enter into the appropriate software packages; Timely and accurate coding purpose of visit (diagnoses) including identifying the primary and secondary… more
- Public Consulting Group (Austin, TX)
- …will be performed using the SaaS platform tools, Java, JavaScript, and other coding languages. + Produce clean, efficient code based on defined functional and ... Agile approaches. + Proficient in Java, JavaScript, or other relevant coding languages for system configuration, development, and troubleshooting. + Participation in… more
- Community Health Systems (Corsicana, TX)
- …Specialist I works closely with internal teams, including clinic staff and coding professionals, to optimize billing operations and support revenue cycle efficiency. ... reconciles credit balances, reclassifies revenue, and processes adjustments per transaction coding guidelines. + Monitors and resolves claim denials and rejections,… more
- Datavant (Austin, TX)
- …complexity and severity of a patient's health status. **You will:** + The certified coder reviews, analyzes, and codes diagnostic information in a patient's medical ... The coder will ensure compliance with established ICD-10 CM, DRGs coding guidelines, third party reimbursement policies, regulations, and accreditation guidelines. +… more
- Datavant (Austin, TX)
- …2 Coders, where applicable + Champion documentation improvement opportunities and coding issues, facilitating resolution with relevant stakeholders + Uphold an ... overall 95% coding accuracy rate and a 95% accuracy rate for...Stand Out:** + Associate or Bachelor's degree from an AHIMA- certified HIM or Nursing Program, or completion of a… more
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