- Houston Methodist (Houston, TX)
- …with physicians, nursing staff, other patient care givers, and medical records coding staff to ensure that appropriate reimbursement is received for the level ... + Educates all internal customers on clinical documentation opportunities, coding , and reimbursement issues, as well as performance improvement methodologies… more
- HCA Healthcare (San Antonio, TX)
- …rollover assistance services and preferred banking partnerships + Education assistance (tuition, student loan, certification support, dependent scholarships) ... clinical documentation for evidence of co-morbid conditions. Verifies accuracy of coding under direction of attending Rehab physician. 2. Responsible for staff… more
- PNC (Dallas, TX)
- …across teams, mentor junior developers, and ensure adherence to architectural and coding standards . Coaching/mentoring other software engineers on the team Due to ... OpenShift(OCP), SonarQube . Compliance & Security: Audit ready workflows and securing coding PNC will not provide sponsorship for employment visas or participate in… more
- Molina Healthcare (San Antonio, TX)
- …**Required Education ** Associates degree. **Required Experience** 3 Years in coding and medical record chart review and experience with risk adjustment data ... of risk adjustment payment in all markets * Performs monthly audit on internal Molina Coding Specialists * Audits external Molina Vendors. **Job Qualifications**… more
- Intermountain Health (Austin, TX)
- …the chargemaster as needed. This position will train and mentor teammates, provide education and guidance to revenue cycle and clinical teams, and assists with ... and state regulations, payor guidelines, ensuring compliance and alignment with charge, coding and charge edits including end of year CPT/HCPC changes and updates… more
- Elevance Health (Grand Prairie, TX)
- …as necessary to aid in investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations. + Collaborates with the ... Requires a AA/AS and minimum of 4 years medical coding /auditing experience, including minimum of 1 year in fraud,...in fraud, waste abuse experience; or any combination of education and experience, which would provide an equivalent background.… more
- PNC (Dallas, TX)
- …Ensures that expected application performance levels are achieved. Coordinates coding , testing, implementation and documentation of application solutions. * Performs ... complex application programming activities including, coding , testing, debugging, documenting, maintaining, and modifying complex applications programs. PNC will not… more
- Elara Caring (Fort Worth, TX)
- …focus for audits will include, but are not limited to eligibility, billing, coding , and clinical documentation. Duties of the Billing Compliance Auditor include but ... plan; (2) ensuring accuracy of such audits; (3) providing education to agency personnel based on audit results; (4)...a Registered Nurse in Home Health and/or Hospice with coding experience is preferred + Certified Homecare Coding… more
- CVS Health (Austin, TX)
- …needs and requirements to internal CVS Health teams such as Benefits Coding and Quality Analysis + Facilitating internal and external meetings and presentations ... Qualifications** + 1 plus years of experience in benefit plan design/ coding /testing/account management, or related field **Preferred Qualifications** + 3 plus years… more
- CVS Health (Austin, TX)
- …for analyzing client requests and performing the necessary specialty benefits coding and quality assurance activities. You'll work alongside other benefit coders, ... to details is important for this role, as you're coding and quality assurance activities will impact clients at...will depend on a variety of factors including experience, education , geography and other relevant factors. This position is… more