- Abbott (Plano, TX)
- …Every day, our technologies help more than 10,000 people have healthier hearts, improve quality of life for thousands of people living with chronic pain and movement ... + Timely follow up for requested authorizations. + For each procedure, audit required clinical documents for completeness and accuracy. + Obtain authorization for… more
- Houston Methodist (Katy, TX)
- …of Revenue Cycle, to include but not limited to: medical coding , insurance billing, collections, patient account resolution, appeals/denials, customer service, cash ... cash collections, denials, avoidable write-offs, staff productivity and work quality and credit balances. The manager position responsibilities include managing… more
- City of College Station (College Station, TX)
- …agencies, and balancing daily cash receipts and cash drawer for bank deposit. + Perform quality review of incident reports to ensure report standards are met. + ... for information concerning the police department. + Receive, process, audit , retain and provide a variety of confidential police...Review /classify agency reports for Uniform Crime Reporting (NIBRS and… more
- Ascension Health (Austin, TX)
- …experience preferred. **Additional Preferences** + 5 years RN or 3-5 CDI quality audit experience strongly preferred + Prior adult clinical documentation ... **Details** + **Department: Coding Documentation** + **Schedule: M-F** + **Hospital: Seton...mix index, MS DRG and value-based purchasing reimbursement, and quality /outcomes and compliance requirements. + Manage the review… more
- CVS Health (Austin, TX)
- …Revenue Integrity initiatives. + Responsible for leading the reconciliation of data ( coding review results and medical record images) from different sources, ... support of auditing activities related to vendor reconciliation of coding results and medical record images as well as...to meeting business needs. + Tightly managing vendor data quality and timeliness; ensure data is ingested into CREW… more
- Texas Health Resources (Dallas, TX)
- …than 1,000 physicians, nurse practitioners and physician assistants dedicated to providing quality , patient-safe care at more than 240 offices located throughout the ... AUDITS AND MONITORING: Develop, coordinate and oversee annual internal compliance review and monitoring work plan including processes and controls to provide… more
- Truist (Dallas, TX)
- …English (Required) **Work Shift:** 1st shift (United States of America) **Please review the following job description:** We are seeking a skilled Cloud Data ... / CF teams to architect solutions to meet specific audit issues, controls issues, MRAs, MRIAs, MRBAs and self-identified...to Data Architecture. + Responsible for providing data architecture review and approval for each BU / CF as… more
- BrightSpring Health Services (Austin, TX)
- …and communicating payroll discrepancies to the business center + Collection and review of employee punch correction forms and/or manual timesheets. Obtain applicable ... reports received from the Resource Center to supervisors for review + Collection and review of employee...Center weekly + Process accounts payable invoices including invoice coding to General Ledger Account and locations in Oracle,… more
- Molina Healthcare (Houston, TX)
- …Utilization Management and Long-Term Services & Supports issues. + Identifies and reports quality of care issues. + Prepares and presents cases in conjunction with ... specific programs supported by the plan such as Utilization Review , Medical Claims Review , Long Term Service...pharmacy, etc.). + Experience demonstrating knowledge of ICD-9, CPT coding and HCPC. + Experience demonstrating knowledge of CMS… more
- Prime Therapeutics (Austin, TX)
- …in accordance with procedures or to present to management to recommend for audit or investigation. Serves as a corporate resource on fraud, waste and abuse ... data to find suspicious patterns and outliers using knowledge of healthcare coding conventions, fraud schemes, and general areas of vulnerability. + Contact… more