- Houston Methodist (Sugar Land, TX)
- At Houston Methodist, the Senior Denials Management Specialist position is responsible for performing utilization review activities, and monitoring the clinical ... denial management and appeals process, as applicable, in collaboration...and denials for no authorization. The Senior Denials Management Specialist position communicates clinical information utilizing various resources and… more
- Houston Methodist (Houston, TX)
- …monthly billing staff meetings as appropriate. + Pursues ongoing professional growth and development to maintain coding certification while remaining current on ... for coordinating and monitoring the coding-specific clinical charges and denial management and appeals process in a collaborative environment...of the following: + * CCS - Certified Coding Specialist (AHIMA) + * CPC - Certified Professional… more
- Datavant (Austin, TX)
- …tools. The specialist serves as a key liaison between coding, billing , utilization review, case management, and payer relations to reduce denials and improve ... manage denials throughout the entire revenue cycle, including registration, eligibility, coding, billing , and medical necessity. + Analyze denial trends and root… more
- Molina Healthcare (San Antonio, TX)
- …**Preferred Qualifications** * Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional ... of member services in alignment with state, federal, accrediting, and billing /coding guidelines and regulations. Contributes to overarching strategy to provide… more
- Texas Health Resources (Arlington, TX)
- …Certified Coding Specialist Upon Hire Required Or CPC - Certified Professional Coder Upon Hire Required Skills Strong understanding of leadership principles and ... Manager oversees and manages auditing and monitoring activities related to billing and coding compliance. This role is responsible for developing policies,… more