- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …expert to support leadership and clinical departments on physician documentation , CMS regulations, workflows and related coding issues. Provides direct ... + Determines educational needs for physicians, residents, students and coding staff on reimbursement and documentation rules...departmental coding and billing results/activities. Assist the Coding Director with daily tasks to keep… more
- Texas Health Resources (Arlington, TX)
- …to providers, HIMS, the Central Billing Office, and other departments regarding coding compliance, documentation standards, and applicable federal, state, and ... on billing and documentation procedures, addressing conflicting or vague documentation issues. Recommend coding education, training, and best practices for… more
- Houston Methodist (Houston, TX)
- …Develops and reports performance metrics for assigned area under the direction of the Coding Operations Director . + Ensures that coding is performed ... communicates to service areas; tracks, trends, and reports these issues to the Coding Operations Director . **FINANCE ESSENTIAL FUNCTIONS** + Assists in the… more
- HCA Healthcare (Houston, TX)
- …processes and workflow, including but not limited to, practice acquisitions, provider clinical documentation improvement, practice coding processes, and ... and documentation improvement education to Providers. + Assists the Director Coding Operations Division Support in reviewing progress against business case… more
- Humana (Austin, TX)
- …these may require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation , grievance and appeals processes, ... community and help us put health first** The Medical Director relies on medical background and reviews health claims....is assisted by diverse resources which may include national clinical guidelines, CMS policies and determinations, clinical … more
- Humana (Austin, TX)
- …which may require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation , dispute, grievance, and appeals ... Director , depending on the line of business. The Medical Director conducts Utilization Management or clinical validation of the care received by members in an… more
- Humana (Austin, TX)
- …discussions with an external provider. Some roles include an overview of coding practices and clinical documentation , dispute/grievance and appeals ... of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations… more
- MD Anderson Cancer Center (Houston, TX)
- …work assignments and issues, progress on projects, etc. Conducts regular meetings with Clinical Coding Ops to maintain review and resolve charge capture issues ... employees and the public. *Anesthesiology, Critical Care, and Pain Medicine - Clinical has a Supervisor, Charge Capture opportunity. The ideal candidate will have… more
- Fresenius Medical Center (Paris, TX)
- …requirements. Ensure provision of quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory ... and FMS patient care and administrative policies as the clinical leader, has the authority to make daily decisions...for unexcused and missed treatments in collaboration with the Director . + Plans, coordinates and acts as the liaison… more
- Datavant (Austin, TX)
- …for accurate DRG and APC assignment. + Review non-CC/MCC records to assess proper coding or identify the need for additional documentation . Scrutinizes all HCPCS ... audits. + Develop and implement education for physicians, nursing, and other clinical staff to enhance documentation . + Communicate effectively with co-workers,… more