- Houston Methodist (Houston, TX)
- At Houston Methodist, the Director Managed Care Contracting position is responsible for the development, negotiation, maintenance and payer relations of the Houston ... payment contracts, quality metric bonus program and risk contracts. The Director position responsibilities include overseeing the activities of the department staff,… more
- Caris Life Sciences (Irving, TX)
- … for audit readiness, including appeal tracking, letter history, and supporting clinical or legal documentation . **Required Qualifications** + Bachelor's degree ... Caris Life Sciences is seeking an experienced and strategic Director of Billing Operations - Appeals to lead the...appeal workflow tailored to the unique requirements of Caris's clinical and scientific offerings. + Monitor appeal success rates,… more
- HCA Healthcare (Austin, TX)
- …that number growing to nearly 8,000 by 2028. The Central/ West Texas Division Director of Research Administration will lead a team of research support personnel in ... translating clinical needs into analytic questions, design and conduct rigorous...Contribute to the development of training, tools, and process documentation for both the department and for assigned projects… more
- Fresenius Medical Center (Houston, 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
- Dallas Behavioral Healthcare Hospital (Desoto, TX)
- …procedures consistent with the industry-standard guidelines for CPT, ICD-9 and ICD-10. + Answer coding questions + Review clinical documentation to ensure it ... notifies appropriate personnel. + Follows through and investigates missing charts. + Clarify documentation with the Physician and Director as needed. + Completes… more
- HCA Healthcare (San Antonio, TX)
- …to HIM Department for coding transmittal. 6. Periodically audits PAI, clinical documentation and billing information to ensure accuracy and consistency of ... of co-morbid conditions. Essential Job Functions: 1. Thoroughly researches clinical documentation for evidence of co-morbid conditions. Verifies accuracy… more
- Methodist Health System (Dallas, TX)
- … clinical documentation to ensure compliance with CMS billing and coding regulations. 7: Collaborate with GME clinical and administrative leadership in ... Under the direction of the Obstetrics & Gynecology Program Director , support the clinical supervision and educational...and quality of care provided by trainees in assigned clinical settings. Review clinical documentation … more
- HCA Healthcare (Kingwood, TX)
- …information.** **Job Responsibilities:** **Coordinate IRF-PAI Function:** + **Thoroughly researches clinical documentation for evidence of co morbid conditions. ... care needs of the patient.** + **Periodically audits PAI, clinical documentation and billing information to ensure...and billing information to ensure accuracy and consistency of documentation .** + **Assists the Rehab Program Director … more
- Sunny Springs Nursing Center (Sulphur Springs, TX)
- …within State, Federal and HIPPA regulations: Subpoena in conjunction with the Director of Clinical Compliance, Correspondence - including legal, Access to ... skilled nursing facility or healthcare related field. * Experience with ICD coding preferred. * Knowledgeable of medical terminology, laws, and regulations, as they… more
- Elara Caring (Dallas, TX)
- …of focus for audits will include, but are not limited to eligibility, billing, coding , and clinical documentation . Duties of the Billing Compliance Auditor ... coding experience is preferred + Certified Homecare Coding Specialist (HCS-D) and/or Certified OASIS Specialist- Clinical ...to perform job tasks You will report to the Director of Compliance Audit. _This is not a comprehensive… more