- Evolent (Austin, TX)
- …Computer Proficiency + Not under current exclusion or sanction by any state or federal health care program, including Medicare or Medicaid, and is not identified ... Stay for the culture. **What You'll Be Doing:** The Medical Director for MSK Surgery is a key member...General Service Administration (GSA), or reprimanded or sanctioned by Medicare . + No history of a major disciplinary or… more
- CenterWell (Austin, TX)
- …an in-depth understanding of the healthcare industry, including value-based care, Medicare , population health, Accountable Care Organizations (ACOs), medical ... with healthcare industry including value-based care, health plans, health systems, Medicare , accountable care, population health, medical group management /… more
- USAA (San Antonio, TX)
- …benefit structures within the health insurance industry, Medicare or Medicare Supplement preferred. + Proficient knowledge of medical claims coding ... and other agencies as appropriate.As a Mid-Level Life SIU Investigator for ** Medicare Supplement Fraud, Waste, and Abuse** you will support the Life Special… more
- Prime Healthcare (Weslaco, TX)
- …the medical staff, including credentialing, privileging, quality improvement, and compliance with regulatory standards. The director also acts as a liaison ... + Review and approve credentialing and reappointment applications. + Ensure compliance with state and federal regulations and accreditation standards… more
- CenterWell (Austin, TX)
- …a Medicare certified home health agency. + A thorough knowledge of federal regulations and Medicare requirements is required along with analytical skills to ... + Responsible for constructing response to denials and appeals, utilizing any federal guidelines or local coverage determination guidelines that are applicable to… more
- Veterans Affairs, Veterans Health Administration (Houston, TX)
- …developing, implementing policies and procedures to process, document, store and retrieve medical record information conforming to Federal , State and local ... Summary The Michael E DeBakey VA Medical Center (MEDVAMC) is seeking a Medical...you are not a current, permanent VA employee or Federal employee from another agency, you should apply to… more
- Banner Health (TX)
- …to our award-winning patient care. POSITION SUMMARY This position evaluates medical records, provides clinical and surgical abstraction for full range of ... department projects, validation edits and/or revisions. CORE FUNCTIONS 1. Analyzes medical information from medical records. Accurately codes diagnostic and… more
- Houston Methodist (Houston, TX)
- …researches for solutions to complex issues, such as government program rules. Ensures compliance with regulations. Prepares federal and state tax returns and ... Medicare and Medicaid (CMS), Internal Revenue Service (IRS), Federal Emergency Management Agency (FEMA), etc.) and ensures that...and ensures that reports and tax returns are in compliance . + Confirms accuracy of data elements in reports… more
- Humana (Austin, TX)
- …of our caring community and help us put health first** The Senior Inpatient Medical Coding Professional extracts clinical information from a variety of medical ... in-depth evaluation of variable factors. **Responsibilities** The Senior Inpatient Medical Coding Professional confirms appropriate diagnosis related group (DRG)… more
- NTT America, Inc. (Plano, TX)
- …from CMS collaborating with customers that all appeals are handled in accordance with federal and state laws. + Identify potential compliance risks and implement ... Manager to join our team. NTT DATA is seeking to hire a ** Medicare Appeals Clinical Leader** to lead service delivery engagements and improve end-to-end delivery… more