- Humana (Austin, TX)
- …Qualifications** + BS in healthcare or business-related field + Knowledge of internal Medical Coverage Policies and Claims Payment Policies + CAS claims ... takes to Succeed** + 2 years experience with a coding certification (Industry-recognized coding certification from the...from the AAPC and/or AHIMA) + Extensive knowledge of medical claims processing and familiarity with reimbursement… more
- Molina Healthcare (Fort Worth, TX)
- …for Medicare & Medicaid Services (CMS) and the Affordable Care Act (ACA). + Medical Coding certification. To all current Molina employees: If you are interested ... recoveries in a managed care or payer environment. + In-depth knowledge of medical and hospital claims processing, including CPT/HCPCS, ICD, and modifier usage.… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …proficiency with MS Word and Excel. **Campus:** HSC - El Paso **Department:** Medical Coding SOM ELP **Required Attachments:** Resume / CV **Job Type:** ... High School diploma or equivalent (GED) + Minimum 6 mos. experience with medical coding and/or billing + Demonstrated knowledge and understanding and/or… more
- Norstella (Austin, TX)
- …laboratory data, in an academic or industry setting. + Experience working with healthcare coding systems (CPT, NDC, ICD-10) and drug/medication data. + Strong ... Sr. Medical Analyst, RWD Company: MMIT Location: Remote, United...In this role, you will leverage your expertise in ** healthcare data analytics** to extract meaningful insights from **real-world… more
- CenterWell (Austin, TX)
- …help us put health first** The Medical Director, Primary Care relies on medical background and reviews health claims . The Medical Director, Primary Care ... variable factors. The Medical Director relies on medical background and reviews health claims . The...An aspect of the role includes an overview of coding practices and clinical documentation, grievance and appeals processes,… more
- Humana (Austin, TX)
- …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background,...but may not be limited to, an overview of coding practices and clinical documentation, grievance and appeals processes… more
- CVS Health (Austin, TX)
- …skills, with experience in healthcare fraud detection. + Proficiency in interpreting claims data, medical coding , and regulatory frameworks. + Excellent ... and coding practices, verifying document authenticity, and identifying false claims or improper billing. + **Data-Driven Analysis** : Utilizes advanced data… more
- System One (Frisco, TX)
- … Administration, Business, or related field (preferred). + Minimum 3 years of medical billing and coding experience; neurology or specialty practice preferred. + ... key part in maintaining the clinic's financial health by managing billing, coding , and reimbursement processes. If you're passionate about accuracy, compliance, and… more
- Prime Therapeutics (Austin, TX)
- …lead analyst in producing reports, scorecards, or other data using Pharmacy and/or Medical claims data to support projects and initiatives throughout the ... relevant Healthcare experience including: analyzing and using healthcare claims data, clinical research study design,...study design, and/or epidemiology + Previous experience with SQL coding + Must be eligible to work in the… more
- Oracle (Austin, TX)
- …or in a technical consultant-related occupation. Position requires: 1. SQL for Healthcare Data Management; 2. Coding , unit testing, integration testing, and ... solve by applying company policies and procedures. Work closely with US healthcare payers, Oracle teams, and third-party service providers to develop engagement… more