- Vighter Medical Group (El Paso, TX)
- …required/assigned. + Maintains patient confidentiality, and confidentiality of medical records, in compliance with the Privacy Act and HIPAA regulations in all ... Healthcare is delivered in accordance with approved medical protocols and in compliance with Department of Homeland Security (DHS) directives. Vighter's HCPs work… more
- Community Health Systems (Lufkin, TX)
- …within a multidisciplinary healthcare team. + Knowledge of healthcare regulations, HIPAA compliance , and ethical standards in speech therapy practice. ... proper coding and accurate maintenance of charge logs for billing and compliance purposes. + Uses evidence-based techniques and positive reinforcement to encourage… more
- Houston Methodist (The Woodlands, TX)
- …This position also performs general administrative duties in accordance with CLIA, HIPAA , NCQA and government standards, as well as company policies and procedures. ... also be required to schedule patient appointments, ensure medical necessity compliance , and verify eligibility for care. **PEOPLE ESSENTIAL FUNCTIONS** + Promotes… more
- Healthfirst (TX)
- …changes in the multiple PHI databases, especially TruCare. Supervises and audits compliance including HIPAA standards, for confidentiality and management of PHI ... experience simultaneously navigating the internet and multi-tasking with multiple electronic documentation systems + Adept at planning, organizing, and executing +… more
- Humana (Austin, TX)
- …Representative 3 ensures coding is accurate and properly supported by clinical documentation within the health record. Follows state and federal regulations as well ... and medical records. May participate in provider education programs on coding compliance . **Use your skills to make an impact** **Required Qualifications** + High… more
- ABM Industries (Sugar Land, TX)
- …The Sr. Benefits Analyst will be responsible for support health and welfare compliance , including ERISA, HIPAA , COBRA, QMCSOs, Cafeteria plans, and ACA, ... or tasks. Other responsibilities for the Sr. Benefits Analyst include: + Compliance knowledge ensure our organization adheres to legal standards and in-house… more
- Highmark Health (Austin, TX)
- …appeals; initiates a case file for each grievance and appeal; ensures compliance with organizational and regulatory requirements for member or provider issues; ... meet definition of appeal/grievance. + Request and review all related relevant documentation and assemble case file. + Coordinate resolution results and relay… more
- Caris Life Sciences (Irving, TX)
- …rendered. + Responsible for prior authorization submissions and management. + Maintains compliance with HIPAA and other healthcare regulations + Obtains medical ... general laws related to all payers. + Basic knowledge of clinical documentation review for alignment with insurance authorization requirements + Basic knowledge of… more
- Highmark Health (Austin, TX)
- …government regulations, corporate policy mandates, corrective action plans, compliance requirements and process improvement initiatives impacting systems, operating ... knowledge sharing and new hire on-boarding by ensuring properly maintained documentation of the platform's features, functions and associated processes. Develop and… more
- Houston Methodist (Houston, TX)
- …with the registration of hospital births and the timely filing of required documentation in accordance with the State of Texas regulations. This position ensures ... quality and compliance with state regulations for births and is a...birth registration process while complying with patient confidentiality and HIPAA regulations. **SERVICE ESSENTIAL FUNCTIONS** + Collects birth certificate… more