- CVS Health (Austin, TX)
- …services. This position focuses on the initial review and triage of Medical Inpatient tasks, helping to maintain accuracy and efficiency in patient care processes. ... Responsibilities:** A Care Management Associate will conduct initial reviews and triage inpatient medical tasks to ensure timely and accurate case routing. Verify… more
- Humana (Austin, TX)
- …may require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, dispute, grievance, and appeals processes, and ... post residency or fellowship, which preferably includes some experience in an inpatient environment and/or related to care of a Medicare type population (disabled… more
- ChenMed (Houston, TX)
- …physicians/clinicians needs or outstanding items regarding to patients. + Enters all Inpatient and Outpatient elective procedures in HITS tool. + Ensures patient's ... + Knowledge of medical terminology, CPT, HCPCS and ICD coding desired + Detail-oriented with the ability to multi-task....+ Knowledge of medical terminology, CPT, HCPCS and ICD coding desired + An understanding of the company's patient… more
- MD Anderson Cancer Center (Houston, TX)
- …will provide clinical care to patients, manage care teams for both inpatient and outpatient settings, and provide a teaching environment for fellows, residents, ... visual review of documents. d. Visually reviews for proper ICD-10 and CPT coding and approve all charge documents in accordance with Institutional policy. e.… more
- MD Anderson Cancer Center (Houston, TX)
- …level of training and experience. * Visually review for proper ICD-10 and CPT coding and approve all charge documents within four working days. * Complete patient ... sharing clinical responsibilities with other faculty including but not limited to inpatient service, outpatient clinic and outpatient procedures and other duties as… more
- Houston Methodist (The Woodlands, TX)
- …and orders various forms of therapy. This position may work in both inpatient and outpatient situations and can perform independently under the license of a ... accurate and timely documentation in medical records, including diagnosis and CPT coding . + Implements department strategies to achieve financial target and mentors… more
- Baylor Scott & White Health (Dallas, TX)
- …for areas of responsibility to include clinic professional claims, hospital and facility inpatient and outpatient claims, and Rx-drug claims (CMS 1500 and UB04), in ... of claims. **KEY SUCCESS FACTORS** Medical terminology, CPT, HCPCS, ICD9, ICD10, and coding knowledge preferred. Ability to use good judgment and logic in evaluating… more
- Molina Healthcare (TX)
- …for a RN with experience with appeals, claims review, and medical coding . JOB DESCRIPTION Job SummaryProvides support for clinical member services review assessment ... At least 2 years experience, including experience in hospital acute care, inpatient review, prior authorization, managed care, or equivalent combination of relevant… more
- MD Anderson Cancer Center (Houston, TX)
- …to MD Anderson Cancer Center. * Visually review for proper ICD-9 and CPT coding and approve all charge documents within five working days. * Complete patient ... sharing clinical responsibilities with other faculty including but not limited to inpatient service, outpatient clinic and outpatient procedures and other duties as… more
- MD Anderson Cancer Center (Houston, TX)
- …high-quality nuclear medicine exams across all settings: routine, advanced, inpatient , emergent, and on-call. * Demonstrate strong proficiency in cross-sectional ... accurate data entry in all clinical systems (RIS, modality software, billing/ coding , patient demographics). * Support equipment maintenance, including crash cart… more