- Baylor Scott & White Health (Dallas, TX)
- …on a weekly basis. Complies and stays abreast of new regulations and coding guidelines. Responsible for physician/ clinical documentation education on an ... **JOB SUMMARY** The Supervisor Clinical Document Improvement (CDI) will be responsible for...operations. Solves problems and makes decisions with support of manager . Delegates work based on prioritization work list. Trains… more
- CVS Health (Austin, TX)
- …a Manager to lead our team of Certified Professional Coders (CPC). The Manager is responsible for overseeing and managing coding reviews for fraud detection, ... and external stakeholders and ensuring compliance with regulatory requirements. The Manager develops strategies to manage workload, quality of reviews and process… more
- CenterWell (Dallas, TX)
- …community and help us put health first** **Job Profile Summary** The Manager , Stars Improvement, Clinical responsible for the development, implementation and ... of the Primary Care Organization's clinic-based Stars Program. The Manager , Stars Improvement, Clinical works within specific...and incentive programs + Data sharing and connectivity + Documentation and coding + Additional areas related… more
- Fresenius Medical Center (Crockett, TX)
- …the delivery of maximum quality care to all patients. + Must complete Clinical Manager training modules and ongoing developmental programs within the specified ... requirements. Ensure provision of quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory… more
- Methodist Health System (Dallas, TX)
- …process improvement initiatives to address recurring denial issues, ensuring that billing, coding , and clinical teams are aligned with payer requirements. ... workflows and enhance overall efficiency. + **Departmental Collaboration:** Collaborate with clinical teams, coding , and inter departmental teams to address… more
- Catholic Health Initiatives (Houston, TX)
- **Responsibilities** The Utilization Management (UM) Manager is responsible for managing day-to-day UM operations within the markets, focusing on effective team ... determinations; processes appeals and reconsiderations. Act as a working manager within Utilization Management, performing essential duties and responsibilities… more
- Intermountain Health (Austin, TX)
- …to commercial and government requests, denials and recoupment efforts. Additionally, the Manager will support coordinating efforts on clinical denials for ... **Job Description:** The Manager , RN Revenue Integrity Audit, Recovery and Appeals...audits practices, trends, and compliance related topics. Partners with clinical areas and revenue cycle areas affected by the… more
- Datavant (Austin, TX)
- …headset, and keyboard + Comprehensive training led by a credentialed professional coding manager + Exceptional service-style management and mentorship (we're in ... the work of Level 1 & 2 Coders, where applicable + Champion documentation improvement opportunities and coding issues, facilitating resolution with relevant… more
- MD Anderson Cancer Center (Houston, TX)
- …the daily operations of a section in Diagnostic Imaging. Scope: Impacts clinical and research imaging services and education to patients, staff and general ... the key functions of their position. **JOB SPECIFIC COMPETENCIES** ** Clinical Operations & Patient Care** 1. Resolves clinical...Dose, 4.) Right Time, 5.) Right Medication 6) Right Documentation 5. Applies and monitors knowledge of Age Specific… more
- MD Anderson Cancer Center (Houston, TX)
- …billing (ie, cellular therapy). This includes the evaluation and appeal of both clinical and technical denials. Position ensures that all processes within HB Billing ... including communication to Financial Clearance Center, Revenue Operations and Coding (ROC), Patient Access Services, Health Information Management, Managed Care,… more