- CenterWell (Humble, TX)
- …in a timely manner, working with a quality-based coder to optimize coding specificity. + Coordinate patient services, including specialty referrals, hospital and SNF ... primary care "on-call" program of CenterWell as needed. + Ensure personal compliance with licensing, certification, and accrediting bodies. + Spend 100% of your… more
- CenterWell (Grand Prairie, TX)
- …in a timely manner working with a quality- based coder to optimize coding specificity. Follows policy and protocol defined by Clinical Leadership. Meets with RMD ... local primary care "on-call" program of CenterWell as needed. Assures personal compliance with licensing, certification, and accrediting bodies. Spend 100% of your… more
- CenterWell (Victoria, TX)
- …normality, fax a copy of lab to doctor, make a copy for the Case Manager , and route to Medical Records Department. Initiate Employee / Patient Infection Reports as ... of home health experience. + Prior packet review / QI experience preferred. + Coding certification is preferred. + Must possess a valid state driver's license and… more
- Molina Healthcare (TX)
- …appropriate and correct clinical decisions for appeals outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) ... experienced appeal LVN, RN and administrative staff. **JOB QUALIFICATIONS** **Required Education ** Graduate from an Accredited School of Nursing. Bachelor's degree… more
- CenterWell (Humble, TX)
- …skills and knowledge, contributes to process improvement, delivers in-depth education /training, and provides advanced guidance/mentoring to other Medical Assistants. ... center + Value Based Care experience including knowledge of HEDIS, CPT/ICD coding , and CAHPS/HOS Patient Experience + Bilingual proficiency in English and Spanish… more
- Elevance Health (Grand Prairie, TX)
- …investigations on identified providers as warranted. + Examines claims for compliance with relevant billing and processing guidelines and to identify opportunities ... a Clinical Fraud and Abuse Investigation area; or any combination of education and experience, which would provide an equivalent background. **Preferred Skills,… more
- SitusAMC (Austin, TX)
- …client requirements + Other activities as may be assigned by your manager Qualifications/ Requirements: + Bachelor's degree or equivalent from four-year College or ... technical school or equivalent combination of education and experience + Minimum of 6+ years of...work environment. + Understanding of ADO, WLS, and SQL coding a plus + Ability to work in a… more
- SitusAMC (Austin, TX)
- …+ Such other activities as may be assigned by your manager Qualifications/ Requirements: + Bachelor's degree in Computer Science/Engineering, Information Systems ... preferred or equivalent combination of education and experience + Experienced professional with 5+ years of industry and/or relevant experience, typically at a… more
- CenterWell (Corpus Christi, TX)
- …skills and knowledge, contributes to process improvement, delivers in-depth education /training, and provides advanced guidance/mentoring to other Medical Assistants. ... center * Value Based Care experience including knowledge of HEDIS, CPT/ICD coding , and CAHPS/HOS Patient Experience * Bilingual proficiency in English and Spanish… more
- ERCOT (Austin, TX)
- …to ensure continuing reliable operations of the electric power grid in compliance with NERC Standards, ERCOT Protocols and Market Guides. Provides electrical ... with emphasis on Excel including macros and some VBA coding **Must be able to obtain NERC System Operator...expertise to guide projects and help teammates assigned by manager + Acts as mentor and advisor to less… more
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