- Elevance Health (Houston, TX)
- …Broad knowledge of medical claims billing /payment systems provider billing guidelines, payer reimbursement policies, billing validation criteria and ... Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **DRG CODING AUDITOR** is responsible for auditing… more
- Elevance Health (Grand Prairie, TX)
- …experience preferred. + Broad knowledge of clinical documentation improvement guidelines, medical claims billing and payment systems, provider billing ... Related Group Clinical Validation Auditor** is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and DRGs… more
- Elevance Health (Grand Prairie, TX)
- …Broad knowledge of medical claims billing /payment systems provider billing guidelines, payer reimbursement policies, billing validation criteria and ... Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The Manager of DRG Coding Audit & Clinical Validation… more
- Houston Methodist (Houston, TX)
- …include hospital and physician charges + Knowledge of hospital and PO billing , collections, reimbursement , contractual agreements and the appeals process, and ... are accurately reflected in the daily activity. + Coordinates with Single Billing Office (SBO) and/or AR representatives to resolve cash application discrepancies,… more
- Guidehouse (San Antonio, TX)
- …and collaborating with colleagues, providing feedback and guidance on work performance. + Medical billing experience + PMP or CAPM Certification. + Certified ... patient orders within the Oracle Health (Cerner) system, ensuring accurate billing and compliance. + Designing, developing, and maintaining rules, including Discern… more
- Zelis (Plano, TX)
- …administration, or a related field + Five+ years of experience in Medicaid billing , reimbursement , claim payment or cost reporting. + Experience with Medicare ... /Medicare Advantage or commercial billing and reimbursement a plus + Ability...good understanding of public and private healthcare payment systems, medical claims, standard claim coding, claim editing, contracting, preferred-provider… more
- Prime Healthcare (Dallas, TX)
- …Days Employment Type: Full-Time Hours: 8-hour - 8:00am to 4 : 3 0pm Location: Dallas Medical Center - Farmers Branch, TX Here are some of the benefits of working at ... leave , FMLA and other leave options + Employer 401K options + Tuition reimbursement options + Life, disability, and other insurance options + Many other amazing… more
- KPH Healthcare Services, Inc. (Longview, TX)
- …practice. **Qualifications** **Job Skill Requirements:** + Ability to read and interpret medical records for billing purposes. + Competent in mathematic ... Submit appeals/claim corrections as needed within timely filing limits. + Utilize billing software to maintain accurate and detailed records of all collection… more
- Baylor Scott & White Health (Dallas, TX)
- …Codes and CPT/HCPCS coding methodologies and has a comprehensive knowledge of healthcare billing , finance, and reimbursement . + Epic Hospital Billing , ... program for all wholly owned and operated hospitals, clinics, and employed medical groups. + Provides oversight of the development of charge capture methodologies… more
- Catholic Health Initiatives (The Woodlands, TX)
- …support the need and documentation for each service. 7. Coordinate copies of medical documentation with physician charges to support billing to third-party ... payers. 8. Identify physician services provided, but not accurately documented in the medical record. 9. Resolve routine patient billing inquiries and problems.… more