- Highmark Health (Austin, TX)
- …related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, ... and ensures compliance with DRG/APC structure and regulatory requirements. Performs periodic claim form reviews to check code transfer accuracy from the abstracting… more
- CenterWell (Athens, TX)
- …Update HCHB and computer programs as appropriate. . Complete End of Period claim workflow as part of Billing Specialist responsibilities. This includes ... the Branch Coordinator is to provide clerical support for the branch medical records and billing department. Also, responsible for day-to-day coordination of… more
- CenterWell (Vernon, TX)
- …Update HCHB and computer programs as appropriate. + Complete End of Period claim workflow as part of Billing Specialist responsibilities. This includes ... the **Branch Coordinator** is to provide clerical support for the branch medical records and billing department. Also, responsible for day-to-day coordination of… more
- Guidehouse (San Antonio, TX)
- …**Travel Required** **:** None **Clearance Required** **:** None **Join Our Growing Medical Coding Team! All roles are 100% REMOTE.** As an organization experiencing ... and we're Great Places to Work certified. At Guidehouse, coding is more than charts and claims - it's about making an impact. As a coder here, you'll be part of a… more
- Elevance Health (Grand Prairie, TX)
- …experience preferred. + Broad knowledge of clinical documentation improvement guidelines, medical claims billing and payment systems, provider billing ... claims . **How you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Sr Utilization Review Specialist Nurse (URSN) position is a licensed registered nurse (RN) responsible for promoting the achievement of ... all objectives delineated in the Utilization Review Nurse and Utilization Review Specialist Nurse job roles and is responsible for facilitating appropriate length of… more
- Veterans Affairs, Veterans Health Administration (Corpus Christi, TX)
- …VA. Obtains consent and documents procedures performed for which the pulmonary specialist is responsible. Provides education and counseling of patients and families ... in preventative care, medical conditions, and the use of prescribed treatments and...claimed by the applicant. [If the applicant does not claim an ECFMG certificate, facility officials must still confirm… more
- Veterans Affairs, Veterans Health Administration (Houston, TX)
- …manage all patients in the area of Orthopedic Surgery that a fully trained specialist in this field would manage. Upper Extremities Hand & Wrist Closed reduction of ... (1) Those approved by the Accreditation Council for Graduate Medical Education (ACGME), b) OR [(2) Those approved by...claimed by the applicant. [If the applicant does not claim an ECFMG certificate, facility officials must still confirm… more
- Methodist Health System (Dallas, TX)
- …Manager in this role is responsible for of the oversight of 16-20 AR Specialist and a Team Lead. Setting and achieving performance goals by fostering teamwork, ... Certification through HFMA, AAHAM, or Epic (PB Resolute or Claim Edit) required for new hires; encouraged for incumbents....days per week or as required by leadership. Methodist Medical Group is the North Texas physician organization affiliated… more
- Mass Markets (TX)
- …partner in the industry. We are seeking a Licensed Life and Health Insurance Specialist who will play a vital role in educating and guiding customers to select ... and retention. + Respond to customer inquiries regarding coverage, benefits, claims , and other insurance-related questions. + Maintain accurate and up-to-date… more