- 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
- Cardinal Health (Austin, TX)
- …skills and prioritizes getting the right things done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. ... and support from AR & Billing leadership teams.** **_Responsibilities_** + Processes claims : investigates insurance claims ; and properly resolves by follow-up &… 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
- Banner Health (TX)
- …you. **Requirements:** + **5 years recent experience in acute-care Inpatient facility-based medical coding (clearly reflected in your attached resume);** + **DRG and ... researching authoritative reference information from a variety of sources. 2. Reviews medical records. Performs an audit of clinical documentation to ensure that… more
- Molina Healthcare (San Antonio, TX)
- …the likelihood of a formal appeal being submitted. + Independently re-evaluates medical claims and associated records by applying advanced clinical knowledge, ... programs supported by the plan such as Utilization Review, Medical Claims Review, Long Term Service and...+ Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager… more
- University of Texas Rio Grande Valley (Mcallen, TX)
- …federal/state laws and regulations and UTRGV policies. To review and analyze medical records, claims , and workflow processes to ensure accuracy, completeness, ... coding, and reimbursement processes. + Reviews, assesses and analyzes medical records, coding, billing, claims , reimbursements and...Coder ( CPC ) or Certified Billing and Coding Specialist ( CBCS ) by the American Health Information… 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
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …direct oversight of daily coding operations while also performing coding specialist functions. **Requisition ID:** 41973BR **Travel Required:** Up to 25% ... of assigned divisions for both physician and hospital coding within the Medical Coding SOM Department. + Provide direct oversight, training and guidance to… more
- Highmark Health (Austin, TX)
- …relationships hold the key to uncovering society's most complex challenges? Do you see medical records not just as disparate facts, but as a vast, dynamic network of ... work will directly impact millions of lives. As our Lead Graph Intelligence specialist , you will be the spearhead of cutting-edge research projects. This means… more
- Adecco US, Inc. (Irving, TX)
- …access and reimbursement barriers. + Manage benefit investigations, prior authorizations, claims escalations, and appeals. + Deliver payer insights and education on ... insurance, and specialty pharmacy. + Experience with prior authorizations, claims processing, and appeals. + Strong communication, presentation, and organizational… more
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