- Humana (Austin, TX)
- …field. + Healthcare insurance industry knowledge. + Experience validating and interpreting medical record documentation to ensure billing for services is ... Manager, you will spearhead audit and validation processes to ensure medical documentation and coding are precise, compliant, and support optimal reimbursement.… more
- BAYADA Home Health Care (Austin, TX)
- …policies and procedures. As a member of the Medicare Case Management (MCM) office , individuals in this role are expected to maintain ongoing communication with ... Paid holidays, vacation and sick leave, vision, dental and medical health plans, employer paid life insurance, 401k with...and ICD 10 coding while using the Medicare PDGM billing model and CMS guidelines. + Review and communicate… more
- BAYADA Home Health Care (Austin, TX)
- …the following: Paid holidays, vacation and sick leave, vision, dental and medical health plans, employer paid life insurance, 401k with company match, direct ... and ICD 10 coding while using the Medicare PDGM billing model and CMS guidelines. + Review and communicate...via e-mail, zoom, or telephone (specific to the service office needs). + Communication with service offices monthly and… more
- Humana (Austin, TX)
- …CM guidelines + Prior experience in provider education + Strong knowledge of medical record review + Understanding of billing , claims submission, and related ... is responsible for reviewing and analyzing internal data and medical records, as well as coordinating educational sessions with...or equivalent + Must hold AAPC CPC (Certified Professional Coder ) certification + 2 years or more experience with… more
- Intermountain Health (Austin, TX)
- …years of direct related experience in revenue cycle operations in an acute and medical office . Preferred Bachelors Degree is preferred Proficiency in EPIC is ... **Job Description:** This position is responsible for billing , follow-up, and resolving issues that delay or...one of the following certifications: Current certification as a coder through AAPC or American Health Information Management Association… more
- Houston Methodist (Houston, TX)
- …with pre-billed claim edits to ensure complaint coding, charting and billing . **GROWTH/INNOVATION ESSENTIAL FUNCTIONS** + Designs, implements, and monitors effective ... AND CERTIFICATIONS - PREFERRED** + CPC-I - Certified Professional Coder Instructor (AAPC) -- (CBO Coders only) **OR** +...(CBO Coders only) **OR** + CPMA - Certified Professional Medical Auditor (AAPC) -- (CBO Coders only) **KNOWLEDGE, SKILLS,… more
- Houston Methodist (Houston, TX)
- …denials, denial reason and trending, interpretation of payer manuals, medical policies, and local/national coverage determinations. **SERVICE ESSENTIAL FUNCTIONS** + ... are needed. **QUALITY/SAFETY ESSENTIAL FUNCTIONS** + Analyzes data from various sources ( medical records, claims data, payer medical policies, etc.), determines… more
- Houston Methodist (Houston, TX)
- …Methodist facilities. The Director manages personnel performing inpatient and outpatient medical record coding, DRG and APC assignment, abstracting, and data entry ... functions; ensures accuracy and quality of coded and abstracted medical record data. This position coordinates coding and abstracting activities; provides data… more