• Physician

    CenterWell (El Paso, TX)
    …Doctors, Advanced Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based Coders, Referral Coordinators ... accordance with standards of care. + Follows level of medical care and quality for patients and monitors care...in a timely manner working with a quality- based coder to optimize coding specificity. + Follows policy and… more
    CenterWell (04/25/25)
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  • Coding Charges & Denials Specialist (Telecommute…

    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 (04/15/25)
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  • Primary Care Physician

    CenterWell (San Antonio, TX)
    …Doctors, Advanced Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based Coders, Referral Coordinators ... accordance with standards of care. + Follows level of medical care and quality for patients and monitors care...in a timely manner working with a quality- based coder to optimize coding specificity. + Follows policy and… more
    CenterWell (03/08/25)
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  • CenterWell- Physician- Beaumont/Port Arthur

    CenterWell (Beaumont, TX)
    …treats center patients in accordance with standards of care. . Follows level of medical care and quality for patients and monitors care using available data and ... limited to specialty referrals, hospital and SNF coordination, durable medical equipment and home health care. . Acts as...in a timely manner working with a quality- based coder to optimize coding specificity. . Follows policy and… more
    CenterWell (04/29/25)
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  • Consultant, Ethics & Compliance (Audit)

    Cardinal Health (Austin, TX)
    …detection and correction of documentation, coding, and billing errors and/or medical necessity of services billed. Particular areas of focus include: evaluation ... with other documentation and coding and billing standards; and physician and coder education. This position will also support the Director with scheduling and… more
    Cardinal Health (04/25/25)
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  • Primary Care Physician

    CenterWell (Houston, TX)
    …medicine, continuity of care, health maintenance, and disease prevention. Keeps a medical history and medical records. Refers the patient to specialists ... quality of patient care using available data and chart reviews. + Complete all medical record documentation in a timely manner, working with a quality-based coder… more
    CenterWell (04/19/25)
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  • DRG Coding Auditor

    Elevance Health (Grand Prairie, TX)
    …be considered._ The **DRG CODING AUDITOR** is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of ... of business, and its clients. Also responsible for performing clinical reviews of medical records and other documentation to evaluate issues of coding and DRG… more
    Elevance Health (04/29/25)
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  • Pharmacy Technician II

    Centene Corporation (Houston, TX)
    …years of pharmacy technician or medical office (ie biller, coder , office assistance, or prior authorization/ certification ) experience. Familiarity with drugs ... for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering… more
    Centene Corporation (04/27/25)
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  • Senior CVIR Revenue Integrity Coding Specialist

    HCA Healthcare (Plano, TX)
    …Radiology (CVIR) services are charged and coded correctly. This position is a specialized senior medical coder in the Cath Lab, IR, and EP service lines. The ... and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low… more
    HCA Healthcare (03/22/25)
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  • Delegation Oversight Nurse Remote based in CA…

    Molina Healthcare (TX)
    …License, Certification , Association** + Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialists (CMAS) + Certified Case ... processes and applicable state and federal regulations. **Required License, Certification , Association** Active, unrestricted State Licensed Vocational Nurse or… more
    Molina Healthcare (04/12/25)
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