- 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 (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 (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
- Molina Healthcare (Houston, TX)
- …following: + Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional ... compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) performs clinical/ medical reviews of previously denied cases in which a formal… more
- 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 ... its clients. Also responsible for performing clinical reviews of medical records and other documentation to evaluate issues of...Certified Coding Specialist and/or CIC as a Certified Inpatient Coder . + Requires 5 years of experience working with… more
- Molina Healthcare (TX)
- …Association** + Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialists (CMAS) + Certified Case Manager (CCM) + Certified ... needs. In addition, the Delegation Oversight Nurse will assist the Delegation Oversight Manager with additional duties of the team. This includes, but is not limited… more
- Sharecare (Austin, TX)
- …Manager + Radiology Technician + Home Health Aide + Occupational Therapist Aide + Medical Coder + Dental Assistant + Experience in customer service in a ... utilization management (UM) status, including but not limited to medical , dental, and vision plans + Provider search (PCP,...present premier provider options, including but not limited to medical , dental, and vision plans + Support for spending… more
- Jacobs (Dallas, TX)
- …Palantir, on project teams. * Architect solutions and tools based on client and project manager requirements. * Work with a project manager and/or SCRUM lead to ... etc. * Strong problem-solving skills and ability to work independently * Strong coder with shown proficiency in programming languages such as Python, Java, C++,… more
- Kelsey-Seybold Clinic (Pearland, TX)
- …Group Presentation Experience **License(s)** Required: CPC (Certified Professional Coder ) or CCS-P (Certified Coding Specialist-Physician. Preferred: N/A **Special ... Create and lead project plans and execution. Maintain direct interaction with manager to ensure project plans are achieved. Preferred: N/A **Working Environment:**… more
- CenterWell (Houston, TX)
- …professionals, Pharm D, Care Coach Nurse, MA, Behavioral health specialist, Quality based Coder , Referral Coordinator and more. Our approach allows us to provide an ... your life extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan, time off (including… more