- CenterWell (Humble, TX)
- …the communities we serve, including our associates, lead their best lives. We support our associates in becoming happier, healthier, and more productive in their ... Doctors, Advanced Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based Coders, Referral Coordinators… more
- CVS Health (Austin, TX)
- …all State and Federal regulations and internal policies and procedures. + Utilize medical records to ensure support is documented for etiology and manifestations ... every day. **Position Summary** + Responsible for performing audit and abstraction of medical records (provider and/or vendor) to identify and submit ICD codes that… more
- USAA (San Antonio, TX)
- …association from potentially fraudulent activity. This role will provide investigative support and recommendations on claim settlements and assists with fraud ... SIU Investigator for **Medicare Supplement Fraud, Waste, and Abuse** you will support the Life Special Investigations team that is responsible for increasing fraud… more
- Houston Methodist (Houston, TX)
- …denials, denial reason and trending, interpretation of payer manuals, medical policies, and local/national coverage determinations. **SERVICE ESSENTIAL FUNCTIONS** + ... up, etc.) of the revenue cycle while also providing support when IT related or systematic changes are needed....**QUALITY/SAFETY ESSENTIAL FUNCTIONS** + Analyzes data from various sources ( medical records, claims data, payer medical policies,… more
- Surgery Care Affiliates (Arlington, TX)
- …health care is about people - the patients we serve, the physicians we support and the teammates who push us forward. Behind every successful facility, procedure or ... hospitals. Our work spans a broad spectrum of services, all designed to support physicians, health systems and employers in delivering efficient, value-based care to… more
- Houston Methodist (Houston, TX)
- …is captured accurately. + Performs/Leads performance improvement activities that support operational efficiencies, data integrity and service quality including ... for best practices. + Strives to improve and enhance support to the Hospital and System and seeks opportunities...AND CERTIFICATIONS - PREFERRED** + CPC-I - Certified Professional Coder Instructor (AAPC) -- (CBO Coders only) **OR** +… more
- Ascension Health (Austin, TX)
- …Track and ensure program compliance. + Gather, identify and utilize data to support strategic development and improvement activities related to case mix index, MS ... and compliance requirements. + Manage the review of physician documentation to support a patient's level of care and appropriate assignation of Diagnosis Related… more
- Houston Methodist (Katy, TX)
- …areas of Revenue Cycle, to include but not limited to: medical coding, insurance billing, collections, patient account resolution, appeals/denials, customer service, ... or other applicable experience to the area assigned (eg, call center, medical billing, insurance collections) + Two years of supervisory or management experience.… more
- Elevance Health (TX)
- …diagnosis, documentation, coding and care. will review all provider visit medical encounters and apply most appropriate diagnosis codes. + Overall accountability ... for the HCC/Risk Adjustment of goals and workflows to support value capture initiatives and high-quality clinical documentation. + Chart reviews for closing HEDIS… more
- CenterWell (Houston, TX)
- …the communities we serve, including our associates, lead their best lives. We support our associates in becoming happier, healthier, and more productive in their ... professionals, Pharm D, Care Coach Nurse, MA, Behavioral health specialist, Quality based Coder , Referral Coordinator and more. Our approach allows us to provide an… more