- 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 ... documentation and its impact on reimbursement under Medicare Severity Adjusted System (MS-DRG),All Payer Group (APR-DRG) and Ambulatory Payment Classification (APC)… more
- Houston Methodist (Houston, TX)
- …and enters physician identification number and procedure date correctly in the medical record abstracting system . Reviews medical record documentation ... service focus and application of positive language principles + Knowledge of an electronic medical record and imaging systems + Working knowledge of medical … more
- Elevance Health (Grand Prairie, TX)
- …and responds to system inquiries and appeals. + Conducts research of claims systems and system edits to identify adjudication issues and to audit claims ... based sponsorship. **Ensures accurate adjudication of claims, by translating medical policies, reimbursement policies, and clinical editing policies into effective… more
- HCA Healthcare (El Paso, TX)
- …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 ... health coverage as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision benefits, life and… more
- Guidehouse (Dallas, TX)
- …by analyzing documentation and discussing correct code assignment. + Reviews medical records flagged through the SMART (Inpatient and Outpatient tools) software ... for patterns of coding errors and opportunities for coder and /or clinical education. + Serves as a...**:** + Experience working in any of the following systems : EPIC, Cerner, Next Gen, Allscripts or any other… more
- Highmark Health (Austin, TX)
- …to prevent further improper payments.Forwards case to the Credentialing and/or Medical Review Committee, law enforcement and regulatory agencies. + Responsible for ... to internal and external law enforcement and regulatory agencies, Credentialing or Medical Review Committee. + Engages in delivery of audit results and overpayment… more
- Houston Methodist (Houston, TX)
- …Yes **Company Profile:** Houston Methodist is one of the nation's leading health systems and academic medical centers. Houston Methodist consists of eight ... jointly with applicable management to deploy the overall strategy for system -wide coding operations consistent with Houston Methodist strategic plans. **PEOPLE… more
- University of Texas Rio Grande Valley (Harlingen, TX)
- …documentation and coding deficiencies or gaps. Identifies trends and provides feedback to medical staff, coders, and management. * Acts as a knowledge expert to ... ( CDI ) activities, processes, and procedures. * Provides education for medical student and resident orientation/development and other times as necessary. * Presents… more
- Houston Methodist (Houston, TX)
- …denials, denial reason and trending, interpretation of payer manuals, medical policies, and local/national coverage determinations. **SERVICE ESSENTIAL FUNCTIONS** + ... impactful opportunities in denials and adjustments for the individual facilities and the system . + Works assigned claim edit and follow up work queues and meets… more
- Amaze Health (Dallas, TX)
- …Advocate, you guide patients through the twists and turns of the healthcare system , making complex insurance and care processes clear, accessible, and less stressful ... perfect for someone who finds purpose in helping others navigate complex systems , enjoys meaningful connections, and thrives in a collaborative, hybrid office-based… more
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