- Molina Healthcare (San Antonio, TX)
- …Looking for a RN with experience with appeals, claims review, and medical coding . **Job Summary** Utilizing clinical knowledge and experience, responsible ... appropriate level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding regulations, and Molina policies; validates the medical record… more
- CVS Health (Austin, TX)
- …**Required Qualifications** + Minimum of 1 year recent and related experience in medical record documentation review, diagnosis coding , and/or auditing. + CPC ... 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
- UTMB Health (Galveston, TX)
- …Certified Coding Specialist (CCS) certification, and a minimum of 3 years of medical coding experience. **Or** . Registered nurse (or medical school ... + Understand the general flow of health information from medical record documentation and discharge, through coding ,...from medical record documentation and discharge, through coding , to billing, and finally to data reporting. +… more
- Humana (Austin, TX)
- …our vendor partners. Will support and promote consistent, compliance, and high-quality medical coding practices, with a strong focus collaboration and quality ... loops. **Use your skills to make an impact** **Required Qualifications** + Medical coding certification (AAPC or AHIMA) + Minimum 7 years of experience in… more
- HCA Healthcare (Arlington, TX)
- … guidelines and policies + Demonstrates and applies expert level knowledge of medical coding practices and concepts; assists in ensuring vendor coders adherence ... work from home position.** **This position has a specialization in Inpatient Coding .** **Benefits** Parallon offers a total rewards package that supports the health,… more
- Robert Half Accountemps (Dallas, TX)
- …to submit appeals in accordance with billing office policies and procedures. * Forwards medical or coding denials to the QA Department for nurse review and ... proper confidentiality on all such information. * Knowledge of medical terminology, CPT and ICD-10 coding , office...Knowledge of medical terminology, CPT and ICD-10 coding , office ethics, and spelling. * Must be computer… more
- Select Medical (Fort Worth, TX)
- …PPS Manager with PPS functions including but not limited to: IRF-PAI data collection, medical coding , IRF-PAI transmittals, and IRF-PAI correction. + Based on ... Impairment Categories and admission ICD-10 codes to assure congruence and proper Coding for the IRF-PAI. Makes any necessary changes in collaboration with the… more
- Highmark Health (Austin, TX)
- …**GENERAL OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data ... arranges for education/training of facility healthcare professionals in use of coding guidelines and practices, proper documentation techniques, medical … more
- Molina Healthcare (TX)
- …different standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding /billing (UB04/1500 form) + Demonstrated understanding of key managed ... **JOB DESCRIPTION** **Job Summary** The Senior Analyst, Medical Economics provides support and consultation to the...health plan performance and identify the root causes of medical cost trends. With those root causes identified, drives… more
- Molina Healthcare (Dallas, TX)
- …different standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding /billing (UB04/1500 form) + Demonstrated understanding of key managed ... **JOB DESCRIPTION** **Job Summary** The Manager, Medical Economics provides support and consultation to the...health plan performance and identify the root causes of medical cost trends. With those root causes identified, drives… more