- CenterWell (Fort Worth, 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...manner working with a quality- based coder to optimize coding specificity. . Follows policy and protocol defined by… more
- Covenant Health (Lubbock, TX)
- …complex inquiry calls for the purpose of routing. This individual identifies correct coding initiative via thorough research of the claim through use of available ... systems in order to maintain highest integrity of the Medical Group as well as to prevent filing deadline...of various reporting to the appropriate leader to ensure compliance . Providence caregivers are not simply valued - they're… more
- Catholic Health Initiatives (The Woodlands, TX)
- …to ensure compliance of documentation compared to the level of coding selected. 13. Responsible for developing and implementing appropriate measures to minimize ... in forecasting and preparing annual budget and financial statements. 4. Ensures compliance with all relevant federal and state regulations, BSLMG policies, maintains… more
- Molina Healthcare (Fort Worth, TX)
- …be licensed for the state they reside This position will support Medical Review for Medicare and Marketplace request authorization. Strongly prefer candidates with ... appropriate and correct clinical decisions for appeals outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN)… more
- 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...manner working with a quality- based coder to optimize coding specificity. + Follows policy and protocol defined by… more
- Houston Methodist (Houston, TX)
- …appropriate controls and tools are in place to monitor performance and compliance within regulatory requirements. **PEOPLE ESSENTIAL FUNCTIONS** + Serves as the ... improvement in a variety of areas, including but not limited to: coding , claim submission, insurance and self-pay collections, refunds and write-off approvals Works… more
- HCA Healthcare (Austin, 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 ... as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision...+ Performs timely abstraction of assigned cases to ensure compliance with ACOS standards ,i.e. within six months of… more
- Ascension Health (Austin, TX)
- …Review, analyze and coordinate charge master activities. + Utilize clinical and coding knowledge to ensure accurate and compliant charge items and to recognize ... to join our Surgical and Cardiovascular Services leadership team at Dell Seton Medical Center at The University of Texas. This role will directly support revenue… more
- HCA Healthcare (Austin, TX)
- …This position is incentive eligible. **Job Summary and Qualifications** HCA Graduate Medical Education is one of the nation's largest providers of residency and ... HCA GME is building a leading network of innovative, patient-centered graduate medical education programs. We believe graduate medical education is much… more
- Community Health Systems (Victoria, TX)
- …treatment interventions, patient progress, outcomes, and response to therapy in the medical record daily. + Ensures proper coding and accurate maintenance ... assesses speech, language, cognitive-communication, and swallowing disorders, considering educational, medical , social, and psychological factors. + Develops and implements… more