- Molina Healthcare (Dallas, TX)
- …of stay, level of care, and inpatient readmissions. + Validates member medical records and claims submitted/correct coding , to ensure appropriate reimbursement ... medical claims review, long-term services and supports (LTSS), claims auditing, medical necessity review and/or coding experience, or equivalent combination… more
- Banner Health (TX)
- …field. Requires at least one of the following: Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Coding Specialist - ... clinical diagnosis and procedure codes in accordance with nationally recognized coding guidelines. CORE FUNCTIONS 1. Analyzes medical information from… more
- Houston Methodist (Houston, TX)
- …+ RHIA - Registered Health Information Administrator (AHIMA) **OR** + CCS - Certified Coding Specialist (AHIMA) **OR** + CCA - Certified Coding Associate ... (AHIMA) **OR** + CCS-P - Certified Coding Specialist Physician-based (AHIMA) **OR** + CPC - Certified Professional...and APC systems, official coding guidelines and coding compliance + Knowledge of an electronic medical… more
- Houston Methodist (Houston, TX)
- …- Registered Health Information Administrator (AHIMA) **OR** + CCS - Certified Coding Specialist (AHIMA) **KNOWLEDGE, SKILLS, AND ABILITIES** + Demonstrates the ... DRG and APC systems, official coding guidelines and coding compliance + Knowledge of an electronic medical record and imaging systems + Working knowledge of … more
- Houston Methodist (Houston, TX)
- …RHIA - Registered Health Information Administrator (AHIMA) + * CCS - Certified Coding Specialist (AHIMA) **KNOWLEDGE, SKILLS, AND ABILITIES** + Demonstrates the ... and APC systems, official coding guidelines and coding compliance + Knowledge of an electronic medical... coding compliance + Knowledge of an electronic medical record and imaging systems preferred + Working knowledge… more
- Elevance Health (Houston, TX)
- …you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance ... of medical audit activities. + Draws on advanced ICD-10 coding expertise, mastery of clinical guidelines, and industry knowledge to substantiate conclusions. +… more
- Prime Healthcare (Mesquite, TX)
- …as a Hospital Billing Specialist , Patient Accounts Representative or Insurance Billing Specialist . As our Medical Biller, you will manage patient billing and ... claims in our Physician Group or Hospital . The Medical Biller will ensure accurate coding , timely.... The Medical Biller will ensure accurate coding , timely reimbursements and clear communication between patients, insurers,… more
- Texas Health Resources (Arlington, TX)
- …CPC - Certified Professional Coder Upon Hire REQUIRED or CCS-P - Certified Coding Specialist - Physician-based Upon Hire REQUIRED and Other Specialty ... (Profee) Coding experience. Completion of advanced level training in medical terminology, anatomy and physiology, or similar REQUIRED Licenses and Certifications… more
- Insight Global (Plano, TX)
- …chart reviews to accurately reflect the patient's condition. Stay current with medical coding guidelines and industry developments. Assist in developing training ... and quality audits on inpatient charts to ensure accurate coding and compliance with federal regulations. This is a...third-party vendor as a DRG Auditor or Clinical Documentation Specialist (CDS). -CCS Certification RN or BSN RHIT or… more
- ChenMed (Houston, TX)
- …other related duties as assigned. KNOWLEDGE, SKILLS AND ABILITIES: + Knowledge of medical terminology, CPT, HCPCS and ICD coding desired + Detail-oriented with ... in English; Bilingual a plus **KNOWLEDGE, SKILLS AND ABILITIES:** + Knowledge of medical terminology, CPT, HCPCS and ICD coding desired + An understanding… more