- Humana (Austin, TX)
- …will understand how to operationalize this knowledge in their daily work. The Medical Director's work includes computer-based review of moderately complex to ... complex clinical scenarios, review of all submitted clinical records , prioritization of daily work, communication of decisions to internal associates, and… more
- Elevance Health (Houston, TX)
- **Clinical Operations Associate Medical Director** **Carelon Medical Benefits Management** **Radiology Benefit** **Management/Utilization** ** Review ** ... making medical necessity decisions. + Brings to their supervisors attention, any case review decisions that require + Medical Director review or policy… more
- ProSphere Tek (Taylor, TX)
- …of steps, documentation requirements, time requirements, functions, and workflow to process electronic medical records , to review records for accuracy ... Planned Systems International (PSI) joint venture, is seeking a Medical Records Technician to support the ICE...for this position. + Prepares, updates, and maintains a medical record for each patient ensuring accuracy… more
- MD Anderson Cancer Center (Houston, TX)
- …systems to obtain patient information, print patient schedules, order diagnostic tests, review medical history, and assists with the efficiency of room ... Performs post biopsy signs, checks biopsy site, documents in medical record , and coordinates with faculty for...Maintains a high level of competency * Reviews patient medical records , lab values, and documentation to… more
- CVS Health (Austin, TX)
- …recognize any concerning billing patterns or trends. Activities include: - Conduct a comprehensive medical record review to ensure billing is consistent with ... to determine correct coding and appropriate documentation during the review of medical records . The... record . - Provide detailed written summary of medical record review findings. -… more
- Houston Methodist (Houston, TX)
- …Research Billing Compliance. + Provides oversight and performs detailed claims analysis and medical record review as necessary, including the following: - ... coverage analyses, etc. - Performs detailed claims testing and medical review . - Reviews Medicare Coverage Analysis...audits and surveys. Oversees bill hold process in electronic medical record . + Responsible for identifying process… more
- Select Medical (Lakeway, TX)
- …of medical rehabilitation. They assess patients to determine individual care needs, review medical records and meet with hospital teams to coordinate ... for Rehabilitation - Lakeway** A joint venture with Select Medical & Baylor Scott & White Health Lakeway, TX...in another post-acute care setting preferred. + Proven track record in sales and marketing with a least one… more
- Molina Healthcare (Fort Worth, TX)
- …ongoing review of records submitted by providers and the annual HEDIS medical record review . + Leads meetings with vendors for the medical ... role in the coordination and preparation of the HEDIS medical record review which includes...and member interventions and incentive efforts as needed through review of medical records documentation.… more
- Select Medical (Lakeway, TX)
- …of medical rehabilitation. They assess patients to determine individual care needs, review medical records and meet with hospital teams to coordinate ... for Rehabilitation - Lakeway** A joint venture with Select Medical & Baylor Scott & White Health Lakeway, TX...in another post-acute care setting preferred. + Proven track record in sales and marketing with a least one… more
- Select Medical (Denton, TX)
- …of medical rehabilitation. They assess patients to determine individual care needs, review medical records , and meet with hospital teams to coordinate ... a rehabilitation setting or in another post-acute care setting, is preferred. + Proven track record in sales and marketing with a least one year of experience in a… more