- CommonSpirit Health (Livingston, TX)
- …healthcare teams; foster a collaborative approach. + Documentation: Maintain accurate patient records and ensure compliance with coding and billing regulations. ... **Responsibilities** Baylor St Lukes Medical group is actively recruiting a Physician to...+ An excellent benefit package*- comprised of matching 403b, medical , dental and vision insurance, paid professional liability insurance,… more
- Elevance Health (Irving, TX)
- …and billing department to address issues. + Ability to review and interpret clinical records to ensure patient meets medical policy guidelines for coverage, for ... ability beyond intake calls that include verifying eligibility and benefits for medical and pharmacy payers through multiple methods for specialty chronic and acute… more
- Prime Therapeutics (Austin, TX)
- …injectable prescription drugs, disease states, health plan formulary management techniques, medical terminology and current diagnostic and reimbursement coding ... for medications. Communicates decision to physicians, physician`s office staff, medical management staff and/or pharmacists. Researches, resolves and documents prior… more
- HCA Healthcare (San Antonio, TX)
- …of completed abstracts for accuracy and timeliness + Responsible for reviewing medical records and following standards to abstract information according to ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...processes. + Resolve errors resulting in the rejection of records from the data entry system. Requirements: + Minimum… more
- Texas A&M University System (Fort Worth, TX)
- …development, simulation training, or educational program planning + Experience in medical billing/ coding + Experience in ultrasonography + Experience in ... practices + Proficient in telehealth technologies, including electronic health records , remote monitoring tools, and secure communication platforms + Proficient… more
- Elevance Health (Grand Prairie, TX)
- …Works on reviews that are routine having limited or no previous medical review experience requiring guidance by more senior colleagues and/or management. Partners ... non-routine reviews. Through work experience and mentoring learns to conduct medical necessity clinical screenings of preauthorization request to assess assessing… more
- CenterWell (Beaumont, 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
- 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
- Prime Healthcare (Harlingen, TX)
- …for conducting clinically based concurrent and retrospective reviews of inpatient medical records to evaluate the clinical documentation is reflective ... committed to our core values of quality, compassion and community! Harlingen Medical Center, a member of Prime Healthcare, offers incredible opportunities to expand… more
- St. George Tanaq Corporation (Austin, TX)
- …US Eastern, Central or Mountain Time Zones. **Responsibilities** + Reviews medical records /case file, writes a reconsideration/dispute resolution decision that ... made, and documents review + Makes sound, independent decisions based on medical evidence in accordance with statutes, regulations, rulings, and policy + Responds… more