- Houston Methodist (Houston, TX)
- … documentation, and claims information into a concise appeal letter, including appropriate medical records submission. + Performs timely review of medical ... denials, denial reason and trending, interpretation of payer manuals, medical policies, and local/national coverage determinations. **SERVICE ESSENTIAL FUNCTIONS** +… more
- Kedplasma (San Antonio, TX)
- …to training. + Minimizes plasma collection center liability through constant risk management review ; including review of Medical Incident Reports, minor ... a number of benefits to qualifying employees, including: + Medical , vision and dental insurance + Life and AD&D...monitoring, and stocking and replenishment of soft goods and medical consumables. + Develops and posts work schedule(s) to… more
- UTMB Health (Galveston, TX)
- …+ Documents patient evaluation, treatment progress, and billing appropriately in the medical record. Documentation must meet peer review requirements + ... Physical Therapist - Center for Polar Medical Operations (CPMO), 6-9 Months Locum to Work in ANTARCTICA **Galveston, Texas, United States** Allied Health UTMB Health… more
- Texas Health Resources (Arlington, TX)
- …all identified potentially compensable events (consumers and product). Concurrent review of medical records against pre-established criteria/quality initiatives. ... to address identified risk. + Ability to acquire and review multiple data sources and provide detailed analysis to...a Texas Health Employee + Benefits include 401k, PTO, medical , dental, Paid Parental Leave, flex spending, tuition reimbursement,… more
- Sevita (Dallas, TX)
- …individuals with functional disabilities of speech, language, voice, and swallowing. + Review medical records, test and evaluate individuals served and develop ... therapy treatment plans. + Identify and develop intervention strategies. + Instruct individuals we serve, family members, and primary caregivers to insure the maintenance of or to achieve the ideal functioning level for each person served. + Insure effective… more
- Sevita (Houston, TX)
- …individuals with functional disabilities of speech, language, voice, and swallowing. + Review medical records, test and evaluate individuals served and develop ... therapy treatment plans. + Identify and develop intervention strategies. + Instruct individuals we serve, family members, and primary caregivers to insure the maintenance of or to achieve the ideal functioning level for each person served. + Insure effective… more
- Molina Healthcare (San Antonio, TX)
- …**Required Education** Associates degree. **Required Experience** 3 Years in coding and medical record chart review and experience with risk adjustment data ... validation Required Li **Required License, Certification, Association** Active and unrestricted Coding Certification, Active CCS, CCS-P, or CPC credential **Preferred Education** Bachelor's Degree in Business Administration, Health Care Management o To all… more
- Prime Healthcare (Dallas, TX)
- …the Medicare/Medicaid Conditions of Participation, physician/physician group contracting, Medical Staff/peer review matters, hospital/facility licensing, ... telemedicine, Ambulatory Surgical Centers, and other healthcare operations5. Excellent contract negotiation and drafting skills.6. Excellent interpersonal communication skills; able to effectively interact with all internal and external business partners,… more
- Texas Health Resources (Arlington, TX)
- …Do:** . Obtain/verify physician order for therapy and validate for appropriateness. . Review available medical records and obtain pertinent medical history ... and reporting of unusual occurrences, on the job injuries, and medical device malfunctioning. . Completes required documentation tools for outpatients and… more
- Houston Methodist (Houston, TX)
- …measures. **QUALITY/SAFETY ESSENTIAL FUNCTIONS** + Communicates effectively to ensure proper review of donor medical history and diagnostic data; allocation ... and labeling of organs for transplantation; facilitating organ offer review and acceptance processes, recipient admission and pre-operative preparation...sequencing; and recipient medical information, current medical status, and crossmatch… more
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