- Humana (Austin, TX)
- …direction and receives guidance where needed. Follows established guidelines/procedures. + Review medical documentation for clinical indicators to ensure correct ... our caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ensure… more
- Elevance Health (Grand Prairie, TX)
- …editing policies into effective and accurate reimbursement criteria.** PRIMARY DUTIES: + Review medical record documentation in support of Evaluation and ... ICD-10 code. + Reviews company specific, CMS specific, and competitor specific medical policies, reimbursement policies, and editing rules, as well as conducting… more
- Parexel (Austin, TX)
- …Trial Investigators Meetings or to Sponsor staff. **Trial Conduct** + Ongoing medical review with transparent documentation of the activity, related findings ... medical questions and by ensuring good quality of data from CQM. + Medical review of and contribution to the content of Trial Newsletters + Contribution to… more
- Select Medical (Fort Worth, TX)
- …of medical rehabilitation. They assess patients to determine individual care needs, review medical records and meet with hospital teams to coordinate safe ... & White Institute for Rehabilitation - Fort Worth** A joint venture with Select Medical & Baylor Scott & White Health Fort Worth, TX **Clinical Liaison (RN, OT,… more
- Parexel (Austin, TX)
- …Monitoring of critical data. Support close to real time clinical data Ongoing medical review with transparent documentation of the activity, related findings, ... important protocol deviations (iPD), providing input for compilation and review of trial iPD list from medical ...and review of trial iPD list from medical perspective, and support trial team in deciding on… more
- Select Medical (Frisco, TX)
- …of medical rehabilitation. They assess patients to determine individual care needs, review medical records and meet with hospital teams to coordinate safe ... **Overview** **Baylor, Scott & White Rehabilitation Hospital** A joint venture with Select Medical & Baylor Scott & White Health Frisco, TX Frisco has been ranked in… more
- Sumitomo Pharma (Austin, TX)
- …and Company policies + Serve as the regulatory member of the scientific Medical Review Committee (sMRC) to ensure regulatory compliance for medical ... submitted to regulatory authorities + In collaboration with Commercial, Medical and Legal colleagues, conduct a detailed review... Medical and Legal colleagues, conduct a detailed review and evaluation of the adequacy of clinical evidence… more
- CVS Health (Austin, TX)
- …(SIU) to ensure compliance with coding practices through a comprehensive record review for medical , behavioral, transportation and other healthcare providers. ... the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and… more
- CVS Health (Austin, TX)
- …reviews to ensure compliance with coding practices through a comprehensive record review for medical , behavioral, transportation and other healthcare providers. ... the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and… more
- Elevance Health (Houston, TX)
- …+ Works on reviews that are routine having limited or no previous medical review experience requiring guidance by more senior colleagues and/or management. ... information presented meets medical necessity criteria or requires additional medical necessity review . + Conducts initial medical necessity review … more