- United Therapeutics (Austin, TX)
- …development + Knowledge of data entry processing, from start to finish (QC, medical review , regulatory submissions) + Prior clinical or post marketing experience ... process improvements, and strengthens overall ICSR quality including retrospective review and ensuring proactive corrective/preventive actions are implemented to… more
- Texas Health Resources (Arlington, TX)
- …state guidelines, develop reports and presentations for senior leadership meetings. OPERATIONS: PEER REVIEW - Oversee and facilitate Medical Staff Peer Review ... Evaluation (OPPE) and Focused Professional Practice Evaluation (FPPE) - Assist peer review physicians and division chiefs in preparing and presenting case reviews… more
- Molina Healthcare (San Antonio, TX)
- …Managed Care Experience in the specific programs supported by the plan such as Utilization Review , Medical Claims Review , Long Term Service and Support, or ... compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) performs clinical/ medical reviews of previously denied cases in which a formal… more
- Progress Rail Services Corp. (Sherman, TX)
- …work practices; * Must be able to meet the requirements of post-offer drug test, medical review and criminal history review of misdemeanor and/or felony ... company match (no waiting period with immediate vesting) + Medical /Dental/Vision/Life/Disability Insurance + Supplemental Accident, Critical Care, and Hospital… more
- Houston Methodist (Sugar Land, TX)
- …responsibility of this position may include many of the following: credentialing; Medical Staff governance, including peer review ; accreditation and regulatory ... At Houston Methodist, the Manager Medical Staff Services position is responsible for the...medical staff leadership as appropriate related to Peer Review , competency and physician behavior. + Regularly communicates with… more
- Texas Health Resources (Plano, TX)
- …specialists, elected officers and the Chair of Credentials Committee to coordinate medical staff credentialing including the review of credentials, delineation ... regulatory surveys. a. Work with the quality department and medical staff leadership to conduct robust peer review... medical staff leadership to conduct robust peer review . b. Support the Quality Department and Medical… more
- Datavant (Austin, TX)
- …carving out OBS hours a plus but not required. **What You Will Do:** + Review medical records and assign accurate codes for diagnoses and procedures. + Assign ... attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a...testing to be given annually in accordance with employee review **What We Offer:** + Benefits for Full-Time employees:… more
- Datavant (Austin, TX)
- …bold vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses using a standardized ... severity of a patient's health status. **You will:** + Review , analyze, and code diagnostic information in a patient's..., analyze, and code diagnostic information in a patient's medical record based on client specific guidelines for the… more
- Baylor Scott & White Health (Dallas, TX)
- …coding with at least 2 years of CDI experience. + HIM: 4 years of medical record review experience in inpatient coding/auditing or Quality, or Case Management, ... Functions of the Role** + Facilitates accurate, timely, and complete documentation of medical conditions and treatment in patient records. + Performs review of… more
- Canon USA & Affiliates (Austin, TX)
- …of the business unit. + Support regulatory activities by managing image quality review with external medical experts, providing clinical expertise, and reviewing ... **Mgr Medical Affairs - Clinical Development Sr - HIT...and external experts. Support marketing in developing collaterals and review of collaterals for clinical accuracy and adherence to… more