- HCA Healthcare (Pasadena, TX)
- …thorough working knowledge of the rules of Medicare, Medicaid, and private payer regulations and processes. You will possess a thorough understanding of managed-care ... concepts and length-of-stay management relating to patient and organizational fiscal responsibility. + You will perform thorough assessments and develop appropriate discharge plans for high-risk patients with discharge planning or psychosocial needs. + You… more
- Datavant (Austin, TX)
- …to ensure appropriate reimbursement and clinical severity for DRG-based payer patients. + Demonstrate understanding of complications, co-morbidities, severity of ... illness, risk of mortality, case mix index, secondary diagnoses, and procedure impact on DRG. + Improve coding specificity by educating physicians and caregivers on the importance of clear documentation throughout a patient's stay. + Follow AHA guidelines and… more
- Dallas Behavioral Healthcare Hospital (Desoto, TX)
- …required but a plus: Certified Professional Coder (CPC), CPC-Hospital, CPC- Payer , Certified Interventional Radiology Cardiovascular Coder (CIRCC) and Certified ... Professional Medical Auditor (CPMA) + Experience: A minimum of 1 year coding experience required preferably with psychiatric services + Knowledge, Skills & Abilities: + Knowledge of medical terminology; basic and advanced ICD-9-CM coding; anatomy and… more
- US Anesthesia Partners (Dallas, TX)
- …due to practice diversity and our maintenance of several exclusive facility contracts. Our payer mix and income are therefore very favorable. We have been engaged in ... leadership in USAP and predecessor organizations since inception. Further, we have great working relationships and operational/financial integration with many surrounding USAP divisions. We are seeking physicians to be on a Partnership Track. This Track works… more
- Erickson Living (Dallas, TX)
- …the community continuum of care. + Following Federal, State, and all Payer guidelines, ASHA requirements, and company policies and procedures. Ensuring departmental ... understanding and compliance in the areas of care provision, documentation, billing reimbursement, resident rights, customer service, and compliance. + Providing a holistic approach, supporting the residents' physical, spiritual, emotional, and clinical needs… more
- University of Texas Rio Grande Valley (Edinburg, TX)
- …Preferred Experience Involvement with managed care contract negotiation and payer relations. Familiarity with healthcare financial systems and electronic medical ... record ( EMR ) platforms is highly desirable. Proficiency with financial analytics software (eg, Tableau, Power BI) or hospital information systems (eg, MEDITECH , Cerner, EPIC ). Knowledge of healthcare grants and alternative payment models (APMs).Experience… more
- Norstella (Austin, TX)
- …+ Strong attention to detail + Expert knowledge of provider and payer dynamics within healthcare, specifically within oncology, cellular therapy / CAR-T, immunology, ... neurology / CNS, and/or other rare diseases / specialty therapeutics **The Guiding Principles For Success At Norstella** **01: Bold, Passionate, Mission-First** We have a lofty mission to Smooth Access to Life Saving Therapies and we will get there by being… more
- Dallas Behavioral Healthcare Hospital (Desoto, TX)
- …required but a plus: Certified Professional Coder (CPC), CPC-Hospital, CPC- Payer , Certified Interventional Radiology Cardiovascular Coder (CIRCC) and Certified ... Professional Medical Auditor (CPMA) + Experience: A minimum of 1 year coding experience required preferably with psychiatric services + Knowledge, Skills & Abilities: + Knowledge of medical terminology; basic and advanced ICD-9-CM coding; anatomy and… more
- Wolters Kluwer (Houston, TX)
- …and problem solving + Understanding of the healthcare ecosystem, particularly in payer and provider sectors and experience with value-based care models and health ... language offerings is desireable but not required + Hands-on experience with Electronic Health Records (EHRs) and API integration + Familiarity in interoperability standards and protocols, ensuring seamless data exchange across diverse healthcare systems is… more
- Community Hospital Corporation (Greenville, TX)
- …projects to ensure timely and accurate payments. Revenue Cycle, Reimbursement, and Payer Relations + Oversee and lead negotiations with third-party payors for ... optimal reimbursement and contract performance of managed care contracts. + Administration of all Medicare & Medicaid Reimbursement issues, including the completion and review of the annual cost reports. + Responsible for the review of management and service… more
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