- HCA Healthcare (Conroe, TX)
- …feedback and education as it relates to coding opportunities found during the review of accounts + Ensures rebill requests are entered timely through the ... and/or CDI Liaisons with day-to-day operations + Assists Coding Manager in the review and improvement of processes and services + Ensures accounts are reviewed… more
- Evolent (Austin, TX)
- …interacts with leadership and management staff, other Physicians, and staff whenever a physician `s input is needed or required. **What You Will Be Doing:** + Serve ... as the Physician match reviewer in Imaging cases, that do not...rationale for standard and expedited appeals. + Utilizes medical/clinical review guidelines and parameters to assure consistency in the… more
- Cardinal Health (Austin, TX)
- …guidance related to customer contracting (GPOs, IDNs, hospitals, physician offices, etc.), strategic sourcing, marketing, regulatory/compliance and contract ... for customer contracting matters, including Group Purchasing Organizations, IDNs physician offices and others + Support cross-functional business teams, including… more
- Evolent (Austin, TX)
- …interacts with leadership and management staff, other Physicians, and staff whenever a physician `s input is needed or required. **What You Will Be Doing:** + Serve ... as the Physician match reviewer in PM&R cases, that do not...rationale for standard and expedited appeals. + Utilizes medical/clinical review guidelines and parameters to assure consistency in the… more
- Abbott (Plano, TX)
- …prerequisite to perform various procedures or forms of therapy based on physician recommendation. **What** **You'll** **Work On** + Responsible for managing multiple ... for completeness and accuracy. + Obtain authorization for the facility, equipmentand physician to perform various procedures from the insurance carrier. + Work with… more
- Houston Methodist (Houston, TX)
- …expert for management and operations staff of specific HM facility and Physician Organization contracts for reimbursement of services billed through managed care. ... competent and engaged employee group by conducting regular department meetings to review policies and procedures and operational matters, rounding on all employees,… more
- HCA Healthcare (Austin, TX)
- …feedback and education as it relates to coding opportunities found during the review of accounts + Ensures rebill requests are entered timely through the ... and/or CDI Liaisons with day-to-day operations + Assists Coding Manager in the review and improvement of processes and services + Ensures accounts are reviewed… more
- Houston Methodist (Katy, TX)
- …competent and engaged employee group by conducting regular department meetings to review policies and procedures and operational matters, rounding on all employees, ... + Builds relationships with external customers to include physicians and physician office staff. **QUALITY/SAFETY ESSENTIAL FUNCTIONS** + Ensures a safe and… more
- Veterans Affairs, Veterans Health Administration (Grand Prairie, TX)
- …and record relevant patient information. Completed work should need only a general review by a registered nurse (RN) or physician (MD/DO) for appropriateness ... determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply.… more
- Molina Healthcare (Fort Worth, TX)
- …the lead role in the coordination and preparation of the HEDIS medical record review which includes ongoing review of records submitted by providers and the ... annual HEDIS medical record review . + Leads meetings with vendors for the medical...by specifications. + Assists the quality improvement staff with physician and member interventions and incentive efforts as needed… more