- Elevance Health (Grand Prairie, TX)
- …as necessary to aid in investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations. + Collaborates with the ... Requires a AA/AS and minimum of 3 years medical coding /auditing experience, including minimum of 1 year in fraud,...our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors… more
- Molina Healthcare (San Antonio, TX)
- …performing accurate and reliable medical review audits that may also include coding and billing reviews. The SIU Investigator is responsible for reviewing and ... SIU Investigator is also responsible for recognizing and adhering to national and local coding and billing guidelines in order to maintain coding accuracy and… more
- Houston Methodist (Houston, TX)
- …all outstanding third party primary and secondary insurance claims for professional services. This position performs collections activities on simple and complex ... denials and on outstanding insurance balances in the professional fee environment. This role is also responsible for...+ Creates and submits appeals when necessary. Engages the coding follow-up team for any medical necessity or … more
- Molina Healthcare (San Antonio, TX)
- …appropriate level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding regulations, and Molina policies; validates the medical record and ... claim submitted support correct coding to ensure appropriate reimbursement to providers. **Job Duties** + Performs clinical/medical reviews of retrospective medical… more
- Methodist Health System (Dallas, TX)
- …are seeking an experienced Accounts Receivable II (AR II) Specialist specializing in Professional Billing to join our team at our Central Business Office (CBO) ... + Strong knowledge of healthcare billing processes, medical terminology, CPT, ICD-10 coding , and billing regulations. + Excellent analytical skills with the ability… more
- Houston Methodist (Houston, TX)
- …with physicians, nursing staff, other patient care givers, and medical records coding staff to ensure that appropriate reimbursement is received for the level ... + Educates all internal customers on clinical documentation opportunities, coding , and reimbursement issues, as well as performance improvement methodologies… more
- Insight Global (San Antonio, TX)
- …future of mobile development - someone who has mastered the art of AI-assisted coding and can deliver exceptional results at lightning speed. This role is perfect ... for a developer who has evolved beyond traditional hand- coding and leverages AI tools to achieve 95-100% code.... Skills and Requirements - Minimum 5+ years of professional React Native experience in production environments - Extensive… more
- Citigroup (Irving, TX)
- The Data Quality Lead Analyst is a strategic professional who stays abreast of developments within own field and contributes to directional strategy by considering ... controls including data profiling, data analysis, logic tuning, and advanced SQL coding .. This role manages the end-to-end data quality control development lifecycle… more
- Providence (TX)
- …Specialist shall ensure that the Chargemaster (CDM) is consistent with all coding and billing regulations and accurately represents services provided. The Senior CDM ... for the training of Hospital ministry staff regarding the CDM Maintenance process, coding updates and charge capture improvement. The Senior CDM Specialist acts as a… more
- ManpowerGroup (Dallas, TX)
- …7-10 Years **Client Industry:** Banking / Financial Services Preferred Interview: CODING TEST FOLLOWED BY VIDEO/ON-SITE INTERVIEW **Job ID: Connect with RECRUITER ... solutions in a real-time transaction environment. If you're passionate about financial-grade coding , security, and system design and ready to own your impact; this… more