- Datavant (Austin, TX)
- … coding in multiple settings **What You Will Do:** + Performs Professional Fee coding audits of medical records and abstracts using ICD-10-CM, CPT, HCPCS, and ... will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education,… more
- Datavant (Austin, TX)
- …will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, ... presenting solutions for customer issues. This role is fully remote with a flexible schedule, allowing you to help...Preferred: Candidate must be proficient in MS-DRG and APR-DRG coding . CCS is preferred. **What You Will Do:** +… more
- IQVIA (Houston, TX)
- **Patient Support Medical Claims Processing Representative** _Contract Remote Role - Location (Open to Remote US)_ As the only global provider of commercial ... announce that currently we are looking for a 100% remote (work from home-WFH) contact **Patient Support Medical...or equivalent + Experience in claim processing required + Medical Billing Certification required + Coding Certification… more
- Insight Global (Plano, TX)
- …chart reviews to accurately reflect the patient's condition. Stay current with medical coding guidelines and industry developments. Assist in developing training ... Global is seeking experienced DRG Auditors to join a remote healthcare organization. The DRG Revenue Integrity Auditor will...and quality audits on inpatient charts to ensure accurate coding and compliance with federal regulations. This is a… more
- Texas Health Resources (Arlington, TX)
- …(Profee) Coding experience. Completion of advanced level training in medical terminology, anatomy and physiology, or similar REQUIRED Licenses and Certifications ... our Texas Health family._ Position Highlights + Work location: Remote work + Work hours: Monday - Friday generally...Friday generally between 7:00 am - 6:00 pm HIMS Coding Department Highlights: * Flexible hours/scheduling once training is… more
- Humana (Austin, TX)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... of situations or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement… more
- CenterWell (Austin, TX)
- **Become a part of our caring community and help us put health first** The Medical Director, Primary Care relies on medical background and reviews health claims. ... data requires an in-depth evaluation of variable factors. The Medical Director relies on medical background and...An aspect of the role includes an overview of coding practices and clinical documentation, grievance and appeals processes,… more
- Humana (Austin, TX)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background,...but may not be limited to, an overview of coding practices and clinical documentation, grievance and appeals processes… more
- MD Anderson Cancer Center (Houston, TX)
- …exemplary manner in standards set forth by the Texas State Board of Medical Examiners properly balanced with other academic activities. B. Capable of providing ... level of training and experience. 2. Visually review for proper ICD-10 and CPT coding and approve all charge documents within four working days. 3. Complete patient… more
- CVS Health (Austin, TX)
- …for their clinical quality and effective use of health care resources. **This is a remote based (work at home) based anywhere in the US.** The Medical Director ... post-graduate direct patient care experience specifically. This role expands Aetna's medical management programs to address member needs across the continuum of… more
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