- Houston Methodist (Houston, TX)
- …revenue opportunities. This position performs quality assurance, detailed claims analysis and medical record reviews of complex claims and records and serves ... At Houston Methodist, the Sr Compliance Coding Analyst position is responsible for...and baseline reviews of complex and escalated claims or records in a timely manner, evaluates corrective actions and… more
- Elevance Health (Grand Prairie, TX)
- …and abuse prevention and control. + Review and conducts analysis of claims and medical records prior to payment. + Researches new healthcare related questions as ... **Clinical Fraud Investigator Senior ** **Location:** _Hybrid1:_ This role requires associates be...in Nursing and/or current certification as a Certified Professional Coder (AAPC or AHIMA) and minimum of 5 years… more
- HCA Healthcare (Mckinney, TX)
- …intrinsic worth of each individual is recognized. Submit your application for our Inpatient Coder opening with Parallon today and find out what it truly means to be ... and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low… more
- CenterWell (Grand Prairie, TX)
- …on outpatient medicine, continuity of care, health maintenance, and disease prevention. Keeps a medical history and medical records . Refers the patient to ... Organization is one of the largest and fastest growing value-based care, senior -focused primary care providers in the country, operating 340 centers across fifteen… more
- CenterWell (Humble, TX)
- …Organization is one of the largest and fastest growing value-based care, senior -focused primary care providers in the country, operating nearly 300 centers across ... care team supporting patient's physical, emotional, and social wellness. At CenterWell Senior Primary Care, we want to help those in the communities we… more
- CenterWell (Houston, TX)
- …on outpatient medicine, continuity of care, health maintenance, and disease prevention. Keeps a medical history and medical records . Refers the patient to ... quality of patient care using available data and chart reviews. + Complete all medical record documentation in a timely manner, working with a quality-based coder… more
- CenterWell (San Antonio, TX)
- …Doctors, Advanced Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based Coders, Referral Coordinators ... accordance with standards of care. + Follows level of medical care and quality for patients and monitors care...in a timely manner working with a quality- based coder to optimize coding specificity. + Follows policy and… more
- CenterWell (Beaumont, TX)
- …treats center patients in accordance with standards of care. . Follows level of medical care and quality for patients and monitors care using available data and ... limited to specialty referrals, hospital and SNF coordination, durable medical equipment and home health care. . Acts as...in a timely manner working with a quality- based coder to optimize coding specificity. . Follows policy and… more
- Houston Methodist (Houston, TX)
- …changes are needed. **QUALITY/SAFETY ESSENTIAL FUNCTIONS** + Analyzes data from various sources ( medical records , claims data, payer medical policies, etc.), ... and findings to both front line team members and senior executives. + Communicates to partners, revenue cycle staff,...claims information into a concise appeal letter, including appropriate medical records submission. + Performs timely review… more
- University of Texas Rio Grande Valley (Mcallen, TX)
- …federal/state laws and regulations and UTRGV policies. To review and analyze medical records , claims, and workflow processes to ensure accuracy, completeness, ... billing, coding, and reimbursement processes. + Reviews, assesses and analyzes medical records , coding, billing, claims, reimbursements and workflow processes… more