- HCA Healthcare (Plano, TX)
- **Description** **Introduction** Do you have the career opportunities as a Clinical Denial Coding Review Specialist you want with your current employer? ... are a committed, caring group of colleagues. Do you want to work as a Clinical Denial Coding Review Specialist where your passion for creating positive… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …coding inventories. Coordinates with vendor quires and questions related to assigned multi-specialty coding inventories. + Review ETM coding denials for ... coding training programs, educational handouts/materials, FAQs, etc. for physicians/providers, coding staff and clinical department administrators. + Assist… more
- Texas Health Resources (Arlington, TX)
- …coding education, training, and best practices for areas vulnerable to compliance errors. Denial Support & Case Review - Conduct additional reviews to assist ... organizational policies. Evaluate the effectiveness of internal controls and compliance procedures. Coding & Documentation Review - Assist the audit team with… more
- Molina Healthcare (Houston, TX)
- …review , long-term services and supports (LTSS), claims auditing, medical necessity review and/or coding experience, or equivalent combination of relevant ... **Job Summary** Provides support for medical claim and internal appeals review activities - ensuring alignment with applicable state and federal regulatory… more
- Prime Therapeutics (Austin, TX)
- …staff and/or pharmacists. + Escalates requests to Pharmacist when request requires extensive clinical review or denial . + Monitors telephone system to ... of pharmacy with us. **Job Posting Title** Pharmacy Technician II - MCP Clinical Liaison - Remote **Job Description** Evaluates and authorizes approval of prior… more
- Public Consulting Group (Austin, TX)
- …other contractual deliverables when needed. Ensures accurate system support through review and updating reference data, contractual metrics, and compliance metrics. ... other contractual deliverables when needed. Ensures accurate system support through review and updating reference data, contractual metrics, and compliance metrics.… more
- Ascension Health (Georgetown, TX)
- …utilization management and denial mitigation, including but not limited to: + Review medical records of identified patients to assist with the level of care ... appropriate utilization of alternate levels of care, community resources, clinical documentation improvement, coding , quality and/or compliance processes.… more
- Cardinal Health (Austin, TX)
- …position requires strategic leadership, operational excellence, and collaboration across clinical , operations, and financial teams while spearheading the development ... cycle operations for radiation oncology and imaging, including charge capture, coding , billing, and collections + Ensure all oncology-related claims are submitted… more
- MD Anderson Cancer Center (TX)
- …Makes recommendations for resolution. 5. Pursues appeals when available. Initiates communication with coding team and clinical staff when coding related, and ... timely to patient account inquires received from customer service. 4. Identifies denial trends and notifies Supervisor and/or Manager to prevent future denials and… more