- Centene Corporation (Austin, TX)
- …in state fair hearings and health plan provider calls. + Develop and maintain review guidelines for Corporate medical coding reviews. + Performs other ... medical claim reviews to ensure compliance with coding guidelines through a comprehensive review and analysis of claims, medical records, claims… more
- Banner Health (TX)
- …CAC applies clinically intelligent Optum natural language processing (NLP) to review medical records and deliver comprehensive, accurate code suggestions. ... coding Inpatient team members. CORE FUNCTIONS 1. Analyzes medical information from medical records. Accurately codes...and complex matters independently with regard to interpretation of coding guidelines prior to referral to senior … more
- University of Texas Rio Grande Valley (Mcallen, TX)
- …to ensure compliance with federal/state laws and regulations and UTRGV policies. To review and analyze medical records, claims, and workflow processes to ensure ... , and reimbursement processes. + Reviews, assesses and analyzes medical records, coding , billing, claims, reimbursements and...charges. + Performs reviews of electronic and manual documentation, coding , and billing systems. . + Review ,… more
- Houston Methodist (Houston, TX)
- … documentation, and claims information into a concise appeal letter, including appropriate medical records submission. + Performs timely review of medical ... At Houston Methodist, the Coding Charges & Denials Specialist is responsible for...and findings to both front line team members and senior executives. + Communicates to partners, revenue cycle staff,… more
- CVS Health (Austin, TX)
- …Qualifications:** + 5+ years' experience in the HealthCare Industry conducting medical review /claim audit (Claims/ Coding /Edit Development, medical ... with heart, each and every day. **Position Summary:** The Senior Clinical Investigator Consultant will support Medical ...the broader organization and external vendors. The candidate will review provider medical records using coding… more
- The Hartford (San Antonio, TX)
- …Medical Billing department is seeking a dynamic individual to fill a vacant Senior Medical Bill Examiner role. Successful candidates will be responsible for ... performing Medical Bill review and investigation of ...+ Analyzing of bill for proper assignment of detailed medical coding information + Interpreting workers compensation… more
- Datavant (Austin, TX)
- …experiences to realize our bold vision for healthcare. We're looking for a senior product manager with experience in revenue cycle management, in particular provider ... coding (inpatient and outpatient). You're one to get excited...exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its… more
- Walmart (Dallas, TX)
- …solutions for coding errors by collaborating with software developers to review coding algorithms; developing unit testing plans to test code; developing ... to the next level! VIZIO's Technology-Software and Services team is seeking a Senior Quality Engineer to join their team. The successful candidate will have the… more
- General Dynamics Information Technology (Fort Worth, TX)
- …Required:** Yes **Job Description:** Transform technology into opportunity as a ** Senior Information Assurance Security Engineer (Air Systems)** with GDIT. A career ... At GDIT, people are our differentiator. Our work depends on a ** Senior Information Assurance Security Engineer (Air Systems)** to provide knowledge-based information… more
- Citigroup (Irving, TX)
- Citibank, NA seeks an Applications Support Senior Analyst for its Irving, Texas location. Duties: Provide level three escalation support, working with support team, ... and liaise between development team and users to resolve testing issues. Review operational processes to identify risks and inefficiencies and resolve manual… more