- Conifer Revenue Cycle Solutions (Bryan, TX)
- …in the planning, development and implementation, and ongoing success of the Clinical Documentation Management Program within the company. Educates members of the ... records to facilitate and obtain appropriate physician documentation for any clinical conditions or procedures to support the appropriate severity of illness,… more
- Conifer Revenue Cycle Solutions (Frisco, TX)
- JOB SUMMARY Manages activities of the Clinical Documentation Improvement department locally and/or across other Conifer's CDI departments. Lead the monitoring of ... in the planning, development and implementation, and ongoing success of the Clinical Documentation Management Program. Educates members of the patient care team… more
- Abbott (Corpus Christi, TX)
- …and branded generic medicines. Our 114,000 colleagues serve people in more than 160 countries. ** Clinical Specialist I, CPT ** **PLEASE NOTE: This is not an ... Opportunity** Our team is actively pipelining talented professionals for a forthcoming ** Clinical Specialist I, CPT ** **in** **Corpus Christi, TX** . As a… more
- University of Texas Rio Grande Valley (Harlingen, TX)
- Position Information Posting NumberSRGV8237 Working TitleCLINICAL DOCUMENTATION SPECIALIST Number of Vacancies1 LocationHarlingen, Texas DepartmentSchool of ... Cycle FTE1.0 FLSAExempt Scope of Job To promote appropriate clinical documentation through collaboration with the School of Medicine...procedures as necessary. * Maintains a thorough understanding of CPT , ICD -10 CM, and HCPCS coding principles,… more
- Houston Methodist (Sugar Land, TX)
- …and denials for no authorization. The Senior Denials Management Specialist position communicates clinical information utilizing various resources ... for process and workflow opportunities to both operational and clinical stakeholders. The Senior Denials Management Specialist ...clinical appeals, and denials to include knowledge of CPT and ICD codes and familiarity with Local Coverage… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Coding Charges & Denials Specialist is responsible for coordinating and monitoring the coding-specific clinical charges and denial ... appeals process in a collaborative environment with revenue cycle management and clinical partners at various Houston Methodist facilities. This position will be… more
- Datavant (Austin, TX)
- …to realize our bold vision for healthcare. As an **Inpatient Auditing Specialist ** you will be instrumental in addressing consulting and educational needs related ... Will:** + Conduct inpatient coding audits on medical records, utilizing ICD-10-CM, CPT , and appropriate coding references for accurate DRG and APC assignment. +… more
- Elevance Health (Plano, TX)
- …our specialty pharmacies, our infusion centers, and the home setting. **Referral Specialist II - Paragon Healthcare** **Schedule:** Monday - Friday; 9:00am - 6:00pm ... accommodation is granted as required by law._ The **Referral Specialist II** is responsible for providing support to a... II** is responsible for providing support to a clinical team in order to facilitate the administrative components… more
- Prime Therapeutics (Austin, TX)
- …every decision we make. **Job Posting Title** Medication Therapy Management (MTM) Specialist - Remote **Job Description** Evaluates and authorizes approval of prior ... from prescribers received by telephone and/or facsimile using client clinical criteria. **Responsibilities** + Determines appropriateness for medications. Communicates… more
- System One (Frisco, TX)
- Job Title: Revenue Cycle Specialist Location: Frisco & Carrollton, Texas (Onsite) Hours/Schedule: Full-time, Monday-Friday Type: Direct Hire Overview A growing ... and Carrollton areas is seeking an experienced Revenue Cycle Specialist to join their team. This role plays a...charge information before claim submission. + Assign and validate CPT , ICD-10, and HCPCS codes based on provider documentation.… more
- CenterWell (Port Arthur, TX)
- …independent initiative and judgment. The Medical Assistant 3 performs clinical duties such discussing symptoms, obtaining vital signs, medication/vaccine ... in PCO center + Value Based Care experience including knowledge of HEDIS, CPT /ICD coding, and CAHPS/HOS Patient Experience + Bilingual proficiency in English and… more
- Banner Health (TX)
- …our award-winning patient care. POSITION SUMMARY Evaluates medical records, provides clinical and surgical abstraction and assigns appropriate clinical diagnosis ... edits as appropriate. Reconciliation of charges as required. 2. Abstracts clinical diagnoses, procedure codes and documents other pertinent information obtained from… more
- Banner Health (TX)
- …physician practices by evaluating medical records and validating that appropriate clinical diagnosis and procedure codes are assigned in accordance with nationally ... edits as appropriate. Reconciliation of charges as required. 2. Abstracts clinical diagnoses, procedure codes and documents other pertinent information obtained from… more
- Highmark Health (Austin, TX)
- …staff, physicians and appropriate individuals. (20%) + Validates the ICD-CM, ICD-PCS, CPT and HCPCS Level II code and modifier systems, missed secondary diagnoses ... appropriate payor specific groups consisting of ICD-CM ICD-PCS and CPT codes for diagnoses and procedures and calculates the...processes as it relates to the DRG/APC and other clinical data quality management factors. With technical direction and… more
- Houston Methodist (Houston, TX)
- …utilizing the established physician query process. Provides assistance to Clinical Documentation Management Program (CDMP) with appropriate MS-DRG and APR-DRG ... Case Management and Patient Access Departments in providing appropriate CPT codes for pre-admission and pre-certification requirements including the inpatient… more
- Methodist Health System (Dallas, TX)
- …Shift :** **Job Description :** Your Job: The Medical Authorization Specialist professional responsible for verification of medical coverage, along with ... equivalent. Some college preferred * 1 year of prior clinical and/or insurance experience. * Knowledge of billing practices...policies and procedures. * Knowledge of ICD-9, ICD-10 and CPT codes for clinic operating policies. * Strong proficiency… more
- Texas Health Resources (Arlington, TX)
- …work plan, monitoring, focused), comparing medical record documentation to reported CPT /HCPCS and ICD codes, while ensuring alignment with payer-specific coding ... coding expertise , documentation analysis and audit findings. Partner with Clinical Documentation Improvement teams to enhance documentation quality and ensure… more
- Catholic Health Initiatives (Houston, TX)
- …Pharmacy Technician functions in an advanced practice role as a pharmacy specialist within the pharmacy and on interdisciplinary teams. The Lead Certified Pharmacy ... medication diversion + Responds to data requests from other clinical and/or regulatory departments + Assists in implementation of...with the Texas State Board of Pharmacy + Active CPT -EXCPT or CPT -PTCB or CPHT certification in… more
- Covenant Health (Lubbock, TX)
- …supervision, coordinates the processing, review and application of ICD-10 coding rule sets, CPT and HCPCS codes to medical records based on documentation provided by ... the providers and adheres to coding compliance for a specified clinical area. Adheres to strict federal coding rules in selecting codes that appropriately and… more
- Community Health Systems (Granbury, TX)
- …Reviews and verifies personal and insurance information for pre-certification orders, including CPT and ICD codes, obtaining clinical details from physicians as ... appointments across multiple departments, including diagnostic tests, procedures, and specialist consultations. + Ensures appointments are scheduled based on… more
