- Abbott (San Antonio, TX)
- …branded generic medicines. Our 114,000 colleagues serve people in more than 160 countries. ** Clinical Specialist I, CPT - San Antonio** **PLEASE NOTE: This ... Opportunity** Our team is actively pipelining talented professionals for a forthcoming ** Clinical Specialist I, CPT ** **in** **San Antonio** . As a member… 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
- Intermountain Health (Austin, TX)
- …provides advanced training to hospital coding staff, compliance, CDI, physicians, and clinical staff. This Coordinator serves as a subject matter expert for all ... ICD-10 CM/PCS and CPT coding practices, conventions, regulatory, and reimbursement guidelines for...of hospital coding. The coordinator works with providers and clinical staff to make critical coding decisions based on… 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
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- **40996BR** **Extended Job Title:** Medical Billing Specialist **Org Level 1:** Texas Tech Unv Hlth Sci Ctr El Paso **Position Description:** Responsible for ... claims + On rotating schedule, collect billing documents from various hospital and/or clinical locations + Print and mail Ceequence appeals saved on MPIP SharePoint… more
- Robert Half Office Team (Dallas, TX)
- …A client of ours in the medical industry is seeking an Insurance Verification Specialist . In this role, you will verify insurance coverage for new patients and ... experience. Bilingual communication skills are a major plus. Insurance Verification Specialist Duties and Responsibilities + Verify insurance information for new… more
- Kelsey-Seybold Clinic (Pearland, TX)
- …able to travel occasionally **Job Title: SR Coding Improvement Specialist ** **Location: Pearland Administrative Office** **Department:** **KS Plan Advantage-Risk ... with 2 years coding experience. Preferred: N/A **Experience** Required: ICD10, CPT , HCPCS Coding with 5-6 years coding/abstracting experience Preferred: EPIC EMR… 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
- Sam Houston State University (Huntsville, TX)
- …Positions Only): Technical/Para-Professional Hiring Salary: Monthly-Staff Department: COM Clinical Practice General Requirements: Associates degree in a related ... is highly desirable, along with proficiency in Current Procedural Terminology ( CPT ) coding, International Classification of Diseases ( ICD -10) diagnosis codes,… more
- Prime Therapeutics (Austin, TX)
- …our passion and drives every decision we make. **Job Posting Title** SIU Specialist - Remote in the California market **Job Description** Responsible for the intake ... related issue and activities to external departments (Cost Containment, Networks, Clinical ) for handling. + PACKAGING OF FINDINGS AND RECOMMENDATIONS: + Organize… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Insurance Authorization Specialist position is responsible for obtaining and managing insurance authorizations for medical services and ... interactions with patient's, co-workers, insurance companies, physicians, and other clinical and administrative partners. **PEOPLE ESSENTIAL FUNCTIONS** + Promotes a… more
- Caris Life Sciences (Irving, TX)
- …Caris is where your impact begins.** **Position Summary** Our Client Billing Specialist are responsible for charge entry on specific client accounts in accordance ... and general laws related to all payers. + Intermediate knowledge of clinical documentation review for alignment with insurance authorization requirements + Basic… more
- Molina Healthcare (Fort Worth, TX)
- **Job Description** **Job Summary** The Manager, Clinical DRG Coding & Validation must have an extensive background in either facility-based nursing and/or inpatient ... high quality claims payment to ensure payment integrity. Responsible for performing clinical reviews of medical records and other documentation to evaluate issues of… more
- Molina Healthcare (San Antonio, TX)
- …records to determine accuracy of claims payments. + Review of applicable policies, CPT guidelines, and provider contracts. + Devise clinical summary post review. ... benefits, and medical records to document relevant findings of a post pay clinical review. This position manages documents and prioritizes case load to ensure timely… 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
- Baylor Scott & White Health (Austin, TX)
- …Healthcare Common Procedure Coding System (HCPCS) including Current Procedural Terminology ( CPT ) and other coding references to ensure accurate coding. Coding ... into the coding and abstracting system. Works collaboratively with the Clinical Documentation Specialists and Coaches to communicate opportunities for accurate,… 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
- Banner Health (TX)
- …care. POSITION SUMMARY This position is responsible for the interpretation of clinical documentation completed by the health care team for the health record(s) ... and for quality assurance in the alignment of clinical documentation and billing codes. Works with clinical documentation improvement and quality management… 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
- Veterans Affairs, Veterans Health Administration (Corpus Christi, TX)
- …diagnosed with PTSD. In their primary role as a PTSD specialist , psychological services may include conducting assessments, delivering psychotherapy (in individual ... regarding Veteran care issues. Administrative Responsibilities: 1. May have clinical program management responsibilities, which include the operation and management… more