- CornerStone Staffing (Fort Worth, TX)
- …RESPONSIBILITIES * Perform internal audits of medical records to ensure billing compliance with state and federal guidelines * Process electronic and paper claims ... patient accounts; report financial and volume trends to Patient Account Manager * Communicate with patients, insurance providers, and internal departments to… more
- Texas Health Resources (Arlington, TX)
- Manager Compliance Coding _Are you looking for a rewarding career with family-friendly hours and top-notch benefits? We're looking for qualified candidates ... + Core work hours: Monday - Friday; 8:00a-5:00p; Position Summary The Coding Compliance Manager oversees and manages auditing and monitoring activities… more
- BrightSpring Health Services (Arlington, TX)
- …and leading health outcomes with states and payers. Responsibilities The Business Manager is responsible for the oversight of operational revenue analysis, ensuring ... of client admission, and authorization and/or eligibility of services. The Business Manager monitors client fund disbursements and account balances. The Business … more
- Molina Healthcare (Fort Worth, TX)
- **JOB DESCRIPTION** **Job Summary** The Regional Manager Value Based Programs plays a critical role in the development and implementation of value-based programs and ... with government sponsored programs, including risk revenue management, strategy, and compliance + Knowledge of value based programs, risk adjustment models, quality… more
- Select Medical (Fort Worth, TX)
- …presence of supporting documentation, and provides staff education to ensure compliance with CMS guidelines. Coordinates all efforts for immediate issue resolution ... review of IRF-PAI related data, and assists the PPS Manager with IRF-PAI completion. **Job Duties:** + Confers with...and admission ICD-10 codes to assure congruence and proper Coding for the IRF-PAI. Makes any necessary changes in… more
- Molina Healthcare (Fort Worth, TX)
- …complex business challenges that impact cost containment and regulatory compliance . The position requires strong business judgment, cross-functional coordination, ... that drive measurable improvement. + Partners with finance and compliance to develop business cases and support reporting that...years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health… more
- Elevance Health (Grand Prairie, TX)
- …and abuse. **How you will make an impact:** + Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities for fraud ... aid in investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations....Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Fresenius Medical Center (Cedar Hill, TX)
- …Quality Enhancement Goals (QEP). Adheres to all requirements of the FMCNA Compliance Program, and FMS patient care and administrative policies. **PRINCIPAL DUTIES ... of safe and effective delivery of chronic hemodialysis therapy to patients in compliance with standards outlined in the facility policy procedure manuals, as well as… more
- Baylor Scott & White Health (Fort Worth, TX)
- …data for benchmarking and process improvement. Assists the Trauma Program Manager /Director with orientation and leadership support of Trauma Registry staff, ... complications, and cost for the BSWH Trauma Center. Ensures compliance with local, state, and national agencies that regulate...- & Abbr. Injury Scale (AAAM AIS) & ICD10 Coding Certificate (ICD) & Trauma Data Registry Course (TDRC)… more
- Deloitte (Fort Worth, TX)
- …partners, constituents, and the workforce. Work You'll Do As a Project Delivery Manager on the project, you will be: + Responsible for providing technical leadership ... include designing and implementing complex applications using advanced Apex coding , Lightning Web Components (LWC), and other Salesforce declarative features… more
- Deloitte (Fort Worth, TX)
- …partners, constituents, and the workforce. Work You'll Do As a Project Delivery Manager on the project, you will: + Lead the architecture, design, and development ... requirements, define technical strategy, and ensure alignment with security and compliance standards. + Oversee the configuration, customization, and integration of… more
- CenterWell (Fort Worth, TX)
- …in a timely manner working with a quality- based coder to optimize coding specificity. Follows policy and protocol defined by Clinical Leadership. Meets with RMD ... local primary care "on-call" program of CenterWell as needed. Assures personal compliance with licensing, certification, and accrediting bodies. Spend 100% of your… more
- Robert Half Accountemps (Fort Worth, TX)
- …and revenue optimization. + Assist with billing audits and provide insight on compliance , documentation, and coding accuracy. + Support the ongoing transition ... stabilize, this position may evolve into a leadership or infusion billing manager role, providing dedicated oversight to billing operations and supporting continued… more
- CenterWell (Fort Worth, TX)
- …center + Value Based Care experience including knowledge of HEDIS, CPT/ICD coding , and CAHPS/HOS Patient Experience + Bilingual proficiency in English and Spanish ... of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- CenterWell (Arlington, TX)
- …and written communication skills + Good understanding of best practice coding and documentation in value-based environment **Additional Information** + Leveraging ... of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Elevance Health (Grand Prairie, TX)
- …data, and works with service operations to improve processes and compliance + Notifies areas of identified problems or providers, recommending modifications ... and a working knowledge of CPT/HCPCS and ICD 9 coding and medical policy guidelines strongly preferred + Travels...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
