- Abbott (Houston, TX)
- …branded generic medicines. Our 114,000 colleagues serve people in more than 160 countries. ** Clinical Specialist I, CPT - Houston, TX** **Working at Abbott** ... the pain continuum. **The Opportunity** Our team is actively recruiting for a ** Clinical Specialist I, CPT ** **in Houston, TX.** As a member of the… more
- MD Anderson Cancer Center (Houston, TX)
- **SUMMARY** The primary purpose of the Senior Clinical Coding Specialist position is to analyze medical records and abstracts clinical data by assigning ... medical record documentation, understand, and assign accurate primary, ICD-10 CM, CPT /HCPCS, modifiers, LCD/NCD, MUE, and NCCI methodologies codes to professional… more
- MD Anderson Cancer Center (Houston, TX)
- …lines. The role requires strong analytical skills to review charges and clinical documentation, ensuring alignment with CPT /HCPCS coding standards and industry ... *Regional Billing Specialist opportunity in the Ambulatory Charge Capture Services...in a physician practice. They have strong knowledge of CPT , ICD-10-CM, and HCPCS coding, and excel at resolving… 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
- Elevance Health (Houston, 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
- Molina Healthcare (Houston, 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
- Molina Healthcare (Houston, TX)
- …fashion and in accordance with quality reviews of appropriate ICD-10 and/or CPT codes, and accuracy of DRG or ambulatory payment classification (APC) assignments. ... process improvements, tools, etc. * Integrates medical chart coding principles, clinical guidelines, and objectivity in performance of medical audit activities.… 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
- Molina Healthcare (Houston, TX)
- …suite and applicable software program(s) proficiency. **PREFERRED QUALIFICATIONS:** + Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), ... regulatory requirements, Molina policies and procedures, and medically appropriate clinical guidelines. Contributes to overarching strategy to provide quality and… more
- Houston Methodist (Houston, TX)
- …departmental standards of coding quality by assigning accurate ICD-10-CM/ICD-10-PCS and CPT codes and APC assignment utilizing an electronic encoder application in ... Information Administrator (AHIMA) **OR** + CCS - Certified Coding Specialist (AHIMA) **OR** + CCA - Certified Coding Associate...that operate at the system level to help enable clinical departments to provide high quality patient care. Houston… more
- Houston Methodist (Houston, TX)
- …Registered Health Information Administrator (AHIMA) + * CCS - Certified Coding Specialist (AHIMA) **KNOWLEDGE, SKILLS, AND ABILITIES** + Demonstrates the skills and ... + Expert knowledge and proficiency in the following: + ICD-10-CM/ICD-10-PCS and CPT /HCPCS coding classification systems + MS-DRG, APR DRG and APC assignment systems… more