- 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** ... throughout the pain continuum. **The Opportunity** Our team is actively recruiting for a ** Clinical Specialist I, CPT - Houston, TX** . As a member of the… more
- Deloitte (Dallas, TX)
- Healthcare Clinical Documentation Specialist - Senior Consultant Our Deloitte Regulatory, Risk & Forensic team helps client leaders translate multifaceted risk ... investigations, regulatory concerns, financial concerns and other business controversy. A Clinical Documentation Specialist (CDS) works to ensure accuracy and… more
- MD Anderson Cancer Center (Houston, TX)
- …of a world-class team dedicated to Making Cancer History(R). As a *Senior Clinical Coding Specialist * in our *Revenue Operations and Coding Department*, your ... departmental policies accurately. * Review medical records and assign ICD-10 CM, CPT /HCPCS, modifiers, and other codes using 3M software, EPIC, and coding… more
- Providence (TX)
- …policies and procedures regarding CDM Maintenance and charge process. The CDM Specialist reviews clinical department charges to ensure Chargemaster and coding ... compliance. The CDM Specialist also coordinates with Hospital ministry, IS, ...requirements (UB-04) and CMS Medicare reimbursement methodology. Knowledge of CPT , HCPCS and ICD10 coding principles. + 3 years… 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
- Abbott (Plano, TX)
- …location in **Plano, TX** currently has an opportunity for a **Patient Therapy Access Specialist ** (PTA). This is an in office 5 days a week position. Preferred ... hours 8am to 5pm. As a PTA Specialist you are responsible for facilitating and assisting Abbott...for requested authorizations. + For each procedure, audit required clinical documents for completeness and accuracy. + Obtain authorization… 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
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- **43114BR** **Extended Job Title:** Coding Specialist **Org Level 1:** Texas Tech Unv Hlth Sci Ctr El Paso **Position Description:** Review medical record provider ... documentation and assign appropriate CPT , HCPCS and/or ICD-10-CM codes for provider services (in...and assisting the external medical coding vendor by clarifying clinical documentation or coding questions. This includes providing feedback… more
- Datavant (Austin, TX)
- …realize our bold vision for healthcare. The purpose of the Denial Prevention Specialist is to effectively defend utilization of available health services, review of ... medical necessity criteria and standards of care, along with clinical knowledge and expertise successfully. Ideal candidate should be...State Regulations, URAC and NCQA preferred + ICD10 and CPT coding a plus + Experienced computer skills, Word,… 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
- 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
- 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
- Molina Healthcare (Austin, TX)
- …Office suite/applicable software program(s) proficiency. **Preferred Qualifications** * Certified Clinical Coder (CCC), Certified Medical Audit Specialist ... **JOB DESCRIPTION** **Job Summary** The Clinical Appeals Nurse (RN) provides support for internal...* Experience demonstrating knowledge of ICD-9, Current Procedural Technology ( CPT ) coding and Healthcare Common Procedure Coding (HCPC). *… more
- Molina Healthcare (Dallas, 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
- Houston Methodist (Houston, TX)
- …teams and ensures standards are met. Implements action plan to reduce clinical denials and coordinates department training. **FINANCE ESSENTIAL FUNCTIONS** + Assists ... partially paid claims by third-party payors related to coding or clinical denials. **GROWTH/INNOVATION ESSENTIAL FUNCTIONS** + Implements change, demonstrating the… 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
- 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
- Texas Health Resources (Arlington, TX)
- …Certified Professional Coder Upon Hire REQUIRED or CCS-P - Certified Coding Specialist - Physician-based Upon Hire REQUIRED and Other Specialty certification such as ... Upon Hire Preferred Required Skills * Advanced knowledge of procedural and clinical diagnosis coding pertaining to professional billing. * Knowledge of third-party… more
- Community Health Systems (Corsicana, 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
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …+ Conduct reviews and audits of medical records for coding accuracy (ICD-10-CM, CPT , HCPCS) and documentation compliance + Ensure compliance with federal, state, and ... issues + Ensure abstracted data impacting reimbursement for all clinical locations is accurate: discharge disposition,indicators, procedure dates of service,… more