- Humana (Austin, TX)
- …and help us put health first** The Senior Provider Reimbursement Professional - Certified Medical Coder performs research, analysis, documentation, and ... coding certification from the AAPC and/or AHIMA) + Extensive knowledge of medical claims processing and familiarity with reimbursement methodologies, ICD, CPT, and… more
- Ascension Health (Austin, TX)
- …Professional Coders (AAPC) obtained prior to hire date or job transfer date. + Medical Certified Professional Coder (CPC) credentialed from the Practice ... of Professional Coders (AAPC) obtained prior to hire date or job transfer date. + Certified Professional Coder (CPC) credentialed from the American Academy of… more
- Humana (Austin, TX)
- …required: AAPC CPC (no Apprentice) + Minimum of 3 years' experience as a Certified Medical Coder + Demonstrate ability to problem-solve complex coding ... Qualifications** + Bachelor'sDegree + 5 or more years of experience as a Certified Medical Coder + CPMA certification + MS-DRG auditing or APR auditing… more
- Highmark Health (Austin, TX)
- …in Managed Care **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Medical Coder or related **SKILLS** + Demonstrated ... and retrospective claims review basis. Review process includes a review of medical documentation, itemized bills, and claims data to assure appropriate level of… more
- Baylor Scott & White Health (Austin, TX)
- … Coding Specialist (CCS) + Certified Coding Specialist Physician-based (CCS-P) + Certified Professional Coder (CPC) + Certified Outpatient Coder ... (COC) + Certified Inpatient Coder (CIC) + Certified Interventional Radiology Cardiovascular Coder (CIRCC) **BENEFITS** Our competitive benefits package… more
- Ascension Health (Austin, TX)
- …from the American Health Information Management Association (AHIMA) preferred. + Certified Professional Coder (CPC) credentialed from the American Academy ... Central Texas and four teaching hospitals, including Dell Seton Medical Center at The University of Texas and Dell...Center at The University of Texas and Dell Children's Medical Center. Join us and create a career path… more
- Datavant (Austin, TX)
- …to realize our bold vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses using ... while certified . + Full understanding and knowledge of ICD-10, medical terminology, medical abbreviations, pharmacology and disease processes. + Ability… more
- Datavant (Austin, TX)
- …for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to ... codes using ICD-10-CM and ICD-10-PCS codes + Accurately sequence and abstract medical codes from patient records, ensuring precision and adherence to documentation +… more
- Molina Healthcare (Austin, TX)
- …applicable software program(s) proficiency. **PREFERRED QUALIFICATIONS:** + Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), ... **Job Description** **Job Summary** The Medical Review Nurse provides support for medical...Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM), Certified Professional… more
- Molina Healthcare (Austin, TX)
- …setting. * Completion of a health care related vocational program in health care (ie, certified coder , billing, or medical assistant). To all current Molina ... determine appropriate appeals and grievance outcomes. * Requests and reviews medical records, notes, and/or detailed bills as appropriate; formulates conclusions per… more
- Molina Healthcare (Austin, TX)
- …setting experience. * Completion of a health care related vocational program (ie, certified coder , billing, or medical assistant). To all current ... according to state, federal and Molina guidelines. * Requests and obtains medical records, notes, and/or detailed bills as appropriate to assist with research.… more
- Molina Healthcare (Austin, TX)
- …software program(s) proficiency. **Preferred Qualifications** + Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), ... Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM) or Certified ...(CCM), Certified Professional Healthcare Management (CPHM) or Certified Professional in Healthcare Quality (CPHQ). To all current… more
- Datavant (Austin, TX)
- …for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to ... Reviews rebuttals submitted by coders. Provides education to the coder if the error is correct or sends the...**What you will bring to the table:** + AHIMA certified credentials (CCS, CCS-P) or AAPC certified … more
- Datavant (Austin, TX)
- …for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to ... of healthcare from your own workspace! Need SDS surgery coder with EGD, colonoscopy, cataract surgery, ortho, pain management,...and 3M360 systems. **What You Will Do:** + Review medical records and assign accurate codes for diagnoses and… more
- Datavant (Austin, TX)
- …HCC is a plus. **You Will:** + Conduct inpatient coding audits on medical records, utilizing ICD-10-CM, CPT, and appropriate coding references for accurate DRG and ... HCPCS and CPT codes influencing APC assignment. + Provide coder education through the auditing process. + Prepare preliminary...experience auditing + Associate or Bachelor's degree from an AHIMA- certified HIM or Nursing Program, or completion of a… more
- Molina Healthcare (Austin, TX)
- …Association** Licensed registered nurse (RN), Licensed practical nurse (LPN) and/or Certified Coder (CPC, CCS, and/or CPMA) **Preferred Education** Bachelor's ... ability to present those findings. **Preferred License, Certification, Association** + AAPC Certified Medical CPC, CPMA, CPCO or similar specialist preferred +… more
- Datavant (Austin, TX)
- …to realize our bold vision for healthcare. As an Auditor, HCC Risk Adjustment Coder , you will review medical records to identify and code diagnoses using ... of HCC Auditing experience + High school diploma or GED equivalent + AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified credentials (CPC, CPC-H,… more
- Datavant (Austin, TX)
- …to realize our bold vision for healthcare. As an Auditor, HCC Risk Adjustment Coder , you will review medical records to identify and code diagnoses using ... of HCC Auditing experience + High school diploma or GED equivalent + AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified credentials (CPC, CPC-H,… more
- Datavant (Austin, TX)
- …is an opportunity to make a significant impact in the field of medical coding. You will provide essential consulting services and educational support, guiding ... both hospitals and alternative care settings. **Seeking Profee Interventional Radiology coder . Requires expertise in capturing Interventional Radiology CPTs, DX, RVU… more
- Molina Healthcare (Austin, TX)
- …Health Quality (CPHQ) * Nursing License (RN may be preferred for specific roles) * Certified Risk Adjustment Coder (CRC) To all current Molina employees: If you ... supplemental data source (SDS) acquisition from providers as well as Electronic Medical Record (EMR) access. This position oversees management of training for all… more