- Prime Healthcare (Mesquite, TX)
- …+ Substantial PTO + Continuing education opportunities + And much more! Responsibilities CPT I must meet the state regulatory certification requirements to work in ... Diploma, or equivalent, required 2. Current and valid state certification as a CPT I required. 3. Current BCLS (AHA) certificate upon hire and maintain current.… more
- Elevance Health (Grand Prairie, TX)
- …an impact:** + Audits and reviews medical documentation for appropriate ICD-10 and CPT / CPT II coding and documentation. + Queries physicians or providers when ... on coding documentation, claim payment guidelines, and related issues. + Reviews CPT / CPT II and ICD-10 codes annually for accuracy and implements changes. +… more
- Molina Healthcare (Dallas, TX)
- …turn around. This position ensures adherence to state and federal policies, CPT guidelines, internal policies, and contract requirements. This position completes a ... records to determine accuracy of claims payments. + Review of applicable policies, CPT guidelines, and provider contracts. + Devise clinical summary post review. +… more
- Texas A&M University System (Dallas, TX)
- …compliance for billing + Expertise in Current Procedural Terminology ( CPT )/Current Dental Terminology (CDT)/ICD10/ and plan-specific billing and coding guidelines ... on all encounters to validate appropriateness of ICD-10s, or missed secondary diagnosis, CPT and CDT coding. + Assures pre-authorization numbers are on all claims… more
- Prime Healthcare (Mesquite, TX)
- …3 years and maintain updated preferred. 5. Current and valid state Certification as a CPT I or CPT II or ASCP certification preferred. Connect With Us! ... (https://careers-primehealthcare.icims.com/jobs/188161/supervisor-phlebotomy/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityDallas Regional Medical Center LocationUS-TX-Mesquite ID2024-188161 CategorySupervisor Position TypeFull Time… more
- Houston Methodist (Dallas, TX)
- …Case Management and Patient Access Departments in providing appropriate CPT codes for pre-admission and pre-certification requirements including the inpatient ... highest standards of coding quality by assigning accurate ICD-9-CM/ICD-10-CM/ICD-10-PCS and CPT codes utilizing an electronic encoder application in accordance with… more
- HCA Healthcare (Plano, TX)
- …now. **What you will do in this role:** **procedure scheduling experience knowledge of CPT codes and medical terminology preferred** . Obtains CPT and ICD-10 ... diagnosis codes and other clinical information as required for treatment of the patient from practice staff; seeks assistance from practice and Facility Coders as determined through practice and facility processes. . Prepares documentation for Notification of… more
- Texas Health Resources (Arlington, TX)
- …information from the medical records and assigns Profee codes using ICD-10-CM, CPT , and HCPCS in compliance with established guidelines. Provides codes to various ... medical record documentation to ensure accurate Profee code assignment (ICD-10-CM, CPT , HCPCS) of professional charges in compliance with third party payer,… more
- Health Advocates Network (Hurst, TX)
- …InfuseFlow preferred + Working knowledge and application of metric measurements; ICD-10, CPT , and HCPCS codes preferred + Experience providing customer service to ... knowledge and application of metric measurements, basic accounting practices, ICD-10, CPT , and HCPCS coding preferred. + Working knowledge of automated billing… more
- American Heart Association (Dallas, TX)
- …medical records, medical coding and/or standard nomenclatures, such as SNOMED, ICDCM, CPT , LOINC and RXNORM + Advanced skills in data analysis, including the ... ability to lead measure testing (reliability and validity) projects using + Familiarity with the Partnership for Quality Measurement (PQM) measure submission and the endorsement process + Experience working with committees and volunteers - Represent quality… more
- Adecco US, Inc. (Dallas, TX)
- …Skype for business. + Familiarity with Healthcare terminology. + General knowledge of CPT , HCPCS, and ICD-10 coding, and modifier. + Understanding of all HIPAA ... guidelines. **Job description** + In depth understanding of explanation of benefits (EOB's) + Ability to quickly learn and adapt to new concepts. + Ability to self-learn based on client instructions. + Ability to pay close attention to detail, work with speed… more
- Molina Healthcare (Dallas, TX)
- …matrixed organization * SQL proficiency * Knowledge of healthcare claim elements: CPT , CPTII, LOINC, SNOMED, HCPS, NDC, CVX, NPIs, TINs, etc. **PREFERRED LICENSE, ... CERTIFICATION, ASSOCIATION:** PMP, Six Sigma Green Belt, Six Sigma Black Belt Certification, and/or comparable coursework desired To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job… more
- Molina Healthcare (Dallas, TX)
- …matrixed organization * SQL fluency * Extensive knowledge of healthcare claim elements: CPT , CPTII, LOINC, SNOMED, HCPS, NDC, CVX, NPIs, TINs, etc. * History of ... success in roles impacting both Risk Adjustment and HEDIS **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** PMP, Six Sigma Green Belt, Six Sigma Black Belt Certification, and/or comparable coursework desired To all current Molina employees: If you are… more
- Molina Healthcare (Dallas, TX)
- …financial terms (eg, PMPM, revenue) and different standard code systems (ICD-10CM, CPT , HCPCS, NDC, etc.) utilized in medical coding/billing (UB04/1500 form) + ... Demonstrated understanding of key managed care concepts and provider reimbursement principles such as risk adjustment, capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), Ambulatory Patient Groups (APG's), Ambulatory Payment Classifications… more
- Molina Healthcare (Dallas, TX)
- …+ Knowledge and understanding of medical terminology along with demonstrated knowledge of CPT , ICD-9, HCPCS and DRG requirements. + Two years of managed care ... experience. **REQUIRED LICENSE, CERTIFICATION, ASSOCIATION** : Active, unrestricted State Registered Nursing (RN) license in good standing. **PREFERRED EDUCATION** : Bachelor's Degree in Nursing **PREFERRED EXPERIENCE** : + Experience in government programs… more
- Methodist Health System (Dallas, TX)
- …:** **Job Description :** Your Job: Responsible for assignment of accurate CPT /HCPCS, ICD10, and appropriate modifiers from medical record documentation (paper or ... electronic) for both outpatient and inpatient professional encounters. Assist in auditing E&M services against documentation (paper or electronic) within the medical record. Aid in training and educating providers and staff on coding issues, and play a… more
- Bank of America (Dallas, TX)
- …Financial Analysis Summary (FAS)/Annual Exposure Review (AER), Risk Rating Scorecards, CPT web, etc). They monitor clients operating performance and financial ... condition to proactively identify issues and opportunities. They deliver financial, industry, economic and other analysis to facilitate decision making, while also ensuring adherence to credit policies, guidelines, and applicable regulatory requirements. They… more
- CenterWell (Richardson, TX)
- …MA experience + Value Based Care experience including knowledge of HEDIS, CPT /ICD coding, and CAHPS/HOS Patient Experience. + Bilingual proficiency in English and ... Spanish - must pass proficiency exam prior to foreign language communication. **Work Schedule:** Full Time / 40 Hours / M-F / 8a-5p **Job Type** : Medical Assistant **Specialty** : Primary Care for Seniors **Position Type:** Clinic / On-site **Additional… more
- HCA Healthcare (Dallas, TX)
- …We want you to apply now. **What you will do in this role:** . Obtains CPT and ICD-10 diagnosis codes and other clinical information as required for treatment of the ... patient from practice staff; seeks assistance from practice and Facility Coders as determined through practice and facility processes. . Prepares documentation for Notification of Non-covered Medicare Services or Advance Beneficiary notices to patients and… more
- Methodist Health System (Dallas, TX)
- …systems. - Strong knowledge of healthcare billing processes, medical terminology, CPT , ICD-10 coding, and billing regulations. - Excellent analytical skills with ... the ability to identify patterns, trends, and discrepancies in claims and financial data. - Effective communication and interpersonal skills, with the ability to interact professionally with internal and external stakeholders. - Detail-oriented with a focus on… more