- 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
- Prime Healthcare (Mesquite, TX)
- …Diploma, or equivalent, required 2. Current and valid state certification as a CPT required. 3. Current BCLS (AHA) certificate upon hire and maintain current. 4. ... clinical laboratory experience required Connect With Us! (https://careers-primehealthcare.icims.com/jobs/190928/ cpt -iii/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityDallas Regional Medical Center LocationUS-TX-Mesquite ID2025-190928… 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 (Fort Worth, 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
- Houston Methodist (Fort Worth, 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
- 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
- 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
- Elevance Health (Grand Prairie, TX)
- …support draft development and/or revision of enterprise reimbursement policy. + Performs CPT /HCPCS code and fee schedule updates, analyzing each new code for ... coverage, policy, reimbursement development, and implications for system edits. + Coordinates research and responds to system inquiries and appeals. + Conducts research of claims systems and system edits to identify adjudication issues and to audit claims… more
- Molina Healthcare (Fort Worth, 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 (Fort Worth, 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
- Molina Healthcare (Fort Worth, 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 (Fort Worth, 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
- HCA Healthcare (Fort Worth, 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
- Baylor Scott & White Health (Fort Worth, TX)
- …and operating room records, verifies diagnosis is present and correct, verifies CPT code and surgical description match to ensure proper supplies available and ... time needed is correct. Checks historical time against procedure. + Communicates to departments when surgery blocks returned. Releases and reassigns returned surgery blocks. Builds new blocks periodically and redistributes blocks according to utilization. +… more
- Molina Healthcare (Fort Worth, TX)
- …* Extensive knowledge and mastery of the nuances of healthcare claim elements: CPT , CPTII, LOINC, SNOMED, HCPS, NDC, CVX, NPIs, TINs, etc. **PREFERRED EDUCATION:** ... Graduate degree or equivalent combination of education and experience **PREFERRED EXPERIENCE:** * Experience supporting leadership and operating in a leadership role while working in a cross-functional, highly matrixed organization * SQL mastery * History of… more
- Houston Methodist (Fort Worth, TX)
- …the highest standards of coding quality by assigning accurate/ICD-10-CM/ICD-10-PCS and HCPCS/ CPT codes utilizing an electronic encoder application in accordance with ... hospital policy and regulatory body guidelines. + Maintains and achieves department standards of abstracting quality by reviewing accurate discharge disposition entered by nursing and corrects if necessary in order to achieve the highest quality of entered… more
- Houston Methodist (Fort Worth, 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 ... accordance with hospital policy and regulatory body guidelines. + Maintains and achieves departmental standards of abstracting quality by reviewing the discharge disposition entered by nursing and corrects if necessary in order to achieve the highest quality… more
- CenterWell (Fort Worth, TX)
- …Qualifications** + Value Based Care experience including knowledge of HEDIS, CPT /ICD coding, and CAHPS/HOS Patient Experience. **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 Information** This role is considered patient facing and is part of Humana's Tuberculosis (TB) screening program.… more