- 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
- 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
- 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
- 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
- Elevance Health (Grand Prairie, TX)
- …of working knowledge of healthcare data and measurement standards such as ICD10, CPT /HCPCS, MS-DRG, DxCG, PMPM, and utilization per 1,000 preferred. * Advanced SQL ... and Excel skills strongly preferred. * Base statistical skills to analyze, display, describe and summarize data into actionable insights preferred. * Data visualization experience in QlikSense, Business Objects, Tableau, or other BI tools is preferred. *… more
- Methodist Health System (Dallas, TX)
- …license as a Respiratory Care Practitioner (RCP), includes aerosol therapy, CPT , pulse oximetry, Incentive Spirometry oxygen therapy, MDI, patient education and ... set-up of respiratory equipment. Methodist Dallas Medical Center is one of North Texas' best places to work. And it keeps getting better. The flagship hospital of Methodist Health System, Methodist Dallas is a 595-bed acute care teaching and referral hospital.… 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
- Methodist Health System (Dallas, TX)
- …diagnoses and procedures, which are assigned appropriate ICD10-CM, ICD10 PCS and/or CPT codes for optimal reimbursement. They establish an accurate database for case ... mix indices which provide statistical reporting and trend analysis. The Coder 2 is proficient in coding DRG based records as well as all other payers. Your Job Requirements: * High school graduate or its equivalent * Minimum of 2 years of DRG based coding… more
- Baylor Scott & White Health (Dallas, TX)
- …impacting the assigned service line(s) related to the quarterly and annual CPT update processes. Evaluates clinical processes to establish what changes are required ... to accommodate updated coding and billing regulations. + Provides charge reconciliation education to assigned service line(s) and associated clinical departments, with oversight as needed. Performs frequent audits to ensure department compliance. + Helps the… 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)
- …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)
- …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)
- …+ 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
- 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
- Emerson (Dallas, TX)
- …will be provided. Individuals with temporary visas such as E, F-1(including those with OPT or CPT ) , H-1, H-2, L-1, B, J or TN, or who need sponsorship for work ... authorization now or in the future, are not eligible for hire. **Equal Opportunity Employer** Emerson is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to sex, race, color,… more
- CenterWell (Dallas, TX)
- …years MA experience + 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. If… more
- Houston Methodist (Dallas, 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