18 jobs found

Job Description Job Description Salary: SUMMARY: The Risk Adjustment Coder is responsible for the management of the Hierarchical Condition Category (HCC) and Risk Adjustment Coding, for the ACO REACH Program, providing oversight of concurrent, prospective, and retrospective review of ambulatory medical record clinical documentation to ensure accurate and complete capture of the clinical picture and complexity of the patients condition(s). The Risk Adjustment Coder utilizes knowledge of official coding guidelines (ICD-10, CPT, HCPCs), HCCs and Risk Adjustment Factor (RAF) scoring. Includes, but is not limited to, reviewing the risk adjustment provider clinical documentation and partnering with provider/clinical staff to resolve issues. The position is full-time, Monday through Friday. DUTIES AND RESPONSIBILITIES: Primary Responsibilities Reviews discharge summaries, pathology and diagnostic reports, progress notes, physical exams and physician orders for the...

Job Description Job Description AMS-PAR is adding experienced vendor / supplier lead auditors to our compliance audit team. Key responsibilities The vendor / supplier lead auditors will be responsible for: Reviewing contracts and identifying risks, and opportunities to improve business relationships. Evaluating data sets and developing test plans to achieve project objectives. Coordinating with vendors / suppliers to execute audit test plan. Effectively negotiating settlements. Managing project budgets. Effectively communicating results and corrective actions verbally and in written form throughout the engagement. Key Candidate attributes Vendor / supplier lead auditor experience, including of muti-person audit teams. Proven compliance audit experience, preferably in the Energy and Utility business sectors. Critical and strategic thinker. Strong analytical skills. Organized and able to maintain well documented workpapers. Demonstrated ability to...

Benefits/Perks Competitive Compensation Great Work Environment Career Advancement Opportunities Job Summary We are seeking a Medical Biller to join our team! As a Medical Biller, you will be working closely with clients to answer questions related to billing, processing all forms needed for insurance billing purposes, and collecting necessary documentation from clients. You will also assist other Medical Billers with follow-up inquiries to clients, communicate with physicians' offices and hospitals to obtain records, and accurately record patient information. The ideal candidate has excellent attention to detail, strong customer service skills, and is comfortable spending much of the day on the phone. Responsibilities Assist clients with processing insurance claims through both private insurance and Medicaid/Medicare Note and process all necessary forms from the insurance Assist patients in navigating the billing and insurance landscape, including collecting...

Job Description Job Description Salary: $18-21/hour Medical Coding Auditor - Houston, TX Senior PsychCare is looking for a Medical Coding Auditor with at least 1 years of experience in mental health coding to join our Compliance Team in Houston. About Us: Senior PsychCare provides comprehensive behavioral health services to long-term care patients at their facilities. Our services include therapy, diagnostic evaluation, and collaborative care between therapy and psychiatric teams. Job Overview: As a Medical Coding Auditor, you will ensure the accuracy of medical coding and compliance with industry guidelines. This role involves reviewing medical records, auditing coding, and supporting billing processes. Key Responsibilities: Audit medical records for accurate coding of diagnoses and procedures (ICD-10, CPT, HCPCS). Ensure compliance with federal, state, and payer-specific regulations (e.g., HIPAA, CMS). Identify coding errors and collaborate with staff to...

Overview: Texas Oncology is looking for a Medical Assistant Supervisor to join our team ! This position will support the Willowbrook location in Houston, Texas location . The Willowbrook area is located 30 miles Northwest of Houston and is conveniently located off of Highway 249, providing easy access to Beltway 8, Texas A&M and the VA Hospital. The area is located at a crossroads to three of the best school districts in the Houston area. Willowbrook mall boasts the 3 rd largest retail chain in greater Houston and offers endless possibilities for shopping, outdoor adventure, golf and cultural events. Our management team values an approach of teamwork and collaboration to serve our patients and community. Texas Oncology is the largest community oncology provider in the country and has approximately 600+ providers in 280+ sites across Texas and southeastern Oklahoma. Our founders pioneered community-based cancer care because they...

Job Type Full-time Description POSITION SUMMARY: The Inpatient Coder II is the second level coding position in a 3-tier career ladder. Inpatient Coder IIs will evaluate inpatient medical records and accurately assign the appropriate ICD-10 CM/PCS codes, Present on Admission (POA) indicators, and relevant DRGs. The Coder II must be skillful in the identification and assignment of all diagnoses and procedures in accordance with nationally recognized coding guidelines, as well as researching opportunities to improve documentation. PRIMARY JOB RESPONSIBILITIES: Assigns appropriately sequenced and compliant ICD-10 CM/PCS codes as documented in the electronic medical record (EMR). Applies definition of principal diagnosis for proper assignment of MS-DRGs, APR-DRGs, and POA indicators using a designated encoder/grouper, while ensuring compliance with nationally established coding guidelines. Utilizes selected encoder and/or computer-assisted coding software...

Job Description Job Description We are seeking an Data & IT Support Analyst to join our team! You will help summarize and analyze business results, manage our legal case management software, RingCentral VOIP system, solve staff technology issues and recommend new solutions. The position requires in-person support from our Houston office. Spanish written and spoken fluency is preferred. Responsibilities: Summarize and analyze business results using pivot tables, graphs, Power BI/Tableau Analyze data processing problems Assist managing case management software: run reports, train staff, apply updates Help manage RingCentral VOIP system Understand user requirements and procedures Review computer system capabilities and apply updates as needed Determine cost, timetable, and compatibility for new systems Consult with managers to implement new computer systems Implement automated data retrieval to process data from platforms such as RingCentral and Needles/FileVine...

Job Description Job Description We are looking for a experienced surgical billing specialist to join our team! Under the direction of the Billing Operation Manager the Medical Billing Specialist will play a key role in reviewing and analyzing surgical billing and coding. The role will be responsible for timely accurate review, charge capturing, compliant billing for both inpatient and outpatient services. Responsibilities: Review and accurately code office, hospital, DME and surgical procedures for reimbursement. Validate and determine appropriate coding levels by reviewing clinical documentation and operative reports. Reconciles encounters and charges tickets to ensure accurate charge capturing. Follow up on missing charge tickets and clinical documentation as appropriate. Ensures that documentation supports charges to prevent denials and underpayments. Timely reconciliation and billing of charges as assigned. Other billing duties as assigned by management....

Job Description Job Description We are seeking a detail-oriented and reliable Billing Specialist to join our small independent clinical laboratory in Houston, TX. The Billing Specialist will play a crucial role in processing and managing the laboratory’s billing, ensuring accurate and timely submission of claims, and addressing any billing-related inquiries from patients, insurance companies, and other healthcare providers / clients. This position requires a strong understanding of medical billing procedures and insurance claims. Company Description The Urolithiasis Laboratory located in Houston, TX, is the pioneer urinary stone analysis lab in the country. Born within the Baylor College of Medicine in 1973 and founded by board certified urologist, Dr. Donald Griffith, the Uro-Lab became the first of its kind to use geological methods for body site calculi identification. For 50 years, this premier laboratory has partnered with hundreds of urologists, veterinarians, and other...

Job Description Job Description The Coding Network (TCN) is looking to contract with Orthopedic coders to perform the daily Orthopedic coding for a number of clients throughout the country. TCN works with over 150 Orthopedic groups throughout the country, our codes access the operation reports via a remote connection to the client's EMR.. Hours can range from a 15-40 hour/week commitment, any time on the 24 hour clock, seven days a week.   We currently have work available for multiple Orthopedic coders in our surgical division.   All applicants must: · Have a minimum of 3 years of Orthopedic Specific Coding · Have an active coding certification (CPC, RHIA, RHIT) · Live and work in the United States of America · Take and pass TCN’s Ortho Surgical Coding Exam If you meet the above criteria and are willing to test please submit your resume. Company Description TCN has been providing specialty specific medical coding for over 20 years. TCN's 775+ US based coders cover over...

Job Description Job Description Salary: $23.00- $25.00/hour DOE Certified Coder I with Mental Healthcare coding experience Senior PsychCare has an immediate opportunity for a Certified Coder I with Mental Healthcare coding experience to support our Billing Team in Houston. ABOUT US: Senior Psych Care provides fully integrative behavioral health services to the long-term care patient, at their facility. Services include individual, family, and group therapies, along with diagnostic evaluation and collaborative intervention between the therapy team and the psychiatric team. Job Summary The Certified Coder is responsible for reviewing clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10-CM/CPT4 codes and modifiers for billing, internal and external reporting, research, and regulatory compliance. Accurate code conditions and procedures as documented in the ICD-10-CM Official Guidelines for Coding and...

Overview Full Time - $5000 Sign-On Bonus - 100% Remote (Must Live in FL, TN, GA, LA, WA State, or TX) At Houston Methodist, the Inpatient Coder position is responsible for ensuring diagnostic and procedure codes are assigned accurately to inpatient encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory guidelines. Houston Methodist Standard PATIENT AGE GROUP(S) AND POPULATION(S) SERVED Refer to departmental "Scope of Service" and "Provision of Care" plans, as applicable, for description of primary age groups and populations served by this job for the respective HM entity. HOUSTON METHODIST EXPERIENCE EXPECTATIONS Provide personalized care and service by consistently demonstrating our I CARE values: INTEGRITY: We are honest and ethical in all we say and do. COMPASSION: We embrace the whole person including emotional, ethical, physical, and spiritual needs. ACCOUNTABILITY:...

Compliance Auditor Adaptive Construction Solutions - Houston, TX, United States Pay & Benefits of t he CPA/Compliance Auditor: + $80,000 to $110,000 salary per year. + Work with the largest intermediary in the renewable energy industry with apprenticeships. + Room for growth within the role and department. + PTO, Health, Dental, Vision, Health Savings Account, Holiday Pay and more Responsibilities of the CPA/Compliance Auditor : + Reviews records to ensure compliance with laws and regulations closing out IRA apprenticeship projects for our EPC customers that applies to the services we provide. + Performs audits to ensure compliance with legal parameters and industry guidelines. + Analyzes financial records and operational processes to identify areas of improvement. + Reviews evidence of following correct procedures and examining documentation against predetermined audit checklists and guideline documents. + Makes recommendations to the management team...

The Opportunity This position is responsible for overseeing the applicant and return donor reception and registration processes. Supervise reception and medical staff. Assist management with daily center operations to include development of reception and medical staff, assessment and improvement of processes, troubleshooting issues and managing donor flow You will report to the Center Manager. The Role In compliance with Standard Operating Procedures (SOPs), supervise daily activities of reception, medical, and customer service operations. Provide clear and consistent instructions and directions, conduct meetings, and clearly communicate performance expectations. May be required to perform tasks in work areas. Advise management of employee relation issues or escalated donor issues. In conjunction with other management and supervisory staff, facilitate donor movement throughout the center minimizing donor wait time and processing. Supervise reception and medical work areas...

Job Description Job Description POSITION SUMMARY: Under the general supervision of the Manager, performs duties of staff Medical Technologist or Histologist such as preparing and processing specimens, performing Clinical Laboratory tests, analyzing and interpreting test results, and assisting with communication of test results to patients, physicians, and employees. Provides technical and scientific oversight of the CLIA specialty or subspecialties as assigned. This may include but is not limited to: procedure development and review, review of quality control with corrective action as necessary, equipment management to ensure proper function, and proactive research and process improvement initiatives of new technologies. Also assists Manager with local management functions. Shift: Days, 7:30a - 3:30p KEY RESPONSIBILITIES: Follows the St. Joseph Medical Center Guidelines related to the Health Insurance Portability and Accountability Act (HIPAA), designed to prevent...

Job Description Job Description We are looking for a Medical Billing Specialist to join our team at Maeville Pediatrics in Houston, TX, US. As a Medical Billing Specialist, you will be responsible for handling the revenue cycle management process from start to finish for our pediatric patients. You will process claims, verify accuracy of billing information, investigate and resolve any discrepancies, and research payment denials. The ideal candidate will have strong billing and customer service experience, and be able to work in a fast-paced environment. This is an excellent opportunity to use your expertise to help us provide excellent care for our patients. Salary: $50,000. Compensation: $50,000 Responsibilities: Monitor and collect payments from patients and insurance companies. Prepare and submit claims to insurance companies for payment. Follow up on pending claims and dispute denials. Maintain records of payments and account statuses. Respond to inquiries from...

LAZ Parking - $16.00/hour [Guest Service Supervisor] As a Supervisor at LAZ Parking, you'll: Oversee the daily operations of the parking facility; Train and mentor parking attendants; Ensure excellent customer service and satisfaction; Manage scheduling and staffing needs; Handle any customer complaints or issues; Maintain a clean and organized parking facility...Hiring Immediately >>

Hilton Hotels - JobID: HOT0B7O5 [Front Desk Agent / Concierge] As a Guest Services at Hilton, you'll: Greet, register, and assign rooms to guests; Issue room key and escort instructions to Bellperson or to guest as appropriate; Answer inquiries pertaining to hotel services, registration of guests and shopping, dining,entertainment and travel directions; Keep records of room availability and guests' accounts...Hiring Immediately >>