113 jobs found in DeSoto, TX

We are hiring a part-time Medical Coder to to assign procedure,diagnosis codes for insurance billing, review claims data, research and corresponds with insurance companies in an effort to obtain accurate reimbursement for healthcare claims. . Duties include but are not limited to: Utilize specialized medical classification software to assign procedure and diagnosis codes for insurance billing. Review claims data to ensure that assigned codes meet required legal and insurance rules and that required signatures and authorizations are in place prior to submission. Conduct medical records research and correspond with insurance companies and healthcare professionals to resolve issues resulting from denied claims Adhere to coding policies and procedures consistent with the industry standard guidelines for CPT, ICD-9 and ICD-10. Answer coding questions Review clinical documentation to ensure it meets level of CPT codes and ICD-10 codes Performs related duties, as...

WHY UT SOUTHWESTERN? With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to excellence, innovation, teamwork, and compassion. As a world-renowned medical and research center, we strive to provide the best possible care, resources, and benefits for our valued employees. Ranked as the number 1 hospital in Dallas-Fort Worth according to U.S. News & World Report, we invest in you with opportunities for career growth and development to align with your future goals. Our highly competitive benefits package offers healthcare, PTO and paid holidays, on-site childcare, wage, merit increases and so much more. We invite you to be a part of the UT Southwestern team where you'll discover a culture of teamwork, professionalism, and a rewarding career!  JOB SUMMARY Works under moderate supervision to provide policy analysis and recommendations to management related to reimbursement projects and functions.    BENEFITS UT Southwestern is proud...

Medical Icu Supervisor Registered Nurse Experience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team. Grow your career with an organization committed to delivering respectful, compassionate care, and where the unique and intrinsic worth of each individual is recognized. Submit your application for the opportunity below: Medical ICU Supervisor Registered Nurse Medical City Dallas offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation. Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness,...

Billing Specialist Denials Location: Dallas, TX - Hybrid 2 days on site and 3 days remote Employment Type: Full-Time We are seeking a motivated and detail-oriented Billing Specialist Denials to join our growing A/R and Denials team. In this role, you will manage a portfolio of assigned payer groups, follow up on outstanding claims, resolve denials, and complete first-level appeals to ensure accurate and timely reimbursement. This position works closely with commercial insurance carriers, patients, and internal departments to support a smooth billing and collections process. Responsibilities: Manage assigned payer portfolios daily and resolve outstanding A/R. Investigate, analyze, and resolve claim denials; initiate first-level appeals as needed. Follow up with insurance carriers to determine claim status, missing information, and required next steps. Make outbound calls to insurance companies, patients, and payers to verify coverage or clarify discrepancies....

Overview Hi, we're Oscar. We're hiring a Risk Adjustment Coder Specialist to join our Risk Adjustment team. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselvesone that behaves like a doctor in the family. About The Role Senior Specialist, Risk Adjustment for Medicare Advantage (MA) and Affordable Care Act (ACA) lines of business will work closely with management to meet communicated individual and departmental goals, deadlines set forth by Centers for Medicare & Medicaid Services (CMS) and Health and Human Services (HHS), and be active and engaged in establishing effective Risk Adjustment processes. You will report into the Manager, Risk Adjustment. Work Location This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; or Texas. While your daily work...

Overview Join our high?performing Billing team. As part of our team, you will make a positive impact by processing insurance and other third?party payor claims for patient visits. Responsibilities Enter facility charges as needed. Edit, build, and transmit electronic claims in a timely manner. Prepare paper claims as needed. Process monthly statements for patient accounts. Interpret Explanation of Benefits and other correspondence. Enter and update appropriate insurance information in each patient account. Keep appropriate logs, journals, and files to track patient accounts. Resolve problem claims including rejected billings, adjustments, re?billing, and unpaid claims. Post payments to patient accounts and monitor unpaid balances. Contact and assist patients in the process of obtaining information for billing issuesverifying totals, responding to and resolving client questions and problems, and delivering quality customer service. Qualifications To be a...

Want to Make a Difference Through a Career in Healthcare? Welcome to Serenity. If you've ever wanted to use your billing and leadership expertise to make a difference, this is your sign. Serenity Healthcare is redefining what mental wellness looks and feels like, and our Accounts Receivable team plays a critical role in that mission. We're not just looking for people who know medical billing codes by heart. We're looking for detail-oriented leaders who thrive on accuracy, process improvement, and team success. If you can oversee complex receivables, ensure timely collections, and support your team with integrity and care, you're our kind of person. Role Medical Accounts Receivable Supervisor | Las Colinas, TX. The Accounts Receivable Supervisor leads a team that ensures we collect payments accurately and timely, enabling Serenity to continue to grow in its mission to help more people take back their lives from mental health challenges. This is a great opportunity to grow your...

Description Coding surgeries directly use PMD "do not level" Skills coding experience, colorectal coding experience, PATH experience Top Skills Details coding experience,colorectal coding experience,PATH experience Additional Skills & Qualifications Confident Good at collaborating with team Not afraid to ask questions Experience Level Intermediate Level Job Type & Location This is a Contract to Hire position based out of Dallas, TX. Pay and Benefits The pay range for this position is $25.00 - $28.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: - Medical, dental & vision - Critical Illness, Accident, and Hospital - 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions...

Job Posting Conducts data quality audits of inpatient admissions and outpatient encounters to validate coding assignment complies with the official coding guidelines as supported by clinical documentation in health records. Validates abstracted data elements that are integral to appropriate payment methodology. Responsible for effectively communicating information and audit findings through presentations, graphs, reports, and educational materials. Job Responsibilities/Duties: Chart Analysis IP, OP Coding Data auditing and validation: Reviews medical records for the determination of accurate assignment of all documented diagnoses and procedures. Adheres to Standards of Ethical Coding (AHIMA). Reviews medical records for the determination of accurate assignment of all documented diagnoses and procedures. Reviews claim to validate abstracted data including but limited to discharge disposition which impacts facility reimbursement and/or MS-DRG assignment. Adheres to Standards of...

Remote Certified Coder Altegra Health is a total solutions partner for healthcare data auditing and analytics. Altegra provides end-to-end solutions to help improve payment integrity data, to support accreditation programs, and to meet regulatory requirements. Altegra's nationwide network of registered nurses and certified coders professionally acquire, audit, and analyze healthcare data for healthcare organizations. Altegra Health specializes in: CMS HCC Risk Adjustment HEDIS Medical Record Reviews (Accreditation) And more Job Description These are a remote/home based temporary positions forecast to run through the end of 2015 and Coders will be paid by the chart. Remote Certified Coders review medical records and apply appropriate ICD-9-CM diagnostic codes and Altegra Health Flagged Event. Codes must meet Altegra Health QA standards (following both Official Coding Guidelines and Risk Adjustment Guidelines). Responsibilities: Abstract pertinent information from...

Associate Director, Field Medical Affairs As an Associate Director, Field Medical Affairs, you will play a pivotal role as a field-based medical professional within the General Medicine Rare Disease group. You will deliver both strategic and operational support by establishing, developing, and maintaining high-level scientific exchange with the medical and research community aligned with our strategic objectives. This role focuses on rare diseases; primarily in auditory genetic medicine as well as support of rare bone disease. You will ensure the timely, ethical, and customer-focused and accurate exchange and distribution of clinical and scientific information relevant to both in-line and pipeline products. Territory: Southern U.S. (preferred candidates reside in south-central or southeastern states, including Texas, Atlanta, or other major airline hub cities) In a typical day, you will: Demonstrate deep expertise about assigned compounds and the therapeutic areas and disease...

Coder 3 Hours of Work: 8 AM - 4:30 PM Days Of Week: M-F Work Shift: Job Description: Your Job: In this highly technical and fast-paced position, you will collaborate with multidisciplinary team members to provide the very best care for our patients. The Coder 3 performs pre-bill (secondary) audits on inpatient, ambulatory care and observation records to ensure accurate ICD10-CM, ICD10 PCS and/or CPT codes for optimal reimbursement and provide data and clinical information to management, medical staff and various hospital departments. The reviewer also codes and abstracts inpatient, ambulatory and observation records for diagnosis and procedures to determine optimal reimbursement. Your Job Requirements: Associate's degree in Health Information Management or Certification as a Coding Specialist; Bachelor's degree in Health Information Management preferred RHIA, RHIT, or CCS preferred Minimum of 3 years of DRG-based coding experience in an acute care hospital with...

Documentation Specialist Coder This position is responsible for accurately assigning diagnostic and procedure codes to records of inpatient, observation, ambulatory surgery, emergency department, and other outpatient encounters and abstracting patient information as required. The Documentation Specialist acts as subject matter expert and resource on coding-related activities. Responsibilities: Maintain and establish department policies and procedures, objectives, quality assurance program, safety, environment and infection control standards. Possess in-depth knowledge of the conventions, rules, and guidelines of multiple classification systems, including ICD-10 diagnosis and procedures and CPT. Possess in-depth knowledge of disease process in multiple medical/surgical specialties. Review patients entire current medical records and utilize encoder software and/or code books to assign appropriate diagnosis codes using the International Classification of Diseases, 10th Edition...

Professional Coder The professional coder will be responsible for handling clinic charges, scrubbing charts for completeness, reviewing diagnoses codes, verifying procedures, and communicating with providers regarding missing information and working edits. We are a company committed to creating inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity employer that believes everyone matters. Qualified candidates will receive consideration for employment opportunities without regard to race, religion, sex, age, marital status, national origin, sexual orientation, citizenship status, disability, or any other status or characteristic protected by applicable laws, regulations, and ordinances. Skills and requirements: GED or High School Diploma CPC Certification 2 years of Pro Fee E/M Coding Experience Surgical coding experience

Coder Opportunity At Texas Joint Institute Experience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team. Grow your career with an organization committed to delivering respectful, compassionate care, and where the unique and intrinsic worth of each individual is recognized. Submit your application for the opportunity below: Texas Joint Institute offers a total rewards package that supports the health, life, career, and retirement of our colleagues. The available plans and programs include: Comprehensive medical coverage that covers many common services at no cost or for a low copay. Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. Free counseling...

Risk Adjustment Coder Specialist Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselvesone that behaves like a doctor in the family. About the role: The Senior Specialist, Risk Adjustment for Medicare Advantage (MA) and Affordable Care Act (ACA) lines of business will work closely with management to meet communicated individual and departmental goals, deadlines set forth by Centers for Medicare & Medicaid Services (CMS) and Health and Human Services (HHS), and be active and engaged in establishing effective Risk Adjustment processes. You will report into the Manager, Risk Adjustment. Work location: This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; or Texas. While your daily work will be completed from your home office, occasional travel may be required for...

ICD-10 Coding Specialist You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. Must be willing to travel to NYC twice a year for required meetings. Position Purpose: The focus of this position is to establish processes to respond to ICD-10 coding changes and its effect on inpatient claims payment. Chart review will include DRG pre-payment review, hospital readmission review and outlier payment review. Analyze moderately complex health care information; reviews medical records; integrate medical coding and reimbursement rules; provide pricing guidance. Ensure medical coding rules and regulations including compliance requirements are adhered to for the appropriate handling of medical necessity, claims denials, and bundling issues. Provide...

Food Service Supervisor Time to step up your career! This is your moment to shine and lead the way for others too. Were hiring full-time Food Service Supervisors to join our passionate Food Services Team. Alongside a manager who will help coordinate and lead operations, youll help oversee staff, collaborate with teammates, and help where needed. We cant wait to see your growth, all while igniting your passion and pursuing what matters to you. Job Responsibilities: Produce and maintain work schedules and may prepare production packets (Production sheets and recipes). Direct daily activities. Maintains food production that ensures the safety and quality of food according to policies, procedures, and department requirements. Ensure that food items are stored in a safe, organized, and hazard-free environment. Maintain all serving schedules; ensure that all food items are served per menu specifications in a safe and appropriate manner following Aramark policies and procedures....

Job Posting Remote position. WebEx video interview will be conducted prior to an offer. Must be able to work 40 hrs/week without issue. Applicant must have the necessary equipment for the contract; 2 monitors, keyboard, mouse, web camera. If not, agency must supply ahead of start date. Knowledge and expertise: Must demonstrate a solid understanding...

Fully Remote Position Applicant must have the necessary equipment for the contract; two monitors, keyboard, mouse, and web camera. If not, the agency must supply ahead of the start date.

Professional Coder The professional coder will be responsible for handling clinic charges, scrubbing chart for completeness, reviewing diagnosis codes, verifying procedures, along with communicating with providers regarding missing information and working edits. We are a company committed to creating inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity employer that believes everyone matters. Qualified candidates will receive consideration for employment opportunities without regard to race, religion, sex, age, marital status, national origin, sexual orientation, citizenship status, disability, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to Human Resources Request Form.

Coding Specialist Your Job: Responsible for assignment of accurate E/M, CPT/HCPCS, ICD-10-CM, 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 by sending coding queries. Your Job Requirements: A minimum of 2 years recent experience in the profee coding setting Minor procedural coding in any specialty preferred Recent experience and knowledge regarding the new E/M guidelines required Must hold Certified Professional Coder (CPC) or Certified Coding Specialist Physician (CCS-P) with the appropriate level of experience Your Job Responsibilities: Communicate clearly and openly Build relationships to promote a collaborative environment Be accountable for your performance Always look for ways to improve the...

Coder 2 Your Job: In this highly technical and fast-paced position, you will collaborate with multidisciplinary team members to provide the very best care for our patients. The Coder 2 classifies and abstracts inpatient and outpatient 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 experience in an acute care hospital with experience using an encoder Proficient in detailed work Maintain a professional image in handling confidential patient information Excellent written and oral communication skills to interact with physicians, other health care workers, the general public, administration, and health...

Benefits/Perks Great small business work environment Flexible scheduling Paid vacation, health insurance, dental insurance, retirement benefit, and more! Company Overview American Family Care (AFC) is one of the largest primary and urgent care companies in the U.S. providing services seven days a week on a walk-in basis. Our state-of-the-art centers focus on the episodic treatment of acute illnesses and injuries, workers' compensation, and occupational medicine. Each location is equipped with an onsite lab and in-house x-ray capability. AFC is the parent company of AFC Franchising, LLC (AFCF). This position works directly with a franchised business location. The specific job duties and benefits can vary between franchises. Candidates Must Have: At least 2 years of experience in medical practice billing with exposure to working with denials, appeals, insurance collections, and related follow-up Working knowledge of Local and National Coverage Determinations...