Associate Director, Medical Review Lead, MSRM - Remote Agios PharmaceuticalsAssociate Director, Medical Review Lead, MSRM - RemoteHouston, TXRemote$185,369–$308,948 / yearThe current base salary range for this position is expected to be between $185,369 and $308,948 annualized; final salary will be determined based on various factors including, but not limited to, years of relevant experience, job knowledge, skills and proficiency, degree/education, and internal comparators. This role provides oversight of medical review for Individual Case Safety Reports (ICSRs) across investigational and marketed products, ensuring medical accuracy, regulatory compliance, and high-quality safety data to support pharmacovigilance and risk management activities.
Billing Manager - Digitech SarnovaBilling Manager - DigitechHouston, TXAdditional responsibilities include identifying deficiencies within the group and escalating them to the Director, building positive relationships both internally and externally, maintaining Key Performance Indicators (KPIs), and delivering annual reviews with staff, along with corrective actions when necessary. The A/R Management Manager is responsible for directly managing the ARM team and ensuring that outstanding accounts, denials, and appeals are accurate and followed up on in a timely manner to maximize reimbursements.
Coding Quality Educator - Remote Providence St. Joseph HealthCoding Quality Educator - RemoteHouston, TXRemoteTogether, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. This position will assist with new employee training and ongoing department education as well as assist with the identification, development and delivery of new and ongoing provider education and training related to coding and clinical documentation.
Coding Quality Assurance Specialist II Texas Children's HospitalCoding Quality Assurance Specialist IIHouston, TXIn this position, you will assign and audit the accuracy of the ICD-10-CM and CPT codes to ambulatory, emergency center, observation, and day surgery records for purposes of billing, research, and providing information to government and regulatory agencies. Ascertains the accuracy of the physicians'' E/M and procedure coding to their documentation, completes the auditing reporting tool, and provides feedback to the education team and/or provider.
Coordinator, System Services Coding Memorial Hermann Health SystemCoordinator, System Services CodingTXLicenses/Certifications: One of the following licenses is required: Inpatient: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Associate (CCA), Certified Coding Specialist (CCS), or Certified Inpatient Coder (CIC) Coding Certification(s) from American Health Information Management Association (AHIMA) or American Association of Professional Coders (AAPC) required. Physician Organization: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Medical Coder (CMC), or relevant Coding Certification(s) from American Health Information Management Association (AHIMA) or American Association of Professional Coders (AAPC) required.
NewSenior Python Engineer - AI Coding Agent Evaluation (Freelance) MindriftSenior Python Engineer - AI Coding Agent Evaluation (Freelance)Houston, TXYou'll create challenging tasks and evaluation criteria within realistic simulated environments: Build realistic developer environments - a virtual company with codebase, infrastructure, and context (tickets, docs, conversations) that forms a believable development history. Tasks have many valid solutions - writing tests that accept all correct solutions and reject incorrect ones is harder than it sounds.
Risk Adjustment Coding Specialist II - Beaumont, Texas Astrana Health IncRisk Adjustment Coding Specialist II - Beaumont, TexasHouston, TXWe are currently seeking a highly motivated Risk Adjustment Coding Specialist to support our Beaumont market. In this role, you will support risk adjustment efforts by conducting high-volume chart reviews to identify coding gaps, trends, and opportunities for improved accuracy for our providers. You'll translate your findings...
Medical Coding and Billing Instructor/Externship Coordinator CHCP Healthcare and Educational Services LLCMedical Coding and Billing Instructor/Externship CoordinatorHouston, TXRequired CBCS Certified Billing and Coding Specialist, CPC certified Professional coder, or CCS ( certified Coding Specialist). Have you ever wanted to make an impact on the future generation of Medical Coding and Billing professionals?
Medical Coding Specialist Emerus Hospital Partners LLCMedical Coding SpecialistThe Woodlands, TXThe purpose of this position is to review medical records documentation to select and sequence the appropriate ICD-10-CM diagnosis codes, verify the correct CPT-4/HCPCS procedure codes are attached and to capture charges for laboratory, radiology, supplies and medical procedures within the following types of records: Emergency Facilities, Inpatient, Observation and Ancillary services. Our growing number of amazing partners includes Allegheny Health Network, Ascension, Baptist Health System, Baylor Scott & White Health, ChristianaCare, Dignity Health St. Rose Dominican, The Hospitals of Providence, INTEGRIS Health, MultiCare and WellSpan.
Medical Coding & Billing Instructor / Externship Coordinator CHCPMedical Coding & Billing Instructor / Externship CoordinatorHouston, TXFull timeThe College of Health Care Professions (CHCP) is seeking a dedicated and experienced Medical Coding & Billing Instructor / Externship Coordinator to support and mentor students as they prepare for rewarding careers in healthcare. Are you passionate about Medical Coding and Billing and ready to make a lasting impact on the next generation of healthcare professionals?
CTE Teacher (HEAL)-Medical Coding and Billing Aldine Independent School DistrictCTE Teacher (HEAL)-Medical Coding and BillingHouston, TXid='p3390_'>CTE Teacher (HEAL)-Medical Coding and Billing JobID: 3390. Attachment(s): CTE Teacher (HEAL) - Medical Coding and Billing.pdf.
Coding Auditor/Educator Menninger ClinicCoding Auditor/EducatorHouston, TXIdentify and resolve clinical documentation and charge capture discrepancies to improve quality of the clinical documentation, severity and reimbursement levels assigned, integrity of charges data reported. Interprets medical evaluations, consults, progress notes, other clinical documentation to determine services provided are assigned accurate coding.
Coding Training Coordinator University of Texas MD Anderson Cancer CenterCoding Training CoordinatorHouston, TXRemoteThe University of Texas MD Anderson Cancer Center is seeking a Coordinator, Coding Training to support the Revenue Operations and Coding department, which focuses on maintaining the integrity, accuracy, and compliance of coded clinical data across the organization. The ideal candidate holds a bachelor's degree in Health Information Management, Healthcare Administration, or a related healthcare field, along with substantial experience in inpatient or outpatient coding and at least two years of coding training experience.
PRN Clinical Coding Reimbursement Compliance Manager Harris Health SystemPRN Clinical Coding Reimbursement Compliance ManagerHouston, TXHarris Health is among an elite list of health systems in the U.S. achieving Magnet nursing excellence designation for its hospitals, the prestigious National Committee for Quality Assurance designation for its patient-centered clinics and health centers and its strong partnership with nationally recognized physician faculty, residents and researchers from Baylor College of Medicine; McGovern Medical School at The University of Texas Health Science Center at Houston (UTHealth); The University of Texas MD Anderson Cancer Center; and the Tilman J. Fertitta Family College of Medicine at the University of Houston. This person will also coordinate and conduct review of targeted areas to assume timely billing process, correct hospital reimbursements and perform random audits to validate accuracy of DRG, APC, and other coding to ensure compliance with coding and billing requirements.
Medical Billing and Insurance Coding Instructor (63647) International Education CorporationMedical Billing and Insurance Coding Instructor (63647)Houston, TXTo Do What: In this position, you will be responsible for the delivery of quality educational instruction by helping develop the technical and soft skills needed for our students to secure a job in their new career. Were Looking For: Someone with tenacity, passion, discipline and grit to join our team as a Medical Billing and Insurance Coding Instructor at our new campus in Houston, TX!
HIM/MEDICAL RECORDS ANALYST/CODING SPECIALIST-FT University Health Services IncHIM/MEDICAL RECORDS ANALYST/CODING SPECIALIST-FTHOUSTON, TXOperating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 40 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom. Job Duties/Responsibilities: Chart Abstraction and Review Coding Chart Analysis (as needed) Outpatient discharge charts Chart Audits Administrative duties to include answering incoming calls and provide assistance to customers.
NewSr Clinical Coding Specialist -Evaluation and Management Coder University of Texas MD Anderson Cancer CenterSr Clinical Coding Specialist -Evaluation and Management CoderHouston, TXRemoteThe Senior Clinical Coding Specialist plays a critical role in ensuring accurate and compliant coding of patient encounters, supporting timely billing and reimbursement processes, and maintaining the integrity of clinical data across systems. The Senior Clinical Coding Specialist at UT MD Anderson is responsible for reviewing medical records, assigning appropriate clinical codes, and supporting departmental goals for accuracy, compliance, and operational efficiency.
Coding Specialist (HCS-D Certification Required) LHC Group IncCoding Specialist (HCS-D Certification Required)Houston, TXRemoteSelects the principal diagnosis according to CMS definitions, and observe sequencing rules identified by the ICD guidelines Assigns and report codes, without physician or clinician consultation, to diagnoses only if these diagnoses are specifically documented by the physician in the body of the medical record and the documentation is clear and concise Assesses clinical documentation to assure that it supports the diagnosis codes selected. LHC Group Inc Home Office a part of LHC Group family of providers - the preferred post-acute care partner for hospitals, physicians, and families nationwide.
Epic Resolute Application Developer (Charge Router and Coding Skills) - 6260321 Accenture PlcEpic Resolute Application Developer (Charge Router and Coding Skills) - 6260321Houston, TXIn addition to delivering innovative solutions for Accenture's clients, you will work with a highly skilled, diverse network of people across Accenture businesses who are using the latest emerging technologies to address today's biggest business challenges. Dropping orders using chart review-> creating new patient encounter -> dropping an order and signing the order/Unite charge entry ->creating new encounter.
Chargemaster & Coding Analyst US Physical Therapy IncChargemaster & Coding AnalystHouston, TXWe partner with close to 700 clinics nationwide, across 44 states, offering them the resources, operational support, and clinical expertise needed to thrive in today's healthcare landscape. Physical Therapy) is one of the largest publicly traded, independent operators of leading physical and occupational therapy clinics dedicated to enhancing patient outcomes through a collaborative, partnership-driven model.
Certified Coding Specialist I/II/III- Ob/Gyn University of Texas Health Science Center at HoustonCertified Coding Specialist I/II/III- Ob/GynHouston, TXRegistered Health Information Technician (RHIT) by American Health Information Management Association (AHIMA) within 6 months of hire required or Certified Coding Specialist (CCS) by American Health Information Management Association (AHIMA) within 6 months of hire required or Certified Coding Specialist - Physician-based (CCS-P) by American Health Information Management Association (AHIMA) within 6 months of hire required or Certified Professional Coder (CPC) by American Academy of Professional Coders (AAPC) within 6 months of hire required or Radiology Coding Certification (RCC) by Radiology Coding Certification Board (RCCB) within 6 months of hire requiredMinimum Education:High School Diploma or equivalent required Minimum Experience:2 years Related coding experience requiredPhysical Requirements:Exerts up to 20 pounds of force occasionally and/or up to 10 pounds frequently and/or a negligible amount constantly to move objects. Our total rewards package includes the benefits you'd expect from a top healthcare organization (benefits, insurance, etc.), plus: 100% paid medical premiums for our full-time employees Generous time off (holidays, preventative leave day, both vacation and sick time - all of which equates to around 37-38 days per year) The longer you stay, the more vacation you'll accrue!
Clinical Coding Supervisor University of Texas MD Anderson Cancer CenterClinical Coding SupervisorHouston, TXRemoteThe ideal candidate has a bachelor's degree in Health Information Management, Healthcare Administration, or a related field, along with extensive coding experience in a physician and/or academic healthcare setting and prior leadership experience. The Clinical Coding Supervisor plays a critical role in ensuring accurate coding, regulatory compliance, and efficient revenue cycle operations that directly support patient care and organizational excellence.
Regional Coding Operations Manager WFH HCA Healthcare IncRegional Coding Operations Manager WFHHouston, TXMust be a Certified Coding Specialist (CCS), Certified Coding Specialist - Physician (CCS-P), RHIT (Registered Health Information Technician), RHIA (Registered Health Information Administrator) through AHIMA (American Health Information Management Association) or AAPC's (American Academy of Professional Coders) Certified Professional Coder (CPC) credential or Certified Professional Coder - Hospital (CPC-H) or Certified Risk Adjustment Coder (CRC) EXPERIENCE: Experience with Cerner and eClinicalWorks (eCW) is strongly preferred. Assists the coding process in serving as a liaison between the CCU team and practice management, including the providers and division leadership while building and maintaining strategic working relationships with the practice and division leadership (working through specific issues, committee meetings, monthly updates, etc.).Assumes a lead role for innovation, knowledge sharing and leading best practice identification.
Senior Clinical Coding Specialist - OR Surgery University of Texas MD Anderson Cancer CenterSenior Clinical Coding Specialist - OR SurgeryHouston, TXRemoteThe ideal candidate for the Senior Clinical Coding Specialist will have surgery coder experience in Breast and Plastics, Surgical Oncology, Head and Neck, Urology and advanced knowledge of ICD-10-CM, CPT/HCPCS along with experience in both inpatient and outpatient coding. As a Senior Clinical Coding Specialist in our Revenue Operations and Coding Department, your expertise ensures accurate coding that supports patient care and institutional compliance.
Managed Services - Revenue Cycle Coding - Senior Manager PricewaterhouseCoopers LLPManaged Services - Revenue Cycle Coding - Senior ManagerTX$124,000–$280,000 / yearPwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy . As a Senior Manager, you will leverage your skills and influence to deliver quality results, motivate and coach teams to solve complex problems, and apply sound judgment to recognize when to take action or escalate issues.
Code Enforcement Officer Conroe City CouncilCode Enforcement OfficerConroe, TXAdditionally, the following physical abilities are required: balancing, grasping, hearing, lifting, mental acuity, reaching, speaking, talking, visual acuity and walking. Requires the ability to exert up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body.
Fire Code Senior Plans Examiner Harris County TexasFire Code Senior Plans ExaminerHouston, TXThe employee benefits plans of Harris County are extended to all eligible participants across various departments with the exception of the Harris County Community Supervision and Corrections Department, for which the cited Health & Wellness Benefits are administered through the State of Texas. Emergency Deployment & Continuity of Operations Requirement: In accordance with Harris County's Continuity of Operations Plan (COOP) Policy, this position is subject to emergency response and deployment protocols.
Code Enforcement Officer II City of HoustonCode Enforcement Officer IIHouston, TX$26.62–$27.44 / hourPreference shall be given to eligible veteran applicants provided such persons possess the qualifications necessary for competent discharge of the duties involved in the position applied for, such persons are among the most qualified candidates for the position, and all other factors in accordance with Executive Order 1-6. Are you a veteran who served on active duty in the Armed Forces (United States Army, Navy, Air Force, Marine Corps, or Coast Guard) for more than 90 consecutive days and received either an honorable discharge or a general discharge under honorable conditions?.
CODE ENFORCEMENT OFFICER I City of HoustonCODE ENFORCEMENT OFFICER IHouston, TX$23.53–$24.25 / hourAre you a veteran who served on active duty in the Armed Forces (United States Army, Navy, Air Force, Marine Corps, or Coast Guard) for more than 90 consecutive days and received either an honorable discharge or a general discharge under honorable conditions?. Preference shall be given to eligible veteran applicants provided such persons possess the qualifications necessary for competent discharge of the duties involved in the position applied for, such persons are among the most qualified candidates for the position, and all other factors in accordance with Executive Order 1-6.
Code Enforcement Officer City of ConroeCode Enforcement OfficerConroe, TXAdditionally, the following physical abilities are required: balancing, grasping, hearing, lifting, mental acuity, reaching, speaking, talking, visual acuity and walking. Requires the ability to exert up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body.
Code Enforcement Inspector I Missouri City, TexasCode Enforcement Inspector IMissouri City, TX$43,549–$52,258 / yearConducts scheduled inspections for compliance with city codes and ordinances; documents discrepancies; writes reports; communicates results of inspection and conducts follow-up inspections; Investigates reports of code violations; Locates, removes, and dispose of illegal signs; Effectively and promptly handles and resolves complaints, problems and inquiries related to potential code violations. With prior approval of the employees supervisor and Department Director, the City may reimburse up to 100 % of the cost of tuition, books, lab fees, etc. for work-related courses or degree plans associated with the employees current responsibilities or workshops/seminars and professional training sessions.
General Practice Care - Associate Veterinarian - Cypress , {State_Code UsvtaGeneral Practice Care - Associate Veterinarian - Cypress , {State_CodeCypress, TexasAn exceptional veterinary hospital, with a dedicated team, is seeking an Associate Veterinarian to provide superior patient and client care to members of its community. of rewards and benefits that our partners may offer, but the specific details surrounding each hospital’s total rewards package will be provided by the hiring manager during each interview process.
Urgent Care - Partner Veterinarian - Houston , {State_Code UsvtaUrgent Care - Partner Veterinarian - Houston , {State_CodeHouston, TexasAn exceptional veterinary hospital, with a dedicated team, is seeking an experienced Partner Veterinarian to provide leadership, superior patient and client care, and financial ownership in the hospital. The ideal leader for this hospital is a veterinarian who is prepared to manage a team of doctors and medical staff and successfully oversee the clinical direction of the practice while building equity.
Medical Billing - AR Specialist Gryphon HealthcareMedical Billing - AR SpecialistHouston, Texas$30–$50 / hourJOB SUMMARY The Account Receivable Specialist is responsible for submitting claims, appeals of denied claims and working with commercial insurance carriers to ensure prompt accurate payment. EDUCATION REQUIREMENTS High School Diploma or equivalent required EXPERIENCE REQUIREMENTS 2 years in medical billing preferred with the following detailed experience: Knowledge of medical / billing collection practices.
Medical Billing Specialist - Women''''s Health Prelude Fertility IncMedical Billing Specialist - Women''''s HealthHouston, TXRemoteVersed in CPT code sets and requirements including but not limited to modifiers, CPT bundling/unbundling, proper diagnosis assignment, Evaluation and Management Codes, Lab Codes, and ASC HCPC code sets. The Medical Billing Specialist is responsible for the timely and accurate submission of insurance claims, reviewing and updating denied claims for resubmission and performing reconciliations to ensure timely billing for services provided.
Freelance Medical & Billing Coder Dane Street, LLCFreelance Medical & Billing CoderHouston, TXYou will communicate with other reviewers and their office teams to ensure clarity of information and ensure all questions posed have been addressed, and ensure that reports are returned within client deadlines. Job Summary: A new program offering on the group health side of our business enables you to apply your clinical knowledge to review reports accompanying medical records to ensure that medical billing information and coding are correct.
Freelance Medical & Billing Coder Dane StreetFreelance Medical & Billing CoderHouston, TXYou will communicate with other reviewers and their office teams to ensure clarity of information and ensure all questions posed have been addressed, and ensure that reports are returned within client deadlines. Job Summary: A new program offering on the group health side of our business enables you to apply your clinical knowledge to review reports accompanying medical records to ensure that medical billing information and coding are correct.
Medical Biller & Coder Woodlands Primary HealthcareMedical Biller & CoderSpring, TexasRemoteWoodlands Primary Healthcare is seeking an experienced Medical Biller and Coder to join our growing family medicine practice. Our family medicine practice combines the personalized attention of concierge-level medicine with the convenience of using your existing medical benefits.
Medical Biller and Coder - Experienced Woodlands Primary HealthcareMedical Biller and Coder - ExperiencedSpring, TexasWoodlands Primary Healthcare is seeking an experienced Medical Biller and Coder to join our growing family medicine practice. Our family medicine practice combines the personalized attention of concierge-level medicine with the convenience of using your existing medical benefits.
Medical Biller and Coder Bee Busy Wellness CenterMedical Biller and CoderHouston, TXThis role is responsible for accurately coding medical procedures and diagnoses, submitting insurance claims, posting payments, and ensuring timely reimbursement while maintaining compliance with healthcare regulations and clinic policies. Monitor unpaid claims and follow up with insurance companies regarding denials, underpayments, or delayed payments.
Medical Assistant Coordinator (2797) US Heart and VascularMedical Assistant Coordinator (2797)Houston, TXUS Heart and Vascular is needing a Medical Assistant Coordinator to join our team at Davis Vein and Vascular in Cypress, TXResponsibilities: Reviews and assigns accurate medical codes to diagnose, procedures, and services. If the individual in the role will drive for work purposes, a current valid state driver's license and required minimum auto insurance coverage.
Billing Associate (Onsite, Pediatric Development Clinic) PediatrixBilling Associate (Onsite, Pediatric Development Clinic)Shenandoah, TexasFull timePediatrix-affiliated clinicians are committed to providing coordinated, compassionate and clinically excellent services to women, babies and children across the continuum of care, both in hospital settings and office-based practices. This role supports the revenue cycle by verifying insurance coverage, posting charges,submitting clean claims, reviewing front-end denials, and posting time-of-service payments.
Patient Account Specialist Senior \ 1315 Paladin Consulting, Inc.Patient Account Specialist Senior \ 1315Houston, TX$21.33 / hourInternational non-profit healthcare system headquartered in Irving, Texas founded in 1999, provides comprehensive healthcare services through a network of more than 60 hospitals, hundreds of clinics and outpatient facilities, and virtual care services across Texas, Louisiana, Arkansas, New Mexico, as well as parts of Mexico, Chile, and Colombia. Responsibilities include reviewing patient and payer information, ensuring billing accuracy and compliance, following up on accounts, and providing excellent customer service while collaborating with internal teams and external partners.
Risk Adjustment Coder II Harris Health SystemRisk Adjustment Coder IITXThe Risk Adjustment Coder II provides advanced support for complex medical record reviews to ensure the correct capture of chronic conditions and complexities to calculate a patient's risk score, by mapping diagnoses to Hierarchical Condition Categories (HCCs) while adhering to CMS guidelines and internal coding policies for the following programs: including, but not limited to, Commercial Risk Adjustment, Medicare Risk Adjustment, and HHS and Medicare RADV (Risk Adjustment Data Validation). ' Community Health Choice (HMO D-SNP), a Medicare Advantage Dual Special Needs plan for people with both Medicare and Medicaid that combines Medicare Part A and Part B benefits, Medicare Part D prescription drug coverage, and Medicaid benefits with additional health benefits like dental, vision, transportation, and more.
Hospital Billing Coordinator Deloitte Touche Tohmatsu LtdHospital Billing CoordinatorTX$50,000–$60,000 / yearOur purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
Clinical Billing Manager (Path & Lab) University of Texas Health Science Center at HoustonClinical Billing Manager (Path & Lab)Houston, TXCertified Professional Coder (CPC) by American Academy of Professional Coders (AAPC) requiredCertified Coding Specialist Physician-based (CCS-P) by American Health Information Management Association (AHIMA) requiredRegistered Health Information Administrator (RHIA) by American Health Information Management Association (AHIMA) requiredRegistered Health Information Technician (RHIT) by American Health Information Management Association (AHIMA) requiredMust complete certification within 12 months of employment at UTHSC-H requiredMinimum Education:Bachelor's degree in Business, Healthcare Administration, Health Information Management or related field, or equivalent experience in lieu of degree. Our total rewards package includes the benefits you'd expect from a top healthcare organization (benefits, insurance, etc.), plus: 100% paid medical premiums for our full-time employees Generous time off (holidays, preventative leave day, both vacation and sick time - all of which equates to around 37-38 days per year) The longer you stay, the more vacation you'll accrue!
Medical Insurance Collector Addison GroupMedical Insurance CollectorHouston, Texas$18–$22 / hourAddison Group is hiring on behalf of our client, a rapidly growing healthcare organization focused on expanding its revenue cycle team. This role involves processing claims, resolving billing discrepancies, and ensuring timely collections from insurance providers.
Provider Success Manager - Houston, Texas Clover Health Investments CorpProvider Success Manager - Houston, TexasTXSupport Provider Recruitment Activities as Product SME: Partner with CA GTM team to execute a provider onboarding and training best practices, with a focus on devising strong in-office workflows and working closely with practices (including clinical + non-clinical staff) to drive effective adoption of the platform. Proven ability to build collaborative relationships with clinicians and staff to drive operational change, and to translate operational data into actionable performance metrics and scorecards that help primary care physicians achieve improved clinical and financial outcomes.
Senior Consultant - Clinical Documentation Specialist Deloitte Touche Tohmatsu LtdSenior Consultant - Clinical Documentation SpecialistTX$110,700–$218,300 / yearOther skills include the ability to analyze, act and design action plans upon monthly and quarterly reports related to individual providers, facilities, MS-DRGs, APR, PSIs, severity of illness and risk of mortality, capture rates, quality metrics and can effectively prioritize their work activities. Clinical Payments Optimization: Assisting clients by validating that payments for clinical healthcare services comply with regulatory, clinical based evidence and contractual requirements while also determining that payments are appropriate for the type and level of care provided.
Senior Corporate Compliance Auditor (Hybrid) Memorial Hermann Health SystemSenior Corporate Compliance Auditor (Hybrid)Houston, TXDirectly accountable for researching, interpreting, and advising the organization on the regulations, rules, and requirements issued by government agencies and other oversight authorities (Centers for Medicare & Medicaid Services (CMS), U.S. Department of Health and Human Services Office of Inspector General (HHS-OIG), etc.). Leads multiple Corporate Compliance reviews / audits of healthcare coding, billing, documentation, operations, and related areas (e.g., coding assignments, charge capture, clinical documentation, claim submissions, etc.) from planning through completion.