- HCA Healthcare (Austin, TX)
- …general/focus education for facility leaders on (but not limited to) compliance , medical necessity , charge practices, coding requirement etc. + Tracks ... join an organization that invests in you as a Medical Necessity Compliance Coordinator? At...substitute education requirements. + Minimum 3 years of hospital coding experience preferred + Minimum 5 years healthcare experience… more
- Molina Healthcare (TX)
- …medical determinations as necessary, and applies clinical knowledge to assess the medical necessity , level of services, and/or appropriateness of care in ... to health care fraud, waste, and abuse. Duties include performing accurate and reliable medical review audits that may also include coding and billing reviews.… more
- Houston Methodist (Houston, TX)
- …appeals when necessary. Engages the coding follow-up team for any medical necessity or coding related appeals. **GROWTH/INNOVATION ESSENTIAL FUNCTIONS** ... Portability and Accountability Act (HIPAA) and Payment Card Industry (PCI) compliance regulations. **QUALITY/SAFETY ESSENTIAL FUNCTIONS** + Reviews third party payor… more
- CVS Health (Austin, TX)
- …approves routine claims that cannot be auto adjudicated. - Applies medical necessity guidelines, determine coverage, complete eligibility verification, identify ... or referral submission to determine, review, or apply appropriate guidelines, coding , member identification processes, provider selection processes, claim coding… more
- Caris Life Sciences (Irving, TX)
- …for managing billing processes with a focus on resolving front-end rejections, submitting medical necessity appeals, and responding to medical records ... + Manage a team with focused responsibilities resolving front-end rejection, submitting medical necessity appeals, and responding to medical records… more
- CVS Health (Austin, TX)
- …actionable metrics in quick turn around timeframes Deeply experienced in coding with a nuanced understanding of Object-Oriented and Functional programming concepts, ... security initiatives, demonstrating the ability to communicate the value and necessity of security to both technical and non-technical stakeholders effectively.… more
- RTX Corporation (Richardson, TX)
- …design and implement development and mission solutions + Integrate security and compliance into the platform with services such as encryption and access management. ... frameworks such as Chef, Puppet, and Ansible. + Knowledge of secure coding practices such as OWASP, secrets management, and vulnerability remediation. + Experience… more
- RTX Corporation (Richardson, TX)
- …design and implement development and mission solutions + Integrate security and compliance into the platform with services such as encryption and access management ... to Cloud based web services such as AWS + Knowledge of secure coding practices such as OWASP, secrets management, and vulnerability remediation + Experience with… more
- RTX Corporation (Richardson, TX)
- …control systems. + Background in software development with an understanding of coding principles. + Experience with test automation methodologies and tools. + ... Offer:** Some of our competitive benefits package includes: + Medical , dental, and vision insurance + Three weeks of...posted. However, factors such as candidate flow and business necessity may require RTX to shorten or extend the… more