Location: Fort Worth, TX
for which review services are being provided. This involves completing medical records review, accurately documenting findings and non-findings and providing clinical/policy/regulatory support for the determination. Experience using, ICD-10-CM & PCS coding guidelines, the ability to understand modern pharmacology, disease management and clinical intervention procedures.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES: The Clinical Auditor will look at individual medical records to check for missing documentation The Clinical Auditor will check for physician's notes supporting the DRGs assigned Reviewing medical records to determine accuracy of billing through verification of coding and supporting
clinical documentation Conducting audits to ensure accurate charge capture, enhancing reimbursement and identifying potential savings Demonstrated knowledge of, ICD-10-CM codes, PCS and DRG coding, understanding of payer rules and regulations, including Medicare and Medicaid with the ability to work independently with minimal supervision and demonstrate initiative Able to clearly and accurately communicate findings Other duties as assigned KNOWLEDGE & SKILLS: Proficient in both MS and APR DRG methodology Working knowledge of application of current Official Coding Guidelines and Coding Clinic citations Solid knowledge and understanding of clinical criteria documentation requirements used to successfully
substantiate code assignments Proficient in Medicare and CMS guidelineinteractiontreme attention to detail Must possess problem solving, critical thinking skills Effective and professional communication skills, both verbal and written Ability to think and work independently, while working in an overall team environment Ability to work in a fast paced/production environment Proficient in Microsoft Office Suite EDUCATION & EXPERIENCE: Required minimum of 2 years of recent DRG Quality Auditing experience in a hospital setting, or health plan.
National Coding Certification required through AHIMA (preferred) or AAPCExtensive hands-on ICD-10 CM / PCS experience required Minimal typing experience PAY RANGE: Cor Vel uses a market based approach to pay and our salary ranges may vary depending on your location.
Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time. Pay Range: $65,326 – $99,887A list of our benefit offerings can be found on our Cor Vel website: Cor Vel Careers Opportunities in Risk Management ABOUT CERi S: CERi S, a division of Cor Vel Corporation, a certified Great Place to Work® Company, offers incremental value, experience, and a sincere dedication to our valued partners.
Through our clinical expertise and cost containment solutions, we are committed to accuracy and transparency in healthcare payments. We are a stable and growing company with a strong, supportive culture along with plenty of career advancement opportunities. We embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT! ). A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/shop, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off.
Cor Vel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable. For more details: jobs-search. org/insurance_fort-worth-c448653/drg-quality-control-coder-fort-worth_i1971184644
to referring office Communicate claim status with referring office Read and comprehend all medical reports Adhere to client and carrier guidelines and participate in claims review as needed Assists other claims professionals with more complex or problematic claims as necessary Additional duties/responsibilities as assigned Comply with all safety rules/regulations, in conjunction with the Injury and Illness Prevention Program (“IIPP”), as well as, maintain HIPAA compliance KNOWLEDGE & SKILLS: Ability to learn rapidly to develop knowledge and understanding of claims practice Strong organizational skills Ability to meet or exceed performance competencies Effective and professional communication
skills Ability to handle stressful situations, and use critical and strategic thinking Demonstrated outstanding leadership, problem solving, and analytical skills Ability to think and work independently, while working in an overall team environment Proficient in Microsoft Office Suite, especially Excel and Outlook EDUCTION & EXPERIENCE: High School diploma, or equivalent Current AAPC certification (which must be maintained throughout employment as current and active status)Certification as CPC with the AAPC for more than 2 years (w/ surgical or office experience)Current or recent orthopedic billing/coding experience E/M coding/down-coding experience Encoder Pro software experience Texas workers
compensation experience is preferred Pain Management/Anesthesia/General Surgery coding experience is preferred PAY RANGE: Cor Vel uses a market based approach to pay and our salary ranges may vary depending on your location.
Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time. Pay Range: $44,837 – $66,917A list of our benefit offerings can be found on our Cor Vel website: Cor Vel Careers Opportunities in Risk Management About CERISCERIS, a division of Cor Vel Corporation, a certified Great Place to Work® Company, offers incremental value, experience, and a sincere dedication to our valued partners.
Through our clinical expertise and cost containment solutions, we are committed to accuracy and transparency in healthcare payments. We are a stable and growing company with a strong, supportive culture along with plenty of career advancement opportunities. We embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT! ). A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/shop, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off.
Cor Vel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable. For more details: jobs-search. org/information-technology_fort-worth-c448653/mcs-certified-coder-fort-worth_i1971259826
and standards. Accomplished Compliance Analysts are regulatory experts who lead their organizations toward excellence in compliance. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Responsible for implementing, maintaining, and improving policies, procedures, and internal controls to assure compliance with applicable regulatory and legal requirements, industry standards and best practices, organizational values, and strategic goals.
Coordinate, manage and guide the business in maintaining HITRUST certification. Serve as the primary liaison with internal and external resources in conducting compliance audits and risk backssments. Develop and document security risk backssment processes for backssing
internal practices and vendors. Participate in cloud and application security strategic planning and execution. Provide compliance guidance on new product features, deviations, and changes in the infrastructure.
Proactively identify issues by backssing the current environment, processes and anticipating future enhancements/requirements. Drive improvements in existing processes and develop new innovative and efficient solutions. Review complex business processes, systems, workflows, SOPs, and policies to identify, document, and elevate potential risks that may be non-compliant with contracts and/or regulatory requirements. Communicate gaps to management and coordinate cross functional
team meetings to remediate and close the control gaps. KNOWLEDGE & SKILLS: Knowledgeable in Healthcare regulatory laws and frameworks: CMS (Medicare, Medicaid), HIPAA, NIST and HITRUSTExceptional ability to formulate compliance policies, procedures, and related documentation Strong organizational, written and verbal communication skills Computer proficiency and technical aptitude a plus EDUCATION & EXPERIENCE: 5+ years of professional experience in executing and organizing audits, certification programs and control backssments, including, but not limited to the compliance control lifecycle, analyzing control processes, scope planning, policies and standards, control testing and mapping issues to risks Experience with control frameworks including related regulatory compliance requirements (e.
g. SOC, SOX, HITRUST, HIPAA, Fed RAMP, PCI) required BS degree in Business or Management Information Systems or related field OR equivalent work experience. CISA, CGEIT, CISSP, GSEC, CISM or other related certifications a plus About CERi SCERi S, a division of Cor Vel Corporation, a certified Great Place to Work® Company, offers incremental value, experience, and a sincere dedication to our valued partners. Through our clinical expertise and cost containment solutions, we are committed to accuracy and transparency in healthcare payments.
We are a stable and growing company with a strong, supportive culture along with plenty of career advancement opportunities. We embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT! ). A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/shop, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off.
Cor Vel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable. For more details: jobs-search. org/information-technology_fort-worth-c448653/it-compliance-analyst-fort-worth_i1971531733
support. Opportunity Highlights Option to do 100% inpatient (neurohospitalist) with a 7-days-on/7-days-off block schedule Option to do a mix of outpatient and inpatient Able to tailor your practice towards any subspecialty Partnership offered after 2-years (also have option to remain employed and not become a partner) Robust support staff to ensure maximum efficiency Compensation Guaranteed base salary with exceptional bonus structure Partners are earning between $450,000 – $650K+ per year Comprehensive benefits package including paid malpractice insurance, health, dental, vision, paid time off, relocation stipend, CME time and stipend, etc.
Community Information—Dallas-Fort Worth Home
to more than 7 million individuals, Dallas-Fort Worth metroplex is a perfect place to call home! Ability to live in one of Dallas-Fort Worth's incredible suburbs No state income tax in Texas Some of the top public and private schools in the state as well as prestigious universities Enjoy renowned attractions, including the Deep Ellum entertainment district and the Fort Worth Stockyards Home to professional sports teams, including the Dallas Cowboys Convenient access to an international airport Ranked #4 by Sperling's Best Places in " Best Cities to Relocate to in America" Facility Location Fort Worth, which has been rated as one of “America’s Most Livable Communities” embodies all the
amenities of a big city, while still holding on to its traditional small-town feel.
Celebrating its colorful Western heritage, Fort Worth is home to countless museums, galleries and attractions as well as world-class dining and nightlife. Come to Fort Worth to see where the Old West meets modern-day lifestyles. Job Benefits About the Company At AMN Healthcare, we strive to be recognized as the most trusted, innovative, and influential force in helping healthcare organizations provide quality patient care that continually evolves to make healthcare more human, more effective, and more achievable. Neurologist, Hospitalist Neurology, Brain, Nervous System, Hospitalist, Physician, Healthcare, Health Care, Patient Care, Hospital, Medical, Doctor, Md Compensation Information: $650000.0 / Annually - $650000.0 / Annually Starting At: 650000.0 Annually Up To: 650000.0 Annually For more details: jobs-search.
org/neurohospitalist-physician_fort-worth-c448653/neurohospitalist-physician-fort-worth_i1973377668
of high-quality outcomes and a better experience for patients and providers, all at a lower total cost of care. As part of Optum, we participate in an integrated care delivery system that enables us to support our partners as they navigate a complex healthcare environment, Only SCA Health has a dynamic group of physician-driven, specialty care businesses that allows us to customize solutions, no matter the need or challenge: We connect patients to physicians in new and differentiated ways as part of Optum and with our new Specialty Management Solutions business.
We have pioneered a physician-led, multi-site model of practice solutions that restores physician agency by aligning incentives
to support growth and transition to value-based care. We lead the industry in value-based payment solutions through our Global 1 bundled payment convener, that provides easy predictable billing to patients.
We help physicians address everything beyond surgical procedures, including anesthesia and ancillary service lines. The new SCA Health represents who we are today and where we are going-and the growing career opportunities for YOU. Responsibilities We are actively hiring for an Registered Nurse (RN) Operating Room. Promote the mission, vision, and values of SCA. backss patient status throughout the perioperative episode of care. Develop an individualized perioperative patient plan
of care. Serve as a member of a multidisciplinary team in planning perioperative patient care.
Qualifications Graduate of an accredited school of nursing. One year of OR and/or medical / surgical nursing experience preferred. Current state nursing licensure to practice in good standings. Successful completion of Basic Life Support (BLS) within 90 of employment or documentation of current BLS certification. Successful completion of Advanced Cardiovascular Life Support (ACLS) Course within 90 days of employment or documentation of current ACLS certification. Successful completion of Pediatric Advance Life support (PALS) course is required when pediatric care is included in the facility scope of services within 90 days of employment or documentation of current PALS certification.
Specialty certification in Perioperative Nursing is preferred. USD $32.60/Hr. USD $50.00/Hr. Graduate of an accredited school of nursing. One year of OR and/or medical / surgical nursing experience preferred. Current state nursing licensure to practice in good standings. Successful completion of Basic Life Support (BLS) within 90 of employment or documentation of current BLS certification. Successful completion of Advanced Cardiovascular Life Support (ACLS) Course within 90 days of employment or documentation of current ACLS certification.
Successful completion of Pediatric Advance Life support (PALS) course is required when pediatric care is included in the facility scope of services within 90 days of employment or documentation of current PALS certification. Specialty certification in Perioperative Nursing is preferred. We are actively hiring for an Registered Nurse (RN) Operating Room. Promote the mission, vision, and values of SCA. backss patient status throughout the perioperative episode of care. Develop an individualized perioperative patient plan of care.
Serve as a member of a multidisciplinary team in planning perioperative patient care. For more details: jobs-search. org/information-technology_fort-worth-c448653/rn-operating-room-pool-texas-health-outpatient-surgery-center-alliance-fort-worth_i1949131594
monitors critical network functions, and performs repairs and upgrades on computer hardware and software. As a Level II technical support representative, you will be responsible for monitoring the following products 24 hours a day: Wireless/VOIP T1's POTS DSL You'll also be responsible for reporting any network issues to management within the time line allotted by company procedures 24 hours a day and escalating as necessary, along with the following: - Handling calls from residential and commercial customers to resolve any technical issues on all products provided.
- Making follow up courtesy calls once the reported trouble is resolved to ensure customer satisfaction. - Reporting troubles
with our partnered service providers after hours and on weekends. - Having a thorough understanding of all products offered to ensure that reps are comfortable and confident with any issue that arises.
- Diagnosing / repairing customer's personal computers that have been brought in for billable labor. - Learning and understanding the functions of other departments to be able to execute them after hours. - Monitoring ACD queues and managing talk times to ensure hold times are minimal. - Communicating with customers and resolving any issues reported via the support email account. Provisioning / de-provisioning the following services: Wireless/VOIP DSL Email Dial-up Hot Spot Users - Handling
account suspends and restores. - Maintaining monitoring software and making sure all data contained therein is correct and up to date.
- Reports monthly on wireless network capacity. Provide exceptional technical support for all commercial calls to ensure our level of customer service remains unmatched by our competitors. - Submitting tickets to be worked by our field services and managed services departments. - All other duties as assigned. Qualifications Must have a minimum of a high school diploma, Associates Degree in CIS preferred Comp Tia A+ certification is preferred Experience with computer repair, software/hardware preferred Experience with Microsoft OS Experience in troubleshooting Outlook and other email applications, including mobile email applications 2 years related IT/Help Desk experience preferred Must demonstrate computer knowledge with the ability to learn new software General understanding of Webhosting preferred Experience with ESI or Shoretel Vo IP phones a plus Experience in Metaswitch or CSX a plus Telecommunications experience is a plus Skills Ability to thrive in a fast paced environment and respond accordingly to high priority situations is essential Must work well with others, as part of a team as well as individually Must possess and demonstrate excellent communications skills Must demonstrate excellent organizational skills Must be enthusiastic and self-motivated Proven customer support professional with at least three years of call center experience preferred Ability to speak Spanish preferred Benefits We offer a compensation plan including excellent benefits with 401K, health insurance, and a competitive starting salary.
