6 telecommuting jobs found in Tyler, TX

**Remote, work from home - East, TX (must live in/or near area)** **Summary** The Provider Performance Advisor is a key member of a cross-functional, collaborative organization which includes Market Provider Performance, Sales, Stars & Risk Adjustment, Finance, Marketing, Provider Relations, and Network Development & Solutions. Reporting to the Provider Performance Senior Manager, the Provider Performance Advisor ensures the effective performance outcomes of their assigned providers. The Provider Performance Advisors responsibilities include: + Cultivating key provider partner relationships in order to drive optimal performance on Stars, risk adjustment, utilization management, and overall financial performance. + Leading market level projects and strategies related to provider engagement. + Preparing for and facilitating external provider meetings and value based contract administrative meetings (JOCs). + Preparing for and facilitating a monthly financial...

**Remote, work from home - Dallas/Fort Worth, TX (must live in /near area)** **Summary:** This individual reports directly to the department senior manager and is responsible for executing strategy to optimize performance of the Medicare Advantage network in the assigned geography. This includes maximizing quality KPIs, supporting market leadership in executing growth and cost containment strategies, and ensuring positive relationships with providers. Will be responsible for oversight of a team that will manage provider network performance within an assigned geography in Texas and/or Oklahoma. The team will track and analyze performance metrics including overall MA membership growth, medical loss ratio reduction through analysis of medical cost trends, ensuring Medicare STARs gaps are closed, and documentation of accurate patient coding. The Senior Manager will develop initiatives to meet market goals and ensure team members execute on those initiatives. Collaboration...

Description Summary: The Coding Integrity Specialist is responsible for developing and implementing ongoing audits of medical records to ensure compliance with CMS' coding and documentation guidelines; provide education related to the coding and documentation of medical records within the physician practice; provide assessment and tracking of documentation compliance and audit accuracy rates; trend analysis and identify need for process enhancements or changes. Must also have a focus on regulatory and billing requirements. Should be able to perform audits independently and participate in performance improvement. May be assigned to variable work areas throughout CTC. Works cooperatively as a team with all coding, education, revenue cycle, and management associates. Requirements: Bachelor’s degree in Health Information or related field preferred or equivalent education and experience. Minimum of five (5) years’ experience in CPT, HCPCS, and ICD-10-CM coding...

Description ***CHRISTUS Health System offers the Physician Coding Educator role as a remote opportunity. Candidates for this opportunity must live within the Tyler, TX Metro Area & the San Antonio Metro area.*** Summary: The CHRISTUS Trinity Clinic (CTC) Coding Educator (CE) is a key point of contact that supports coding and documentation initiatives across CHRISTUS Trinity Clinic. They are a subject matter expert for coding including validating documentation requirements, analyzing coding trends/benchmarks, providing education to operational leaders, physicians, advanced practice providers (APPs), and senior leadership. They also implement training and education plans needed for the overall success and improvement of the coding team. Assists with new services and revenue opportunities. Provides oversight of education and training on the application of CPT, ICD-10-CM, HCC, and modifier coding, documentation guidelines, medical policies, medical terminology and...

Description ***CHRISTUS Health offers this opportunity as a remote position for our Cardiology division***  ***Candidates must reside in Texas, Louisiana, New Mexico, Arkansas, Georgia, Oklahoma, or Nevada to be further considered for this opportunity*** Summary: Responsible for maintaining current and high-quality ICD-10-CM and CPT coding of all professional services, including outpatient Evaluation & Management (E/M) and clinic-based procedures. Included in Outpatient coding are all clinic-based services, laboratory, nursing home visits, and physical therapy. May also be responsible for some Inpatient hospital E/M services, and rehab accounts. Via assigned work queues, verifies charges and code assignments are correct on all Outpatient accounts. Accurately assigns appropriate modifiers to CPT codes. Communicates regularly with providers regarding coding concerns, missing/incomplete documentation, and coding policy updates. Responsible for assigned coding...

**Remote, work from home - Tyler, Longview, or Lufkin/ East, TX (must live in /near area)** **Summary:** This individual reports directly to the department senior manager and is responsible for executing strategy to optimize performance of the Medicare Advantage network in the assigned geography. This includes maximizing quality KPIs, supporting market leadership in executing growth and cost containment strategies, and ensuring positive relationships with providers. Will be responsible for oversight of a team that will manage provider network performance within an assigned geography in Texas and/or Oklahoma. The team will track and analyze performance metrics including overall MA membership growth, medical loss ratio reduction through analysis of medical cost trends, ensuring Medicare STARs gaps are closed, and documentation of accurate patient coding. The Senior Manager will develop initiatives to meet market goals and ensure team members execute on those initiatives....