Top 213 Object oriented Jobs in San Antonio, Tx

Coder / Specialty Medical Bill Reviewer (Remote)
Management Resources Group LLC (MRG) —Schertz, TX
- Full-time
- Computer literacy
- Research
- Mid-level
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Make Ready Technician-TK
DGE Investments —San Antonio, TX
- $17 - $19 an hour
- Weekends as needed
- Residential
- High school diploma or GED
- Ability to lift 50 pounds
- Health insurance
- Dental insurance
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8d
San Antonio Install Plumber
Reliant Plumbing and Drain Cleaning —San Antonio, TX
- $27 - $39 an hour
- Weekends as needed
- Background check
- Mid-level
- Residential
- Health insurance
- Dental insurance
Quick Apply
Software Engineer
The Judge Group —San Antonio, TX
- $160,000 - $170,000 a year
- Full-time
- System design
- Mid-level
- Master's degree
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TEMP FENCE INSTALLER - HELPER
Viking Fence Co. Ltd —San Antonio, TX
- $10 an hour
- Full-time
- Background check
- Up to 50% travel
- Pass drug screening
- Paid holidays
- Health insurance
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Team Member
Chick-fil-A —San Antonio, TX
- $15 - $20 an hour
- Part-time
- Quick service & fast food restaurant
- In-person
- Ability to stand for extended periods
- Paid training
- Health insurance
Quick Apply
Assembler I - 2nd Shift
Viant Medical —San Antonio, TX
- Full-time
- Basic math
- English
- Ability to sit for extended periods
- Paid holidays
- Health insurance
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Materials Clerk
Viant Medical —San Antonio, TX
- Full-time
- Computer literacy
- Basic math
- Forklift
- Paid holidays
- Health insurance
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Cashier
Pullman Market —San Antonio, TX
- Weekends as needed
- Sanitation
- Communication skills
- Entry level
- Health insurance
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Chick-fil-A Team Member 2PM to 11PM
Chick-fil-A —San Antonio, TX
- $12 - $15 an hour
- Part-time
- Quick service & fast food restaurant
- In-person
- Ability to stand for extended periods
- Paid training
- Health insurance
Quick Apply
7d
Grocery Team Member
Pullman Market —San Antonio, TX
- Weekends as needed
- Grocery store
- Communication skills
- Entry level
- Health insurance
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Plant Technical Support Manager
CPS Energy —San Antonio, TX
- Weekends as needed
- Clean driving record
- Bachelor of Science
- Engineering
Territory Sales Representative
LeafHome —San Antonio, TX
- $50,000 - $100,000 a year
- Overtime
- Construction site
- Office
- High school diploma or GED
- Paid training
- Mileage reimbursement
Quick Apply
Technical Advisor (Full Stack Developer) - TS/SCI Clearance Required
Maximus —San Antonio, TX
- $170,000 - $210,000 a year
- Full-time
- Master's degree
- Analysis skills
- Bachelor's degree
- Paid holidays
- Disability insurance
Multi-Licensed Fire Sprinkler Inspector
Pye-Barker Fire & Safety, LLC —Schertz, TX
- Full-time
- Microsoft Outlook
- Customer service
- 5 years
- Paid holidays
- Disability insurance
Quick Apply
Senior Software Engineer
Insperity —Texas
- $93,000 - $105,875 a year
- Full-time
- Computer science
- Computer Science
- 3 years
- Health insurance
- Dental insurance
Plant Technical Support Manager
CPS Energy —San Antonio, TX
- Weekends as needed
- Clean driving record
- Bachelor of Science
- Engineering
3d
Front End Developer – Mid-level - TS/SCI Clearance Required
Maximus —San Antonio, TX
- $100,000 - $130,000 a year
- Full-time
- Mid-level
- Office
- Java
- Paid holidays
- Disability insurance
Senior Front-End Developer - TS/SCI Clearance Required
Maximus —San Antonio, TX
- $125,000 - $150,000 a year
- Java
- Master's degree
- Bachelor's degree
Multi-Licensed Fire Sprinkler Inspector
Pye Barker Fire & Safety —Schertz, TX
- Full-time
- Microsoft Outlook
- Customer service
- 5 years
- Paid holidays
- Disability insurance
8d

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object oriented jobs near san antonio, tx

Coder / Specialty Medical Bill Reviewer (Remote)

Management Resources Group LLC (MRG) -
Schertz, TX

Quick Apply

Job Details

Full-time

Qualifications

Computer operation
Database systems
Data analysis reporting
Utilization review
Managed care
Copy machines
Data reporting
Client relationship development
Workers' compensation insurance knowledge
High school diploma or GED
Certified Professional Coder
Health insurance knowledge
Cost analysis
NCQA standards
Cost reduction analysis
Productivity software
Legal compliance
Medical terminology

Full Job Description

Description:

The remote Coder/Specialty Medical Bill Reviewer is responsible for reviewing, auditing, and data entry of medical bills for multiple states and lines of business within both Worker’s Compensation and Commercial Health arenas. This would include analysis for the fee schedule or usual and customary application, as well as PPO interface, while meeting contractual client requirements.

Essential Job Functions:

Responsible for auditing medical bills to ensure that they are appropriate and adhere to the State Fee Schedules, customer guidelines, and PPO discounts
Analysis and review of 1 or more assigned states having fee schedules
Utilize Fee Schedules, Online Documents, Client instructions, and other training material to properly review medical bills
Review medical bills for compensability and relatedness to injury
Reprice medical bills to Workers’ Compensation Fee Schedule and PPO Network
Research usual and customary/fee schedule applications and system interface as appropriate
Reviews specialized Medical Bills, which include hospital, surgery, and high-level physician bills for workers' compensation and non-workers' compensation claims, and may include hospital bills, auto liability, and usual and customary reimbursement
Determines the appropriateness of a final reimbursement outcome by making the distinction between and knowing when to apply either Fee Schedule reduction, PPO reduction, Usual and Customary reduction, or Medicare reduction
Communicates and defends to providers and clients the basis for the methodology used to accomplish the reduction of charges
Analyzes and reviews high-level office visits, reports, and record reviews
Interprets hospital review guidelines for both inpatient and outpatient claims
Knowledge of medical terminology, workers’ compensation billing guidelines, and fee schedules, including CPT/ICD/HCPS coding, and knowledge of UB04 and CMS 1500 form types preferred
Responsible for producing a final review for the recommendation of payment to the client
Maintain productivity, as well as speed and level of accuracy, as determined by company standards

Requirements:

Abilities and Competencies:

Current knowledge of utilization review processes and managed care
Knowledge of state-based fee schedules
Strong knowledge of Medical Terminology and CPT/ICD-9/ICD-10 coding
Ability to identify trends through analysis of practices to improve the overall utilization of resources and cost containment
Ability to communicate those trends found through analytical study using a variety of reporting mediums
Ability to work collaboratively and independently while meeting productivity standards
Ability to work in a high-production environment while meeting productivity and quality standards
Ability to represent Utilization Management in organizational committees, as assigned
Excellent relationship management skills
Demonstrated ability to problem-solve in complex situations
Ability to engage in abstract thought
Strong organizational and task prioritization skills
Strong analytical, numerical, and reasoning abilities
Well-developed interpersonal skills
Ability to establish credibility and be decisive – while also recognizing and supporting our organization’s preferences and priorities
Results-oriented with the ability to balance other business considerations
Knowledgeable of multi-state workers’ compensation systems
Computer literacy on Microsoft Office products and database programs
Ability to construct grammatically correct reports using standard medical terminology
Must have a track record of producing highly accurate work, demonstrating attention to detail

Education and Experience:

High School Diploma or equivalent
AAPC Coding Certification is required (CPC required, CIC preferred)
ICD-9, ICD-10, PCS/HCPS/CPT, MS-DRG, and Geographical codes, and NCQA regulatory compliance guidelines
Must have a consistent coding rate at the 95th percentile or higher
RAC review and auditing
Proficiency as a Specialty Medical Bill Reviewer with two or more years of previous experience in medical bill review (workers’ compensation is a plus)

Driving Essential: No

Certifications/Licenses: AAPC Coding Certification (CPC required, CIC preferred)

Position Demands:

This position requires sitting, bending, stooping for up to 8 hours per day in an office setting. Ability to lift and move objects weighing up to 10 lbs. Ability to learn technical material. The person in this position needs to occasionally move about inside the office to access file cabinets, office machinery, etc. Must be able to operate a computer and other office equipment such as a calculator, copy machine, printer, etc. Some travel may be required.

Equal Employment Opportunity (Our EEO Statement):

The Company is a veteran-owned Company and provides Equal Employment Opportunities (EEO) to all Team Members and applicants for employment without regard to race, color, religion, sex, sexual orientation, gender (including gender identity), pregnancy, childbirth, or a medical condition related to pregnancy or childbirth, national origin, age, disability, genetic information, status as a covered veteran in accordance with applicable federal, state, and local laws, or any other characteristic or class protected by law and is committed to providing equal employment opportunities. The Company complies with applicable state and local laws governing non-discrimination in employment. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, promotion, discharge, pay, fringe benefits, membership, job training, classification, and other aspects of employment.

We are committed to creating an inclusive environment for all team members and applicants. We value the unique skills and experiences that veterans bring to our team and encourage veterans to apply.

Disclaimer:

The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of our personnel. All team members may be required to perform duties outside of their normal responsibilities from time to time, as needed.

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Refine Your Search

object oriented jobs in san antonio, tx

Coder / Specialty Medical Bill Reviewer (Remote)

Make Ready Technician-TK

San Antonio Install Plumber

Software Engineer

TEMP FENCE INSTALLER - HELPER

Team Member

Assembler I - 2nd Shift

Materials Clerk

Cashier

Chick-fil-A Team Member 2PM to 11PM

Grocery Team Member

Plant Technical Support Manager

Territory Sales Representative

Technical Advisor (Full Stack Developer) - TS/SCI Clearance Required

Multi-Licensed Fire Sprinkler Inspector

Senior Software Engineer

Plant Technical Support Manager

Front End Developer – Mid-level - TS/SCI Clearance Required

Senior Front-End Developer - TS/SCI Clearance Required

Multi-Licensed Fire Sprinkler Inspector

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