Cook Children's Health Care System

Quality Metrics Specialist-Health Plan

Cook Children's Health Care System · Full Time · 3 days ago

Cook Children's Health Care System

🌎 United States ⭐ 2-5 yrs exp 💼 Healthcare

Implement quality improvement and project management processes within a managed care organization. Monitor, analyze, and report performance data to regulatory bodies such as CMS, NCQA, and HHSC.

insurance reporting

APPLY

LVN, PN

Cook Children's Health Care System · Full Time · 7 days ago

Cook Children's Health Care System

🌎 United States ⭐ 0-2 yrs exp 💼 Healthcare

The nurse provides comprehensive ambulatory care by performing patient-focused assessments and executing clinical interventions. They deliver vital health education to patients and families while adhering to organizational policies and medical procedures.

APPLY

Certified Coding Specialist II

Cook Children's Health Care System · Full Time · 15 days ago

Cook Children's Health Care System

🌎 United States ⭐ 2-5 yrs exp 💼 Others

The role involves reviewing patient medical records to accurately assign ICD-10-CM and CPT codes for complex ambulatory surgery and various Evaluation & Management records. It also requires collaborating with physicians to ensure documentation requirements are met for coding accuracy.

APPLY

Biostatistician – Quality Improvement

Cook Children's Health Care System · Full Time · 17 days ago

Cook Children's Health Care System

🌎 United States ⭐ 5-10 yrs exp 💼 Healthcare

The Biostatistician applies advanced statistical methods to healthcare data to drive quality improvement and health equity. The role transforms complex data into actionable insights to improve patient outcomes and care quality.

APPLY

HIM Coder Analyst II-REMOTE within State of TX

Cook Children's Health Care System · Full Time · 6 months ago

Cook Children's Health Care System

🌎 United States ⭐ 2-5 yrs exp 💼 Software Development

The HIM Coder Analyst II reviews and interprets patient medical records to assign ICD-10-CM and CPT codes accurately. They also communicate with physicians regarding documentation requirements and maintain current knowledge of coding changes.

medical excel communication microsoft-office critical-thinking documentation

APPLY

Revenue Cycle Clinical Denials Specialist

Cook Children's Health Care System · Full Time · 9 months ago

Cook Children's Health Care System

🌎 United States ⭐ 2-5 yrs exp 💼 Sales

The Revenue Cycle Clinical Denials Specialist will manage claim denials and conduct comprehensive reviews to determine root causes and resolutions. This role includes writing and submitting appeals, tracking denial trends, and providing process improvement opportunities.

accounting insurance math medical excel medical-billing data-analysis communication training documentation compliance

APPLY