- Highmark Health (Austin, TX)
- …and disease processes as it relates to the DRG/APC and other clinical data quality management factors. With technical direction and assistance from management, ... designs and implements coder education program, continuing education programs and Medical Staff...Coding Specialist (CCS) + AAPC Credentials (Outpatient): Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified… more
- Kelsey-Seybold Clinic (Pearland, TX)
- …**License(s)** Required: CCS-P (Certified Coding Specialist-Physician) or CPC (Certified Professional Coder ) or CPC-A or CRC (Certified Risk Adjustment Coder ) ... providing quality patient care by adding to our team of clinical and non- clinical professionals that work together in a convenient, coordinated, and… more
- Houston Methodist (Houston, TX)
- …good feedback during coding section meetings, coding education in-services, and coder /CDMP meetings. Takes initiative to assist others and shares knowledge with ... utilizing the established physician query process. Provides assistance to Clinical Documentation Management Program (CDMP) with appropriate MS-DRG and APR-DRG… more
- Houston Methodist (Houston, TX)
- …& Denials Specialist is responsible for coordinating and monitoring the coding-specific clinical charges and denial management and appeals process in a collaborative ... environment with revenue cycle management and clinical partners at various Houston Methodist facilities. This position...AND CERTIFICATIONS - REQUIRED** + CPC - Certified Professional Coder (AAPC) **OR** + CCS - Certified Coding Specialist… more
- Molina Healthcare (Fort Worth, TX)
- **Job Description** **Job Summary** The Manager, Clinical DRG Coding & Validation must have an extensive background in either facility-based nursing and/or inpatient ... high quality claims payment to ensure payment integrity. Responsible for performing clinical reviews of medical records and other documentation to evaluate issues of… more
- Elevance Health (Houston, TX)
- …for all lines of business, and its clients. Also responsible for performing clinical reviews of medical records and other documentation to evaluate issues of coding ... + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines and objectivity in the performance of medical audit activities. +… more
- CenterWell (Houston, TX)
- …us put health first** The Nurse Practitioner applies advanced education and clinical competencies to achieve optimal patient outcomes. The Nurse Practitioner works ... professionals, Pharm D, Care Coach Nurse, MA, Behavioral health specialist, Quality based Coder , Referral Coordinator and more. Our approach allows us to provide an… more
- CenterWell (Houston, TX)
- …record documentation in a timely manner, working with a quality-based coder to optimize coding specificity. + Coordinate patient services, including specialty ... a professional and approachable demeanor. + Follow policies and protocols defined by Clinical Leadership. + Meet with medical directors to discuss quality of care,… more
- CenterWell (San Antonio, TX)
- …all medical record documentation in a timely manner working with a quality- based coder to optimize coding specificity. + Follows policy and protocol defined by ... Clinical Leadership. + Meets with RMD about quality of...patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we… more
- CenterWell (Humble, TX)
- …record documentation in a timely manner, working with a quality-based coder to optimize coding specificity. + Coordinate patient services, including specialty ... a professional and approachable demeanor. + Follow policies and protocols defined by Clinical Leadership. + Meet with medical directors to discuss quality of care,… more