- Humana (Austin, TX)
- …caring community and help us put health first** The Senior Inpatient Medical Coding Professional extracts clinical information from a variety of medical records ... evaluation of variable factors. **Responsibilities** The Senior Inpatient Medical Coding Professional confirms appropriate diagnosis related group (DRG) assignments.… more
- Elevance Health (Grand Prairie, TX)
- …make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance of medical ... audit activities. + Draws on advanced ICD-10 coding expertise, mastery of clinical guidelines, and industry knowledge to substantiate conclusions. + Utilizes… more
- Highmark Health (Austin, TX)
- …Code Editor (OCE), Medically Unnecessary Edits (MUE), and other exceptions requiring clinical / coding expertise. Works to resolve rejections and accounts flagged ... RESPONSIBILITIES** + Reviews, analyzes and resolves accounts that have failed coding and charging related claim edits, including medical necessity, National Correct… more
- HCA Healthcare (Dallas, TX)
- …and Qualifications** As a Profee Coder, you will be responsible for reviewing and coding clinical notes and operative reports for a minimum of one specialty. ... will also work with the denials team to resolve coding -related denials. You will be a key promoter of...will do in this role:** + Reviews and codes clinical notes and operative reports for assigned specialty/specialties. +… more
- UTMB Health (Galveston, TX)
- …interaction with physicians, members of the patient care team, and hospital coding staff. **Function:** Ensures clinical documentation accurately reflects the ... and identify opportunities for clarification. + Apply knowledge of inpatient ICD-10 coding guidelines and clinical documentation requirements to assign working… more
- CVS Health (Austin, TX)
- …Projects and Committee participation when needed. The Medical Director will provide clinical , coding , and reimbursement expertise as well as directing case ... system is more transparent and consumer-focused, and it recognizes physicians for their clinical quality and effective use of health care resources. This is a remote… more
- Community Health Systems (Longview, TX)
- … clinical documentation improvement, health information management, or inpatient coding preferred + Experience in physician education or query processes preferred ... documentation preferred **Knowledge, Skills and Abilities** + Strong knowledge of clinical documentation improvement principles, inpatient coding guidelines, and… more
- CVS Health (Austin, TX)
- …Projects and Committee participation when needed. The Medical Director will provide clinical , coding , and reimbursement expertise as well as directing case ... transparent and consumer-focused, and it recognizes physicians for their clinical quality and effective use of health care resources....The Medical Director will act as a business and clinical liaison to network providers and facilities if needed,… more
- Sumitomo Pharma (Austin, TX)
- …assist with Analysis of Similar Events as needed. + Review clinical coding (eg, reactions, suspect/concomitant products, indications, laboratory data, ... ensuring continuous benefit-risk assessment. + Collaborate with colleagues in Clinical Development, Regulatory Affairs, Biostatistics, Data Management, and other… more
- Lyric (Austin, TX)
- …operations leaders to develop reporting and analyze large-scale healthcare claims and clinical datasets. By leveraging advanced coding , analytic reporting, and ... are not available for this position. **Job Summary:** The Clinical Data Analyst - Staff plays a pivotal role...SQL + 5+ years experience with advanced level SQL coding & query optimization + 3+ years experience with… more
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