- WelbeHealth (Austin, TX)
- …Coding Supervisor, the Coding Auditor and Educator focuses on ensuring coding is accurate and properly supported by clinical documentation within the ... **Essential Job Duties:** + Assist with retrospective and concurrent coding for PACE (All-inclusive Care for the Elderly) Dual...programs to ensure compliance with CMS risk adjustments diagnosis coding guidelines + Work closely with Coding … more
- CenterWell (Austin, TX)
- …and help us put health first** The Program Management Lead, Offshore Coding Operations conducts quality assurance audits of medical records and ICD-9/10 diagnosis ... Services (CMS) and other government agencies. The Program Management Lead, Offshore Coding Operations works on problems of diverse scope and complexity ranging from… more
- Datavant (Austin, TX)
- …our bold vision for healthcare. **What We're Looking For:** The Provider Practice Coding Consultant role is an opportunity to make a significant impact in the ... field of medical coding . You will provide essential consulting services and educational...Communicate professionally with co-workers, management, and hospital staff regarding clinical and reimbursement issues. + Demonstrate strong written and… more
- Houston Methodist (Bellaire, TX)
- At Houston Methodist, the Sr Compliance Coding Analyst position is responsible for supporting accurate billing and coding compliance with Medicare and ... identifying potential risk areas and revenue potential. The Sr Compliance Coding Analyst position partners with stakeholders to provide feedback regarding… more
- Ascension Health (Austin, TX)
- …(RHIT), Certified Clinical Documentation Specialist (CCDS) + 3-5 years Medical Coding experience with at least 2 years specific to Medicare Risk Adjustment/HCC ... job specific experience required. **Additional Preferences** + This position requires a Coding Certification, will accept one of the following from AAPC and/or… more
- Elevance Health (Grand Prairie, TX)
- …of claims, by translating medical policies, reimbursement policies, and clinical editing policies into effective and accurate reimbursement criteria.** PRIMARY ... policies, reimbursement policies, and editing rules, as well as conducting clinical research, data analysis, and identification of legislative mandates to support… more
- Ascension Health (Georgetown, TX)
- …appropriate utilization of alternate levels of care, community resources, clinical documentation improvement, coding , quality and/or compliance processes. ... provider of care in the country. Ascension Seton includes more than 100 clinical locations, including four teaching hospitals which serve as training sites for Dell… more
- Dallas Behavioral Healthcare Hospital (Desoto, TX)
- …consistent with the industry-standard guidelines for CPT, ICD-9 and ICD-10. + Answer coding questions + Review clinical documentation to ensure it meets the ... standards. Requirements + Education: Certificate or associate's degree in medical coding /CPC. These additional certifications are not required but a plus: Certified… more
- Insight Global (Plano, TX)
- …chart reviews to validate that assigned codes accurately reflect the patient's clinical picture. Utilize ICD-10-CM and ICD-10-PCS coding systems to ensure ... Category (HCC) capture, Case Mix Index (CMI), and other coding factors. Apply current clinical criteria including MCG, InterQual, payer clinical policy… more
- Waystar (Austin, TX)
- …+ Experience constructing a business case for product initiatives + Previous work with clinical decision support, autonomous coding , or CAC tools. + Knowledge of ... market research. + Partner with engineering, data science, product design, and clinical SMEs to deliver high-quality, high-impact, and timely releases using Agile… more