- Elevance Health (Houston, TX)
- …responsible for performing clinical reviews of medical records and other documentation to evaluate issues of coding and DRG assignment accuracy. Specializes ... management for the auditing concept, valid claim identification, and documentation purposes (eg, letter writing). + Identifies new claim...: + BA/BS preferred. + Experience with vendor based DRG Coding / Clinical Validation Audit setting… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Clinical Documentation Specialist is responsible for improving the overall quality and completeness of clinical ... + Demonstrates knowledge of DRG payor issues, optimization strategies, clinical documentation requirements and referral policies and procedures. Requests… more
- Baylor Scott & White Health (Dallas, TX)
- …one of these certifications: Certified Coding Specialist (CCS), Certified Clinical Documentation Specialist (CCDS), BSW code (CCDOSCP), Certified ... update working DRG . + Promotes and obtains documentation for clinical conditions or procedures. This... Clinical Documentation Specialist Outpatient (CCDS-O), Certified … more
- Ascension Health (Austin, TX)
- …at the time of the offer._ **Responsibilities** Manage the daily operations of the clinical documentation area. + Manage and provide education regarding the ... clinical documentation process. + Conduct hiring, training,...and improvement activities related to case mix index, MS DRG and value-based purchasing reimbursement, and quality/outcomes and compliance… more
- Elevance Health (Grand Prairie, TX)
- …Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Clinical Documentation Specialist (CCDS), Certified ... is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and DRGs...as CCS or CIC. + Experience with third party DRG Coding and/or Clinical Validation Audits or… more
- Intermountain Health (Austin, TX)
- …levels, providers, clinical staff, compliance and the CDI team. + Audits clinical documentation and coding for complex internal and external coding questions ... provides advanced training to hospital coding staff, compliance, CDI, physicians, and clinical staff. This Coordinator serves as a subject matter expert for all… more
- Houston Methodist (Sugar Land, TX)
- …and denials for no authorization. The Senior Denials Management Specialist position communicates clinical information utilizing various resources ... feedback for process and workflow opportunities to both operational and clinical stakeholders. The Senior Denials Management Specialist position collaborates… more
- HCA Healthcare (El Paso, TX)
- …to join an organization that invests in you as an Inpatient Coding Denials Specialist ? At Parallon, you come first. HCA Healthcare has committed up to $300 million ... We are looking for a dedicated Inpatient Coding Denials Specialist like you to be a part of our...**What you will do in this role:** + Analyzes documentation to support codes/DRGs and abstracted data (eg, discharge… more
- Highmark Health (Austin, TX)
- … techniques, medical terminology and disease processes as it relates to the DRG /APC and other clinical data quality management factors. With technical direction ... Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code and modifier… more
- Texas Health Resources (Arlington, TX)
- …inadequate, unclear or incorrect for coding and compliance purposes. . Collaborates with Clinical Documentation Specialist to improve coding and ... is required And, . Completion or training in ICD-10 CM/PCS (provide documentation upon interview), Competency of 95 accuracy required. . Associate's Degree in… more