• Facility Coding Inpatient DRG Quality

    Banner Health (TX)
    …prior to claim submission; to identify possible opportunities for improvement of clinical documentation and accurate MS- DRG , Ambulatory Payment ... Inpatient Facility Coding department. If you have experience with DRG and PCS coding/denials/audits, we want to hear from...SUMMARY This position is responsible for the interpretation of clinical documentation completed by the health care… more
    Banner Health (06/15/25)
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  • DRG Coding Auditor

    Elevance Health (Grand Prairie, 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
    Elevance Health (07/22/25)
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  • Clinical Documentation

    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
    Houston Methodist (07/31/25)
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  • Medical Records Technician ( Clinical

    Veterans Affairs, Veterans Health Administration (San Antonio, TX)
    …certification is required for all positions above the journey level; however, for clinical documentation improvement specialist assignments, a clinical ... be met when determining the grade of candidates: Medical Records Technician- Clinical Documentation Improvement Specialist (Outpatient/Inpatient), GS-09… more
    Veterans Affairs, Veterans Health Administration (08/01/25)
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  • Clinical Documentation

    UTMB Health (Galveston, TX)
    Clinical Documentation Specialist (Remote -Texas Resident) - Clinical Data **Galveston, Texas, United States** Medical Administrative UTMB Health ... associate degree in a healthcare-related discipline with Certified Coding Specialist (CCS) certification, and a minimum of 3 years...of inpatient ICD-10 coding guidelines and clinical documentation requirements to assign working MS- DRG . +… more
    UTMB Health (07/18/25)
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  • Manager, Clinical Documentation

    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
    Ascension Health (05/16/25)
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  • CDQI Nurse Specialist - Full Time - Remote

    Datavant (Austin, TX)
    …to realize our bold vision for healthcare. **What We're Looking For:** As a Clinical Documentation Quality Improvement (CDQI) Specialist , you will play a ... role in elevating the impact of our medical record documentation . You will conduct daily evaluations and engage in...with physicians and caregivers to ensure appropriate reimbursement and clinical severity for DRG -based payer patients. +… more
    Datavant (07/26/25)
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  • Diagnosis Related Group Clinical Validation…

    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
    Elevance Health (07/17/25)
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  • Coding Audit Training Specialist

    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
    Intermountain Health (07/29/25)
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  • Inpatient Coding Denials Specialist

    HCA Healthcare (San Antonio, 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
    HCA Healthcare (07/26/25)
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