- Houston Methodist (Houston, TX)
- …the Coding Quality Auditor position is responsible for ensuring accuracy in code assignment of diagnosis and procedure to outpatient and/or inpatient encounters ... based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory body guidelines. This position… more
- CVS Health (Austin, TX)
- …documentation review, diagnosis coding, and/or auditing. + CPC (Certified Professional Coder ) or CCS-P (Certified Coding Specialist -Physician) required. + ... part in ensuring coding accuracy and data integrity, directly impacting compliance and financial performance. Ideal candidates will bring a strong understanding… more
- CenterWell (Arlington, TX)
- …advanced practice professionals, Pharm D, Care Coach Nurse, MA, Behavioral health specialist , Quality based Coder , Referral Coordinator and more. Our approach ... medical record documentation in a timely manner working with a quality- based coder to optimize coding specificity. . Follows policy and protocol defined by Clinical… more
- Evolent (Austin, TX)
- …Stay for the culture. **What You'll Be Doing:** **Manager, Coding Support Specialist ** Evolent Care Partners is seeking a Risk Adjustment Coding Support Manager ... a crucial role in ensuring accurate medical coding and compliance with risk adjustment models. **What You will Be...+ **Certification in medical coding (CRC- Certified Risk Adjustment Coder ) or demonstrated ability.** + 5+ years of experience… more
- Ascension Health (Austin, TX)
- …identify improvement opportunities and develop solutions. + Track and ensure program compliance . + Gather, identify and utilize data to support strategic development ... index, MS DRG and value-based purchasing reimbursement, and quality/outcomes and compliance requirements. + Manage the review of physician documentation to support… more
- CenterWell (Houston, TX)
- …advanced practice professionals, Pharm D, Care Coach Nurse, MA, Behavioral health specialist , Quality based Coder , Referral Coordinator and more. Our approach ... veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to… more
- Molina Healthcare (San Antonio, TX)
- …Any one or more of the following: + Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified ... appropriate and correct clinical decisions for appeals outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN)… more
- Highmark Health (Austin, TX)
- …collaborating with cross-functional teams for seamless integration; conducting code reviews and providing technical guidance; identifying and resolving ... specifications for software applications and programs. + Responsible for designing & writing code that adheres to coding standards. Perform code reviews. +… more
- HCA Healthcare (San Antonio, TX)
- …and associated systems and equipment, under the direction of the Hyperbaric Safety Specialist and reports any and all safety issues and/or concerns. The Hyperbaric ... testing on a quarterly basis and coordinates fire suppression testing with Safety Specialist and Plant Management personnel, to include date and time of testing,… more
- South Texas Project Nuclear Operating Company (Wadsworth, TX)
- …activities related to NERC Reliability Standard, Texas RE, and PUCT Texas Administrative Code (TAC) compliance as assigned. OTHER RESPONSIBILITIES + Accept ERO ... Prepares/reviews reportability and operability reviews of station issues to ensure compliance with applicable regulatory requirements. + Perform reviews of operating… more