- Elevance Health (Grand Prairie, TX)
- …Technician and/or CCS as a Certified Coding Specialist and/or CIC as a Certified Inpatient Coder . + Requires 5 years of experience working with ICD-9/10CM, ... MS-DRG, AP-DRG and APR-DRG. **Preferred Skills, Capabilities and Experiences** : + BA/BS preferred. + Experience with vendor based DRG Coding / Clinical Validation Audit setting or hospital coding or quality assurance environment preferred. + Broad knowledge… more
- Texas Health Resources (Arlington, TX)
- …or CCS - Certified Coding Specialist 12 months **REQUIRED** COC ( Certified Outpatient Coder ) 12 months **REQUIRED** **Skills** Proficient in software ... applications (Excel, Word, Optum CAC, EPIC). Thorough knowledge of ICD-10-CM, PCS and CPT-4. Expert in coding convention/automated encoder (knowledge management of NCCI/OCE billing edits). Knowledgeable in APC and DRG methodologies and all regulatory/payer… more
- Ascension Health (Austin, TX)
- …Association (AHIMA) obtained prior to hire date or job transfer date. + Certified Professional Coder (CPC) credentialed from the American Academy of Professional ... / Registration: + One or more of the following required: + Certified Coding Specialist (CCS) credentialed from the American Health Information Management… more
- USAA (San Antonio, TX)
- …medical claims coding ICD-10, CPT, HCPC, EDI 837, etc. + CFE, CHC, AHFI, or Certified Professional Coder (CPC) certifications. + 2 or more years of experience in ... negotiating or settling health insurance claims. + Proficient knowledge of state and federal regulatory requirements for fraud, waste, and abuse. + Demonstrated experience analyzing and interpreting data to identify trends and patterns. **Compensation range:**… more
- CVS Health (Austin, TX)
- …more compassionate. And we do it all with heart, each and every day. The Certified Professional Coder (CPC) Manager will oversee a team of medical coders within ... the Special Investigations Unit (SIU) to ensure compliance with coding practices through comprehensive record reviews for medical, behavioral, transportation, and other healthcare providers. The CPC Manager will be responsible for guiding the team in… more
- Houston Methodist (Katy, TX)
- …- REQUIRED** + N/A **LICENSES AND CERTIFICATIONS - PREFERRED** + CPC - Certified Professional Coder (AAPC) -- or equivalent if overseeing revenue integrity ... related functions **KNOWLEDGE, SKILLS, AND ABILITIES** + Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluations + Sufficient proficiency in… more
- Elevance Health (TX)
- …in applicable state(s)** . **Preferred Skills, Capabilities and Experiences:** + **AAPC Certified Risk Adjustment Coder preferred.** + Expert level knowledge of ... ICD-10 CM, CMS guidelines including Risk Adjustment payment model, STARS and HEDIS highly preferred. + Clinical review experience. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with… more
- Datavant (Austin, TX)
- …of the coding team. + Reviews rebuttals submitted by coders. Provides education to the coder if the error is correct or sends the rebuttal through the process if ... they agree the coder 's initial coding was correct. + Answers coding questions...**What you will bring to the table:** + AHIMA certified credentials (CCS, CCS-P) or AAPC certified … more
- BAYADA Home Health Care (Austin, TX)
- …OASIS Review, Utilization Review, Quality Assurance, Remote, Home Health Coding, Coder , Medicare **As an accredited, regulated, certified , and licensed ... service. + Provide customer service/education and act as a resource to Medicare Certified Offices with regards to CMS guidelines, Home Care Coding, PDGM guidelines… more
- Datavant (Austin, TX)
- …to realize our bold vision for healthcare. As an Auditor, HCC Risk Adjustment Coder , you will review medical records to identify and code diagnoses using a ... + High school diploma or GED equivalent + AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified credentials (CPC, CPC-H, COC, CIC or CRC). + Proficient… more