- CenterWell (Austin, TX)
- …our caring community and help us put health first** The Supervisor, Medical Coding extracts clinical information from a variety of medical records and assigns ... codes (eg, ICD-10-CM, CPT) to patient records. The Supervisor, Medical Coding works within thorough, prescribed guidelines and procedures; uses independent judgment… more
- Molina Healthcare (Houston, TX)
- **JOB DESCRIPTION** **Job Summary** The SIU Coding Investigator is responsible for investigating and resolving instances of healthcare fraud and abuse by medical ... School Diploma / GED (or higher) **Required Experience** + 3+ years CPT coding experience (surgical, hospital, clinic settings) or 5+ years of experience working in… more
- Elevance Health (Grand Prairie, TX)
- …adjudication for accuracy. + Perform pre-adjudication claims reviews to ensure proper coding was used. + Prepares correspondence to providers regarding coding ... experience, which would provide an equivalent background. Certified Professional Coder (CPC) or Registered Health Information Administrator (RHIA) certification… more
- Datavant (Austin, TX)
- …will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, ... in mentoring new and existing coders. **You Will:** + Conduct inpatient coding audits on medical records, utilizing ICD-10-CM, CPT, and appropriate coding… more
- Datavant (Austin, TX)
- …will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, ... profee auditor proficient in multi-specialty including procedure and E/M coding in multiple settings **What You Will Do:** +...to ensure departmental workflow and case resolution + Provides coder education via the auditing process + Function in… more
- Datavant (Austin, TX)
- …will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, ... Preferred: Candidate must be proficient in MS-DRG and APR-DRG coding . CCS is preferred. **What You Will Do:** +...to ensure optimal workflow and turnaround time + Provides coder education via the auditing process + Function in… more
- Molina Healthcare (TX)
- …Looking for a RN with experience with appeals, claims review, and medical coding . **Job Summary** Provides support for medical claim and internal appeals review ... readmissions. + Validates member medical records and claims submitted/correct coding , to ensure appropriate reimbursement to providers. + Resolves escalated… more
- Humana (Austin, TX)
- … **Preferred Qualifications** + **STRONGLY PREFERRED:** Previous auditing, Nurse Coder Background, and/or CPT procedural code experience/certified coder ... (CPC) + Nursing experience preferred in Acute care, OR, Coding , and/or Quality + Clinical documentation improvement (CDI) knowledge + Bachelor's Degree in relevant… more
- Molina Healthcare (Austin, TX)
- …practice. * Experience demonstrating knowledge of ICD-9, Current Procedural Technology (CPT) coding and Healthcare Common Procedure Coding (HCPC). * Experience ... suite/applicable software program(s) proficiency. **Preferred Qualifications** * Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case… more
- Highmark Health (Austin, TX)
- …and regulatory compliance. Implements all reviews according to accepted and established coding criteria, as well as other approved guidelines, payment and medical ... or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Medical Coder or related **SKILLS** + Demonstrated ability to solve issues that… more