- US Physical Therapy (Houston, TX)
- …to join our exciting outpatient healthcare company as a seasoned **Chargemaster & Coding Analyst** . This position will be a chargemaster subject matter expert for ... years experience managing all charge master functions which includes: + Pricing + Coding + Fee Schedule analysis + Pricing rationale + Maintain and update pricing… 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
- UTMB Health (Galveston, TX)
- …Trials Coverage Analyst (Research Administration - Galveston) Medical billing and coding **Galveston, Texas, United States** Research Academic & Clinical UTMB Health ... ideally with a background in clinical research medical billing and coding **JOB SUMMARY** Provides centralized administrative review of clinical trial agreements,… 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 ... and fee schedule updates. + Trains customer service staff on system issues. + Works with providers contracting staff when new/modified reimbursement contracts are needed. **Minimum Requirements:** Requires a BA/BS degree and a minimum of 2 years related… 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
- Fresenius Medical Center (Plano, TX)
- …PURPOSE AND SCOPE: Conducts data quality audits of outpatient encounters to validate coding assignment is in compliance with the official coding guidelines as ... staff on best practices, methodology, and tools for accurately coding . + Chart Analysis, OP Coding Data auditing and validation: Reviews medical records for the… more
- Datavant (Austin, TX)
- …will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, ... Seeking a profee auditor proficient in multi-specialty including procedure and E/M coding in multiple settings **What You Will Do:** + Performs Professional Fee… more
- Houston Methodist (Houston, TX)
- …ESSENTIAL FUNCTIONS** + Interacts and communicates effectively with members of the coding team and the appropriate stakeholders. + Participates and provides good ... feedback during coding section meetings and coding education inservices as well as takes initiative to assist others and shares knowledge with the appropriate… more
- Deloitte (Dallas, TX)
- …medical records for inpatient and outpatient service areas for accuracy of coding and documentation to ensure regulatory compliance + Apply knowledge of medical ... diagnoses, treatments, and follow-up entries in medical records to lead to coding accuracy + Identify gaps in clinical documentation and request missing information… more
- Ascension Health (Austin, TX)
- …(ICD), Current Procedural Terminology (CPT) or Healthcare Common Procedure Coding System (HCPCS) codes, creating Ambulatory Patient Classification (APC) ... orDiagnosis-Related Group (DRG) assignments. + Perform complex coding . + Obtain acceptable productivity/quality rates as defined per coding policy. + Query… more