- 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:** +...preferred. **What You Will Do:** + Performs Inpatient Facility coding audits according to scope of work, for the… more
- CVS Health (Austin, TX)
- …(CPC) will perform medical claim reviews to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation ... other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC… more
- Insight Global (Houston, TX)
- …is responsible for reviewing provider documentation for accuracy and compliance with coding and billing guidelines. This role ensures proper capture of professional ... 2+ years of recent experience auditing providers Inpatient Profee Auditing experience Profee coding background CPC or COC Coding Certification from AAPC or CPMA… more
- Insight Global (Plano, TX)
- …Group (DRG) validation and quality audits on inpatient charts to ensure accurate coding and compliance with federal regulations. This is a remote opportunity and the ... accurately reflect the patient's clinical picture. Utilize ICD-10-CM and ICD-10-PCS coding systems to ensure proper code sequencing and accuracy. Validate Present… more
- Texas Health Resources (Arlington, TX)
- …Work hours: Monday - Friday generally between 7:00 am - 6:00 pm HIMS Coding Department Highlights: * Flexible hours/scheduling once training is complete * Work life ... Associates's Degree Related field preferred Experience 2 Years Professional (Profee) Coding experience. Completion of advanced level training in medical terminology,… more
- Texas Tech University (Irving, TX)
- …+ Curate and coordinate programming with subject matter experts (SMEs) in coding , AI, and entrepreneurship, ensuring alignment with the Lab's goals and audience ... + Stay informed on trends and best practices in coding education, design thinking, AI, and workforce development to...corporate training, or nonprofit program leadership. + Fluent in coding languages, especially those found in the iOS developer… more
- Datavant (Austin, TX)
- …2 Coders, where applicable + Champion documentation improvement opportunities and coding issues, facilitating resolution with relevant stakeholders + Uphold an ... overall 95% coding accuracy rate and a 95% accuracy rate for...Succeed:** + A minimum of 3 years of inpatient coding facility experience + CCS, RHIT, or RHIA preferred… 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)
- …a code editing related denial or financial recovery. The Medical Coding Coordinator performs advanced administrative, operational, and customer support duties that ... May apply intermediate mathematical skills. **Where you Come In** The Medical Coding Coordinator extracts clinical information from a variety of medical records and… more
- Insight Global (Irving, TX)
- …our team remotely. The ideal candidate will be responsible for accurately coding colorectal surgical procedures and diagnoses using ICD-10, CPT, and HCPCS codes. ... skills to interact with healthcare providers and ensure accurate coding and billing. We are a company committed to...Minimum of 2-5 years of experience in general surgical coding , with a focus on colorectal procedures (professional fee… more