- Kelsey-Seybold Clinic (Pearland, TX)
- …Guidelines for Coding and Reporting. **Job Title: HCC Coding Compliance Assistant** **Location: Pearland Administrative Office** **Department:** **KS ... **Responsibilities** To ensure the accurate coding of diagnoses which fall into the HCC model as required by CMS for Medicare Advantage plans. To ensure… more
- University of Texas Rio Grande Valley (Mcallen, TX)
- …of Job Responsible for performing compliance reviews of billing and coding compliance functions and activities, compliance risk assessments, developing ... Performs monitoring and compliance reviews of medical billing and coding compliance activities, associated risk assessments, developing policies and… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Sr Compliance Coding Analyst position is responsible for supporting accurate billing and coding compliance with Medicare and ... reviews and identifying potential risk areas and revenue potential. The Sr Compliance Coding Analyst position partners with stakeholders to provide feedback… more
- Houston Methodist (Houston, TX)
- … coding classification systems MS-DRG, APR DRG and APC assignment systems Official coding guidelines and coding compliance + Working knowledge of medical ... At Houston Methodist, the Director Coding position is responsible for planning, monitoring and...for employee engagement, adequate staffing levels, budget development and compliance , staffing decisions such as hiring and terminating employment,… more
- Houston Methodist (Houston, TX)
- … classification systems + MS-DRG, APR DRG and APC assignment systems + Official coding guidelines and coding compliance + Working knowledge of medical ... At Houston Methodist, the Manager Coding Operations position is responsible for the day-to-day...guidance to staff and is responsible for staffing, budget compliance , contributing to staffing decisions such as hiring and… more
- Banner Health (TX)
- …to ensure that clinical coding is accurate for proper reimbursement and that coding compliance is complete. Provides feedback on coding work and trends, ... guidelines. 3. Assists with maintaining system wide consistency in coding practices and ethical coding compliance...wide consistency in coding practices and ethical coding compliance . If applicable, initiates and follows… more
- Datavant (Austin, TX)
- …will: + Maintain a quality assurance program + Play a key role in ensuring coding compliance and accuracy + Monitor the performance of the Risk Adjustment ... with coding vendors + Provides expertise as it relates to coding compliance for new and existing services, while ensuring compliance with organizational,… more
- Humana (Austin, TX)
- …+ Develop and maintain coding guidelines and policies related to diagnosis coding to ensure compliance with ICD-10-CM guidelines and industry standards, and ... + Keep current on all governmental medical and legal issues specific to coding and compliance + Research and respond to coding inquiries from Humana coders… more
- Highmark Health (Austin, TX)
- … as set forth by the American Health Information Management Association and Corporate Compliance Coding Guidelines. Assures compliance with the coding ... and compliance programs to improve documentation which supports compliant coding . Interacts with external consultants regarding billing, coding and/or… more
- Datavant (Austin, TX)
- …This role offers a unique opportunity to play a pivotal role in elevating coding quality, ensuring compliance , and optimizing service outcomes in both hospitals ... PCS, HCPCS). + Conduct data quality reviews of records to assess compliance with official coding and documentation guidelines. + Communicate professionally… more
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