- Elevance Health (Houston, TX)
- **DRG Coding Auditor Principal** **_Virtual: _** _ _ This role enables associates to work virtually full-time, with the exception of required in-person training ... to recover, eliminate and prevent unnecessary medical-expense spending. The **DRG Coding Auditor Principal** is responsible for auditing inpatient medical records on… more
- Datavant (Austin, TX)
- …monitor, mouse, etc + Comprehensive training led by a credentialed professional coding manager + Exceptional service-style management and mentorship (we're in ... Conduct data quality reviews of records to assess compliance with official coding and documentation guidelines. + Communicate professionally with co-workers,… more
- Datavant (Austin, TX)
- …headset, and keyboard + Comprehensive training led by a credentialed professional coding manager + Exceptional service-style management and mentorship (we're in ... coded data for hospital statistical and reporting requirements. + Communicate documentation improvement opportunities and coding issues to appropriate personnel… more
- Elevance Health (Houston, TX)
- …effective and accurate reimbursement criteria.** PRIMARY DUTIES: + Review medical record documentation in support of Evaluation and Management, CPT, HCPCS and ICD-10 ... adjudication for accuracy. + Perform pre-adjudication claims reviews to ensure proper coding was used. + Prepares correspondence to providers regarding coding … more
- Deloitte (Dallas, TX)
- …Analyze medical records for inpatient and outpatient service areas for accuracy of coding and documentation to ensure regulatory compliance + Apply knowledge of ... Monitor diagnoses, treatments, and follow-up entries in medical records to lead to coding accuracy + Identify gaps in clinical documentation and request missing… more
- Cardinal Health (Austin, TX)
- … documentation and coding rules and guidelines; ICD/CPT/HCPCS/DRG/APC documentation coding rules; medical terminology; E/M rules; healthcare compliance ... + Plans professional compliance department audits to determine accuracy and adequacy of documentation and coding related to physician or hospital (inpatient and… more
- Baylor Scott & White Health (Dallas, TX)
- …to revenue cycle staff, ancillary staff, and clinicians related to charging, documentation , coding and other billing requirements. Identify charging, coding ... for day-to-day operations of the Charge Integrity department. The Charge Integrity Manager performs duties of high complexity, judgment, and scope under the… more
- Oracle (Austin, TX)
- …Background in a clinical documentation role (medical scribe, clinical documentation specialist, lead/trainer, medical office manager /lead, etc ) Disclaimer: ... and a focus on excellence. As a Senior Clinical Documentation Analyst you will: Analyze clinical workflows across a...partial medical training a plus. + Familiarity of Healthcare coding systems (SnomedCT, ICD 9/10/11) and Health care compliance… more
- Capital One (Plano, TX)
- Senior Tech Audit Manager - Global Payment Network Capital One's Audit function is a dedicated group of professionals focused on delivering top-quality assurance ... Capital One is seeking an energetic, self-motivated Technology Senior Manager with experience evaluating and analyzing technology and cybersecurity risks… more
- Capital One (Plano, TX)
- Audit Manager - Cyber, Risk & Analysis (Hybrid) Capital One's Audit function is a dedicated group of professionals focused on delivering top-quality assurance ... opportunity. Capital One is seeking an energetic, self-motivated Technology Manager with experience evaluating and analyzing technology and cybersecurity risks… more