- Elevance Health (Grand Prairie, TX)
- …based DRG Coding / Clinical Validation Audit setting or hospital coding or quality assurance environment preferred. + Broad knowledge of medical claims ... medical records and other documentation to evaluate issues of coding and DRG assignment accuracy. Specializes in review...information to make audit determinations and generate audit findings letters. + Maintains accuracy and quality… more
- Providence (Lubbock, TX)
- …the best people, we must empower them._** **Providence Health Plan is calling a Coding Quality Auditor, HEDIS who will:** + Be responsible for conducting ... + **This posting is for multiple openings of a Coding Quality Auditor, HEDIS** + **This position...in a medical record. + 2 years - HEDIS, Quality management/ quality improvement/utilization review auditing… more
- Houston Methodist (Houston, TX)
- …specific practices. Serves a subject matter expert. + Effectively communicates audit results to faculty and staff. ** QUALITY /SAFETY ESSENTIAL FUNCTIONS** ... At Houston Methodist, the Sr Compliance Coding Analyst position is responsible for supporting accurate billing and coding compliance with Medicare and… more
- Houston Methodist (Houston, TX)
- …education sessions to coding staff based on needs identified due to coding audit results, regulatory changes, hospital policy changes or implementation of ... coding program and monitor the success of the coding program including assisting with student recruitment. ** QUALITY...or education **WORK EXPERIENCE** + Eight years of progressive coding and/or coding review (auditing)… more
- Texas Health Resources (Arlington, TX)
- …clinics including ability to apply and instruct on these, as well as THR coding policies and procedures for accurate record review . Demonstrated time management ... policies or procedures to maintain standards for correct coding per formal coding resources. * Quality Improvement * Technology/Use of Data * Professional… more
- Datavant (Austin, TX)
- …provide superior quality by performing audits pertaining to risk adjustment coding efforts. The individual will be responsible for daily operations pertaining to ... closely with Management to implement benchmarks, establish acceptable thresholds, and effective quality assurance programs. **You will:** + Maintain a quality … more
- Datavant (Austin, TX)
- …you will be instrumental in addressing consulting and educational needs related to coding quality , compliance assessments, external payer reviews, coding ... references for accurate DRG and APC assignment. + Review non-CC/MCC records to assess proper coding ...appropriate manager. + Prepare the final reports for the coding audit and actively participates in the… more
- University of Texas Rio Grande Valley (TX)
- …controls, accuracy of departmental records, and efficiency of operations. This includes review of degree audit documentation; analysis of system configurations ... and proper coding of curricula changes in degree audit system to safeguard information; ensuring accuracy of data; and promoting operational efficiency * Ensures… more
- Datavant (Austin, TX)
- …you will be instrumental in addressing consulting and educational needs related to coding quality , compliance assessments, external payer reviews, coding ... (at least 30 hours/week). MUST have 3-5+ years of audit experience at an Academic/Trauma Level 1 facility. Experience...preferred. **What You Will Do:** + Performs Inpatient Facility coding audits according to scope of work, for the… more
- Capital One (Plano, TX)
- … Audit function is a dedicated group of professionals focused on delivering top- quality assurance services to the organization's Audit Committee. Audit ... to management via written reports and oral presentations. + Review and provide feedback on audit workpapers...multiple priorities and tasks across the team to deliver quality results. + Coordinate with others and proactively take… more