- Elevance Health (Houston, TX)
- …based DRG Coding / Clinical Validation Audit setting or hospital coding or quality assurance environment preferred. + Broad, deep and niche knowledge of ... all lines of business, and its clients. Specializes in review of DRG coding via medical record...or appeals may only be reviewed by other DRG Coding Audit Principals (or Executives). **How you… more
- Elevance Health (Grand Prairie, TX)
- …Group (DRG) Coding /Clinical Validation Audit setting or hospital coding or quality assurance environment preferred. + Broad knowledge of medical ... 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
- HCA Healthcare (Plano, TX)
- **Description** **Introduction** Do you have the career opportunities as a Clinical Denial Coding Review Specialist you want with your current employer? We have ... Do you want to work as a Clinical Denial Coding Review Specialist where your passion for...met in compliance with departmental policies and procedures + Review Medicare Recovery Audit Contractor (RAC) recoupment… more
- Houston Methodist (Bellaire, 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
- UTMB Health (Galveston, TX)
- …and accurate billing within filing deadlines. + Responsible for productivity and quality standards to adhere with coding compliance and federal regulations. ... procedures and to provide optimal DRG assignment after thorough review of medical record and analysis of DRG options....written, and oral communication skills + Proficient in inpatient coding with the ability to audit and… more
- Ansible Government Solutions (Temple, TX)
- …Ansible Government Solutions, LLC (Ansible) is seeking multiple Medical Records Technicians for coding to work with us in support of the Central Texas Veterans ... if it is their own. Duties and Responsibilities + Review and assign accurate codes for diagnoses and procedures...procedures using ICD-10-CM, ICD-10-PCS, CPT, and HCPCS + Ensure coding accuracy and compliance with national standards (CMS, AMA,… 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
- Datavant (Austin, TX)
- …you will be instrumental in addressing consulting and educational needs related to coding quality , compliance assessments, external payer reviews, coding ... of healthcare from your own workspace! **Preferred: Seeking Inpatient Audit Specialist. Would like a candidate that is strong...must have a CCS and 5 years of experience coding and/or auditing and strong spinal fusion experience as… 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 ... a collaborative, agile environment to deliver value-added opinions and recommendations. Audit 's vision to provide high value, independent, proactive insights, to… 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 ... Senior Tech Audit Manager - Global Payment Network Capital One's...the effectiveness of existing controls, identify and define issues, review and analyze evidence, and document client processes and… more