- Elevance Health (Houston, 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
- Ascension Health (Austin, TX)
- …or management experience preferred. **Additional Preferences** + 5 years RN or 3-5 coding quality audit experience strongly preferred + Prior adult ... **Details** + **Department: Coding Documentation** + **Schedule: M-F** + **Hospital: Seton...mix index, MS DRG and value-based purchasing reimbursement, and quality /outcomes and compliance requirements. + Manage the review… more
- Banner Health (TX)
- …coding background to a team that values growth and development!** **This is a Quality position, not a day-to-day coding production role but does require ... coding proficiency and recent Hospital Facility Coding experience.** This position is task-production-oriented ensuring ...audit of clinical documentation to ensure that clinical coding is accurate for proper reimbursement and that … more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …Level 1:** Texas Tech Unv Hlth Sci Ctr El Paso **Position Description:** Performs coding and documentation quality audits; provides feedback to coding and ... Establish process to obtain copies of government initiated audits. Conduct concurrent audit / review to determine possible risks and opportunities to assist in… 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
- Datavant (Austin, TX)
- …participant materials + Provide support to client relations for trainings needed for client audit findings + Research and analysis of coding error trends What ... Adjustment Trainer to help us uplevel our Risk Adjustment Coding Department through improving overall coding accuracy...learning to the work environment through various methods + Review client level audits and advise training content to… more
- Butler America (Fort Worth, TX)
- …Experience with software development methodologies, including requirements management, design, coding , and testing. *Proficiency in software quality assurance ... Software/Hardware Quality Assurance Location: Fort Worth, TX Job ID:...development personnel, test and evaluation personnel, and project managers. * Review and approve systems, software and test equipment requirements,… more
- Methodist Health System (Dallas, TX)
- …contractors and other areas vulnerable to compliance risk: + Confirm that periodic coding compliance reviews are performed, review reports and corrective action ... of processes in identified risk areas. + Provide input, review and approve entity level annual compliance work plans....Assist the CLO/CCO with agendas and meetings of the Audit & Corporate Oversight Committee and the Corporate Compliance… more
- Methodist Health System (Dallas, TX)
- …Hire" general hospital orientation, department specific orientation, annual performance review process, and on-going based on employee and supervisor identification ... the age of the patients served. All levels annually review the video A Team Focus on Age Specific...to resolve all issues that come up in the audit of the cost report. Keeps Manager adequately informed… more
- CVS Health (Austin, TX)
- …testing or quality reviews. + Execute test beds and validate coding accuracy utilizing various tools to ensure no financial impact or client/participant ... client requests and performing the necessary benefits testing and quality assurance. You'll work alongside BRMs, Benefits Coders and...will be required to work with the plan benefits coding team in resolving issues, driving expected results and… more