- 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 ... Management to implement benchmarks, establish acceptable thresholds, and effective quality assurance programs. You will: + Maintain a ...assurance program + Play a key role in ensuring coding compliance and accuracy + Monitor the performance of… more
- Houston Methodist (Houston, TX)
- …to regulations and policies and procedures. + Designs and completes annual documentation and coding review plan. Delivers a summary outlining the review ... At Houston Methodist, the Audit & Onboarding Specialist position is responsible for...coding appropriately for all services provided. + Reviews coding accuracy and provides review results to… more
- Datavant (Austin, TX)
- …+ Provide monthly performance data to clients (eg, volume metrics, six-month trends, quality audit scores, and productivity levels). + Include action plans for ... educational and life experiences to realize our bold vision for healthcare. The ** Coding Operations Manager** is essential to the Provider HIM Coding division.… more
- JPMorgan Chase (Plano, TX)
- …produce quality deliverables to both department and professional standards. + Review audit work in accordance with department and professional standards, and ... independent feedback on control enhancements/implementation. + Effectively manage and lead the Audit team, performing timely review of work performed and… 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
- Elevance Health (Grand Prairie, TX)
- …letters. + Maintains accuracy and quality standards as established by audit management. + Identifies potential documentation and coding errors by recognizing ... the conditions and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims. **How...clinical guidelines, and objectivity in the performance of medical audit activities. + Draws on advanced ICD-10 coding… more
- WTW (Dallas, TX)
- …of project + Clearly communicate and professionally interact with vendor and audit team + Review documentation of potential discrepancies for thoroughness ... **Description** As a Lead Auditor you will apply your audit , project management and client management skills to lead client audits. You will serve as the team leader… more
- Datavant (Austin, TX)
- …KPIs such as suspecting accuracy, chart throughput, RAF impact, data latency, coding quality metrics, and client engagement. **Cross-Functional Collaboration** + ... the development of robust, scalable, and actionable analytics that improve coding outcomes, measure product impact, and support value-based client delivery across… more
- CVS Health (Austin, TX)
- …lists in Salesforce and RxClaim/AS400. Collaborate regularly with peers to audit , review and verify drug list coding and testing while utilizing various ... responsible for analyzing client requests and performing the necessary specialty benefits coding and quality assurance activities. You'll work alongside other… more
- Sumitomo Pharma (Austin, TX)
- …Characteristics (SmPC), and Canadian Product Monograph (PM) + Ensures timely and quality review and assessment of ICSRs, including seriousness, expectedness, ... safety narratives, adverse event coding , concomitant medication coding , and causality statements....study team meetings and governance committees. + Performs aggregate review of post-marketing safety data in support of safety… more