- Elevance Health (Houston, TX)
- ** DRG CODING AUDITOR** **_Virtual_** **_: _** _ _ __ This role enables associates to work virtually full-time, with the exception of required in-person training ... determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** DRG CODING AUDITOR** is responsible for auditing inpatient medical records… more
- UTMB Health (Galveston, TX)
- Senior DRG Coder - Revenue Cycle Coding **Galveston, Texas, United States** **Hot** Business, Managerial & Finance UTMB Health Requisition # 2504141 **Minimum ... or equivalent and three years of experience. The Sr. DRG coder must be proficient in inpatient coding with...all pertinent diagnoses and procedures and to provide optimal DRG assignment after thorough review of medical record and… more
- Humana (Austin, TX)
- …expertise in Medicaid reimbursement methodologies rooted in complex grouping concepts (EAPG, APR- DRG , MS- DRG , etc). This role is within the Integrated Network ... for hospitals and facilities + Developing expertise in complex groupers (EAPG, APR- DRG , MS- DRG , etc) utilized in Medicaid reimbursement + Reviewing Medicaid… more
- Houston Methodist (Houston, TX)
- …of clinical documentation. This position analyzes medical records for DRG 's, complications, and comorbidities; identifies trends; and notes observations and ... and follows up as necessary. Tracks responses and trends completion of DRG /Documentation worksheets as pertinent to scope of department. + Conducts follow-up reviews… more
- Highmark Health (Austin, TX)
- …II code and modifier assignments, ICD diagnosis and procedure coding, DRG /APC structure according to regulatory requirements. Reports findings both verbally and ... systems, missed secondary diagnoses and procedures and ensures compliance with DRG /APC structure and regulatory requirements. Performs periodic claim form reviews to… more
- Elevance Health (Grand Prairie, TX)
- …conditions and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group ( DRG ) paid claims. **How you will make an impact:** + Analyzes and audits ... improvement, and a minimum of 5 years of experience working with ICD-9/10CM, MS- DRG , AP- DRG and APR- DRG ; or any combination of education and experience,… more
- Texas Health Resources (Arlington, TX)
- …. Ability to apply definition of principal diagnosis for accurate coding, MS- DRG and POA assignment. . Strong knowledge of ICD-10-CM/PCS diagnosis and procedure ... coding guideline, DRG and POA assignment. . Moderate skills including MS...and secondary diagnosis and procedures that require code and DRG assignment for properly billing inpatient records. . Presents… more
- Houston Methodist (Houston, TX)
- …**SERVICE ESSENTIAL FUNCTIONS** + Responds promptly to internal and external customer coding/ DRG requests. Responds promptly to Business Office requests to code or ... Provides assistance to Clinical Documentation Management Program (CDMP) with appropriate MS- DRG and APR- DRG assignment, sequencing of diagnoses and procedures,… more
- Intermountain Health (Austin, TX)
- …risk of mortality, and quality of care + Performs audits including DRG (Diagnosis Related Groups), ICD-10 CM/PCS (Procedure Classification System), CPT, and PSI ... of medical terminology, medical acronyms, pharmacology, anatomy and physiology and ICD-10-CM/PCS, DRG , and APR- DRG classification systems. + Ability to complete… more
- UTMB Health (Galveston, TX)
- …AHIMA or AAPC -required (RHIT, RHIA, CCS, CPC-H). . Three years of complex DRG and ICD10 coding experience, and three years of previous management experience. Strong ... Federal, state and hospital documentation, coding and billing standards. * Analyzes monthly DRG key indicators data from the area of responsibility to identify areas… more