- Datavant (Austin, TX)
- …reviews, using appropriate assignment of codes and other coding-related elements using MS DRG or APR DRGs. + Provides rich and concise rationale explaining the ... and/or auditing. + CCS (required), RHIA or RHIT preferred + Maintain 95% DRG accuracy rate + Experience with various software including Epic, Cerner, and other… more
- Houston Methodist (Houston, TX)
- …CPT) (for inpatient/outpatient coding) coding classification systems + For inpatient/outpatient coding: MS- DRG , APR DRG and APC assignment systems + Official ... coding guidelines and coding compliance + Working knowledge of medical terminology, anatomy and physiology, disease processes and pharmacology + Knowledge of all components of the medical record + Proficiency with electronic encoder application + Basic… more
- Houston Methodist (Houston, TX)
- …proficiency in the following: + ICD-10-CM/ICD-10-PCS and CPT/HCPCS coding classification systems + MS- DRG , APR DRG and APC assignment systems + Official coding ... guidelines and coding compliance + Working knowledge of medical terminology, anatomy and physiology, disease processes and pharmacology + Knowledge of all components of the medical record + Proficient with electronic encoder application + Extensive computer… more
- Texas Health Resources (Arlington, TX)
- …to apply definition of principal diagnosis to arrive at correct code, MS- DRG and POA assignment. Strong knowledge of ICD-10-CM/PCS diagnosis and procedure coding ... primary and secondary diagnosis and procedures that require ICD-10-CM/PCS code and MS- DRG assignment for proper billing complex (Medicare, high dollars, long LOS and… more
- Molina Healthcare (Fort Worth, TX)
- …risk adjustment, capitation, FFS (Fee-for-Service), Diagnosis Related Groups ( DRG 's), Ambulatory Patient Groups (APG's), Ambulatory Payment Classifications (APC's), ... and other payment mechanisms. * Understanding of value-based risk arrangements + Experience in quantifying, measuring, and analyzing financial, operational, and/or utilization metrics in healthcare To all current Molina employees: If you are interested in… more
- Cardinal Health (Austin, TX)
- …and Medicaid documentation and coding rules and guidelines; ICD/CPT/HCPCS/ DRG /APC documentation coding rules; charge capture and reimbursement methodologies; ... medical terminology; E/M rules, teaching physician guidelines, and/or medical necessity defense reviews; healthcare compliance audit methodology, principles and techniques; CMS manuals; professional and/or hospital services reimbursement and repayment;… more
- Capital One (Plano, TX)
- …for customers facing difficult financial situations like recoveries, total loss, and bankruptcy, DRG . This is a unique chance to work on an internal customer ... platform, leveraging a modern AWS infrastructure (Lambda, EC2, RDS, DynamoDB), Java backends (Spring Boot, Quarkus), Angular frontends, and Apache Beam. If you're looking for an opportunity to contribute to a critical area of our business with a diverse and… more
- Amgen (San Antonio, TX)
- …of hospital committee structure, P&T process, treatment and discharge protocols, DRG and hospital reimbursement process for all assigned accounts and communicates ... with matrixed team on impact to our approved CV products and the competition + Functional knowledge of Medicare and Government agencies, as well as abilities that match needs to strategic account management in state or federal sector + Knowledge of payor… more
- CenterWell (Austin, TX)
- …action. The Medical Coding Professional confirms appropriate diagnosis related group ( DRG ) assignments. Analyzes, enters and manipulates database. Responds to or ... clarifies internal requests for medical information. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous… more
- University of Texas Rio Grande Valley (Mcallen, TX)
- …of Current Procedural Terminology ( CPT ) and Diagnosis Related Group ( DRG ) coding. Knowledge of medical, billing and coding terminology and assignment of ... codes. Physical Capabilities N/A Employment CategoryFull-Time Minimum SalaryCommensurate with Experience Posted SalaryCommensurate with Experience Position Available Date04/22/2025 Grant Funded PositionNo If Yes, Provide Grant Expiration Date Posting Detail… more