- 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 ... is determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** DRG CODING AUDITOR ** is responsible for auditing inpatient medical… more
- Elevance Health (Grand Prairie, TX)
- **Diagnosis Related Group Clinical Validation Auditor -RN** **Virtual:** This role enables associates to work virtually full-time, with the exception of required ... Friday 8AM -5PM (local time) The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure clinical… 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
- Houston Methodist (Houston, TX)
- …TX, LA, FL, TN, WA or GA** At Houston Methodist, the Coding Quality Auditor position is responsible for ensuring accuracy in code assignment of diagnosis and ... **SERVICE ESSENTIAL FUNCTIONS** + Responds promptly to internal and external customer coding/ DRG requests. Responds promptly to Business Office requests to code or… more
- HCA Healthcare (Houston, TX)
- …recognized. Submit your application for the opportunity below: Inpatient Coding Quality Auditor Parallon. **This is a fully work from home position.** **This ... position requires Inpatient Coding and DRG Validation Experience.** **Schedule: Monday-Friday Day Shift** **Benefits** Parallon...by location._** We are seeking an Inpatient Coding Quality Auditor for our team to ensure that we continue… more
- Humana (Austin, TX)
- …Inpatient Medical Coding Professional confirms appropriate diagnosis related group ( DRG ) assignments. Analyzes, enters and manipulates database. Responds to or ... clarifies internal requests for medical information. Begins to influence department's strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises… more
- Datavant (Austin, TX)
- …shape the future of healthcare from your own workspace! Preferred: Strong IP Auditor 3+ years experience, Cerner/3M a plus. Must have experience with onboarding QA, ... assignment of codes and other coding-related elements using MS DRG or APR DRGs. + Provides rich and concise...Strong organizational, teamwork, and leadership skills Preferred: Strong IP Auditor 3+ years experience, Cerner/3M a plus. Must have… more
- Houston Methodist (Houston, TX)
- …(AAPC) -- (CBO Coders only) **OR** + CPMA - Certified Professional Medical Auditor (AAPC) -- (CBO Coders only) **KNOWLEDGE, SKILLS, AND ABILITIES** + Demonstrates ... CPT) (for inpatient/outpatient coding) coding classification systems + For inpatient/outpatient coding: MS- DRG , APR DRG and APC assignment systems + Official… more
- University of Texas Rio Grande Valley (Mcallen, TX)
- …related field from an accredited university. Licenses/Certifications Preferred:Certified Professional Medical Auditor ( CPMA ), Certified Professional Coder ( CPC ) ... of Current Procedural Terminology ( CPT ) and Diagnosis Related Group ( DRG ) coding. Knowledge of medical, billing and coding terminology and assignment of… more
- Datavant (Austin, TX)
- …with ICD-10-CM/PCS and MS-DRGs. + Minimum 1-2 years in a coding lead, auditor , or supervisory role. + Associate's degree in Health Information Management, or related ... with strong problem-solving skills. + Expert knowledge of coding guidelines, DRG assignment, and reimbursement methodology. + Strong analytical and problem-solving… more