- HCA Healthcare (Brownsville, TX)
- …want to join an organization that invests in you as a Coding Quality Audit Reviewer ? At Parallon, you come first. HCA Healthcare has committed up to $300 million in ... remote/work from home!** **Schedule: Monday-Friday Day Shift** **Must have DRG Validation experience and Inpatient Coding experience** **Benefits** Parallon, offers… more
- Elevance Health (Grand Prairie, TX)
- …clinical reviews of medical records and other documentation to evaluate issues of coding and DRG assignment accuracy. Specializes in review of DRG coding via ... ** DRG CODING AUDITOR** **_Virtual_** **_: _** _ _...to recover, eliminate and prevent unnecessary medical-expense spending. The ** DRG CODING AUDITOR** is responsible for auditing inpatient medical… more
- Banner Health (TX)
- …quality in the Inpatient Facility Coding department. If you have experience with DRG and PCS coding/denials/audits, we want to hear from you. **Requirements:** + **5 ... facility-based medical coding (clearly reflected in your attached resume);** + ** DRG and PCS Coding, Auditing experience;** + **Bachelors degree or equivalent;**… more
- Humana (Austin, TX)
- …Management organization, including offshore and vendor partners, with a focus on DRG audits. You will also drive process improvement initiatives and develop ... looking is an experienced and well-grounded medical coding auditor to quality review the inpatient hospital claims for proper reimbursement, handle provider disputes… 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
- Houston Methodist (Houston, TX)
- …Director manages personnel performing inpatient and outpatient medical record coding, DRG and APC assignment, abstracting, and data entry functions; ensures accuracy ... competent and engaged employee group by conducting regular department meetings to review policies and procedures and operational matters, rounding on all employees,… more
- Elevance Health (Grand Prairie, TX)
- …clinical documentation supports the conditions and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group ( DRG ) paid claims. **How you will ... 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...high risk quality cases to accurately trigger pre-bill coding review process. . Abstracts and complies clinical data elements… more
- Houston Methodist (Houston, TX)
- …rules and regulatory body guidelines. This position performs data quality review to ensure data integrity, coding accuracy, and revenue preservation. Additional ... duties include participating in quality review and performance improvement projects throughout the department and/or facility. **PEOPLE ESSENTIAL FUNCTIONS** +… more
- UTMB Health (Galveston, TX)
- …of inpatient ICD-10 coding guidelines and clinical documentation requirements to assign working MS- DRG . + Enter review information and working MS- DRG /APR- ... patient status that translates into coded data. **Job Duties:** + Concurrently review inpatient admissions to identify opportunities to clarify missing or incomplete… more