- 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
- Elevance Health (Houston, 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
- UTMB Health (Galveston, TX)
- …for proper coding of all pertinent diagnoses and procedures and to provide optimal DRG assignment after thorough review of medical record and analysis of ... Senior DRG Coder - Revenue Cycle Coding **Galveston, Texas,...or equivalent and three years of experience. The Sr. DRG coder must be proficient in inpatient coding with… more
- 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
- Molina Healthcare (San Antonio, TX)
- …+ Identifies and reports quality of care issues. + Assists with Complex Claim review including DRG Validation, Itemized Bill Review , Appropriate Level of ... set schedule) Looking for a RN with experience with appeals, claims review , and medical coding. **Job Summary** Utilizing clinical knowledge and experience,… 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
- 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
- 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
- Baylor Scott & White Health (Dallas, TX)
- …documentation of medical conditions and treatment in patient records. + Performs review of record to establish complete, accurate documentation of patient condition ... and treatment. When appropriate, update working DRG . + Promotes and obtains documentation for clinical conditions or procedures. This supports the severity of… 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
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