- Houston Methodist (Houston, TX)
- …education **WORK EXPERIENCE** + Eight years of progressive coding and/or coding review (auditing) experience at a large facility or multi-facility + Some ... CPT) (for inpatient/outpatient coding) coding classification systems + For inpatient/outpatient coding: MS- DRG , APR DRG and APC assignment systems + Official… more
- Datavant (Austin, TX)
- …Track and report on coding productivity and quality metrics for leadership review . + Maintain coding policies, procedures, and workflow documentation. + Implement ... with strong problem-solving skills. + Expert knowledge of coding guidelines, DRG assignment, and reimbursement methodology. + Strong analytical and problem-solving… more
- HCA Healthcare (Houston, TX)
- …from home position.** **This position requires Inpatient Coding and DRG Validation Experience.** **Schedule: Monday-Friday Day Shift** **Benefits** Parallon offers ... consistent coding which result in appropriate reimbursement and data integrity. You will review outcomes are communicated to the HSC team to improve the accuracy,… more
- Cardinal Health (Austin, TX)
- …data analytics and the revenue cycle team in identifying the time period of review and conducts a focused audit to identify any financial liability of the Company. ... Medicare and Medicaid documentation and coding rules and guidelines; ICD/CPT/HCPCS/ DRG /APC documentation coding rules; charge capture and reimbursement methodologies;… more
- Houston Methodist (Sugar Land, TX)
- …Senior Denials Management Specialist position is responsible for performing utilization review activities, and monitoring the clinical denial management and appeals ... denials for level of care, medical necessity, and as appropriate, DRG recoupments/downgrades, and denials for no authorization. The Senior Denials Management… more
- Datavant (Austin, TX)
- …+ Uphold an overall 95% coding accuracy rate and a 95% accuracy rate for MS- DRG assignments + Maintain a minimum production of 1 chart per hour or site-specific ... protected status. To learn more about our commitment, please review our EEO Commitment Statement here (https://www.datavant.com/eeo-commitment-statement) . Know Your… more
- Houston Methodist (Houston, TX)
- …many of the following: organize work schedules, create work assignments, review timecards for accuracy, conduct quality assurance audits of staff performance, ... customer requests. Responds promptly and appropriately to requests to code or review coded accounts for accuracy. Serves as liaison between team members, management… more
- Ascension Health (Austin, TX)
- …development and improvement activities related to case mix index, MS DRG and value-based purchasing reimbursement, and quality/outcomes and compliance requirements. ... + Manage the review of physician documentation to support a patient's level of care and appropriate assignation of Diagnosis Related Groups (DRGs), and develops… more
- Houston Methodist (Houston, TX)
- …customer requests. Responds promptly and appropriately to requests to code or review coded accounts for accuracy. + Initiates queries with physicians to obtain ... application of positive language principles + Knowledge of coding classification systems, DRG and APC systems, official coding guidelines and coding compliance +… more
- Texas Health Resources (Arlington, TX)
- …management of NCCI/OCE billing edits). Knowledgeable in APC and DRG methodologies and all regulatory/payer requirements associated with coding. Demonstrated ... an ability to apply THR coding policies and procedures to record review process. Demonstrated time management and organizational skills. Demonstrated clear and… more
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