- 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 (Grand Prairie, TX)
- ** DRG CODING AUDITOR** **_Virtual_** **_: _** _ _ __ _This role enables associates to work virtually full-time, with the exception of required in-person training ... determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** DRG CODING AUDITOR** is responsible for auditing inpatient medical records… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Clinical Documentation Specialist is responsible for improving the overall quality and completeness of clinical documentation. This ... position analyzes medical records for DRG 's, complications, and comorbidities; identifies trends; and notes observations and recommendations for documentation… more
- Veterans Affairs, Veterans Health Administration (San Antonio, TX)
- …improvement needs. Reviews appropriateness of patient working Diagnosis Related Group ( DRG ) & length of stay information by reviewing all clinical documentation, ... & illegal to maximize payment by means that contradict regulatory guidelines, eg upcoding, DRG creep, etc. Work Schedule: Monday - Friday: 7:30 AM - 4:00 PM OR… more
- UTMB Health (Galveston, TX)
- Clinical Documentation Specialist (Remote -Texas Resident) - Clinical Data **Galveston, Texas, United States** Medical Administrative UTMB Health Requisition # ... (RHIT), or an associate degree in a healthcare-related discipline with Certified Coding Specialist (CCS) certification, and a minimum of 3 years of medical coding… more
- HCA Healthcare (San Antonio, TX)
- …to join an organization that invests in you as an Inpatient Coding Denials Specialist ? At Parallon, you come first. HCA Healthcare has committed up to $300 million ... We are looking for a dedicated Inpatient Coding Denials Specialist like you to be a part of our...the denial/downgrade + Explanation of Benefits/Remittance Advice + Payer denial/ DRG downgrade letters + Complex NCD/LCD guidelines, CMS/AHCA policies… more
- Intermountain Health (Austin, TX)
- …risk of mortality, and quality of care + Performs audits including DRG (Diagnosis Related Groups), ICD-10 CM/PCS (Procedure Classification System), CPT, and PSI ... of medical terminology, medical acronyms, pharmacology, anatomy and physiology and ICD-10-CM/PCS, DRG , and APR- DRG classification systems. + Ability to complete… more
- Datavant (Austin, TX)
- …vision for healthcare. **What We're Looking For:** As an Inpatient Auditing Specialist , you will be instrumental in addressing consulting and educational needs ... assignment of codes and other coding-related elements using MS DRG or APR DRGs. + Provides rich and concise...CCS (required), RHIA or RHIT preferred + Maintain 95% DRG accuracy rate + Experience with various software including… more
- Datavant (Austin, TX)
- …healthcare. **What We're Looking For:** As a Clinical Documentation Quality Improvement (CDQI) Specialist , you will play a pivotal role in elevating the impact of ... caregivers to ensure appropriate reimbursement and clinical severity for DRG -based payer patients. + Demonstrate understanding of complications, co-morbidities,… more
- Houston Methodist (Sugar Land, TX)
- At Houston Methodist, the Senior Denials Management Specialist position is responsible for performing utilization review activities, and monitoring the clinical ... denials for level of care, medical necessity, and as appropriate, DRG recoupments/downgrades, and denials for no authorization. The Senior Denials Management… more