- CGI Technologies and Solutions, Inc. (Dallas, TX)
- …roles, leading projects and teams . 5 years of experience in healthcare claims adjudication, medical coding , DRGs, and/or reimbursement methodologies . 5 ... long-term relationships with key client stakeholders, including executive leadership, claims operations, finance, compliance, and clinical teams. * Lead client… more
- HCA Healthcare (El Paso, TX)
- …bachelors) degree in HIM/HIT or related degree required Please visit our Parallon HCA Healthcare Coding Landing Page for more information on Coding ... Monday-Friday flexible schedule. This position requires acute care/facility based Inpatient Coding experience. Are you passionate about the patient experience? At… more
- Humana (Austin, TX)
- …Where you Come In Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider ... community and help us put health first** The Inpatient Medical Coding Auditor extracts clinical information from...one of these qualifications for 4 years) * MS-DRG coding /auditing experience * Experience reading and interpreting claims… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …maintaining compliance with healthcare laws and organizational policies. The Medical Coding Auditor collaborates with practice, providers, and other ... **42594BR** **Extended Job Title:** Medical Coding Auditor **Org Level 1:**...with policies andregulations + Stay current with changes in coding guidelines, healthcare regulations, and payer policies… more
- Elevance Health (Houston, TX)
- …spending. The **DRG CODING AUDITOR** is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit ... you will make an impact:** + Analyzes and audits claims by integrating medical chart coding...dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with… more
- Houston Methodist (Houston, TX)
- …changes are needed. **QUALITY/SAFETY ESSENTIAL FUNCTIONS** + Analyzes data from various sources ( medical records, claims data, payer medical policies, etc.), ... future denials. + Integrates the payer medical policies, case specific medical documentation, and claims information into a concise appeal letter, including… more
- University of Texas Rio Grande Valley (Mcallen, TX)
- …billing, coding , and reimbursement processes. + Reviews, assesses and analyzes medical records, coding , billing, claims , reimbursements and workflow ... and regulations and UTRGV policies. To review and analyze medical records, claims , and workflow processes to...of Duties + Performs monitoring and compliance reviews of medical billing and coding compliance activities, associated… more
- Elevance Health (Grand Prairie, TX)
- …not eligible for employment based sponsorship. **Ensures accurate adjudication of claims , by translating medical policies, reimbursement policies, and clinical ... issues and to audit claims adjudication for accuracy. + Perform pre-adjudication claims reviews to ensure proper coding was used. + Prepares correspondence… more
- Highmark Health (Austin, TX)
- …for education/training of facility healthcare professionals in use of coding guidelines and practices, proper documentation techniques, medical terminology ... **GENERAL OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data… more
- Cognizant (Austin, TX)
- …High School Diploma or equivalent is required + A minimum of 1 years of medical claims processing is required + Facets experience is highly preferred + Knowledge ... Claims Processors to join our growing team. The ** Medical ** ** Claims Processor** is responsible for the...of physician practice and hospital coding , billing, and medical terminology, CPT, HCPCS,… more
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