- Houston Methodist (Houston, TX)
- …inpatient/outpatient coding : MS-DRG, APR DRG and APC assignment systems + Official coding guidelines and coding compliance + Working knowledge of medical ... programs for new hires and current staff to enhance coding skills as well as to ensure compliance...direct education to the staff via face-to-face classroom setting, remote web conferencing, and written resources. The Coding… more
- CenterWell (Austin, TX)
- …respond to inquiries and issues. + May participate in coder education programs on coding compliance . + Follows state and federal regulations as well as internal ... in Payer calls/chart reviews. + May participate in provider education programs on coding compliance . + Exercises independent judgment and decision making on… more
- CenterWell (Austin, TX)
- …our caring community and help us put health first** The Supervisor, Medical Coding extracts clinical information from a variety of medical records and assigns ... codes (eg, ICD-10-CM, CPT) to patient records. The Supervisor, Medical Coding works within thorough, prescribed guidelines and procedures; uses independent judgment… more
- NTT America, Inc. (Dallas, TX)
- …timely and effective support tailored to each client's needs. While many positions offer remote or hybrid work options, these arrangements are subject to change ... are currently seeking a EDI Data Configuration Specialist - REMOTE to join our team in Dallas, Texas (US-TX),...+ Detail-oriented with a focus on data accuracy and compliance + Training in supply chain, logistics, and finance… more
- Humana (Austin, TX)
- …a code editing related denial or financial recovery. The Medical Coding Coordinator performs advanced administrative, operational, and customer support duties that ... May apply intermediate mathematical skills. **Where you Come In** The Medical Coding Coordinator extracts clinical information from a variety of medical records and… more
- Centene Corporation (Austin, TX)
- …education for HEDIS measures, appropriate medical record documentation and appropriate coding . Assists in resolving deficiencies impacting plan compliance to ... reimbursement, paid time off plus holidays, and a flexible approach to work with remote , hybrid , field or office work schedules. Actual pay will be adjusted… more
- Humana (Austin, TX)
- …audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support ... and interprets medical documentation to ensure capture of all relevant coding . Identifies members with high-risk CMS Hierarchical Condition Categories (HCC) and… more
- Merck (TX)
- …Design, Infrastructure as Code patterns, operational runbooks, best practices regarding coding , security and compliance .** **Develop, verify, test, document, ... California, Colorado and other US State Acts (https://www.msdprivacy.com/us/en/CCPA-notice/) **U.S. Hybrid Work Model** Effective September 5, 2023, employees in… more
- Lumen (Austin, TX)
- …ensuring alignment with business goals and regulatory requirements. **Location** This is a remote position open to candidates based anywhere in the US **The Main ... initiatives. + Collaborate with cross-functional teams including DevOps, IT, and Compliance to embed security into enterprise architecture. Application Security +… more
- Humana (Austin, TX)
- …through collaboration with diverse stakeholders across the enterprise, including legal, compliance , education, and IT. In this role, you will contribute to ... the enterprise, including model risk assessments, fairness evaluations, and compliance with ethical and regulatory standards. Champion transparency, accountability,… more
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