- Amergis (San Antonio, TX)
- Salary: $40 / Hour Inpatient Denials Auditor must have experience with the following: - RAC / RAM Denials - Claim Adjustment Denials - PSI / HAC Reviews - Stroke ... Appeal Letters - Focused DRG Reviews for missed CC or MCC Comfortable with Re- Coding accounts and providing feedback to original coders EPIC & Optum CAC experience… more
- HCA Healthcare (Kingwood, TX)
- …accurate completion of the Patient Assessment Instrument for each rehabilitation inpatient . This individual provides clinical support in completion of data contained ... may assist in the ongoing monitoring of identified benchmarks for the inpatient population. The IRF-PAI Coordination will have access to confidential patient… more
- Humana (Austin, TX)
- …and help us put health first** The Risk Adjustment Coder conducts quality assurance coding of medical records and ICD-10 diagnosis codes that are submitted to the ... judgment. The Risk Adjustment Coder will support our Corporate Coding Operations within the Healthcare Quality Reporting & Improvement...- Certified Outpatient Coder (AAPC). + CIC - Certified Inpatient Coder (AAPC). + CRC - Certified Risk Coder… more
- MD Anderson Cancer Center (Houston, TX)
- …the General Ultrasound Section. Responsibilities rotate between the *outpatient* and * inpatient *departments, requiring flexibility in hours and days to meet ... assistant, and 2 supervisors, managing approximately 100 patients daily. Inpatient services operate 24/7, including holidays. Supervisors and full-time technologists… more
- HCA Healthcare (Houston, TX)
- …you will do in this role:** + Conduct reviews of charging, coding , and clinical documentation, collaborating with Corporate Revenue Integrity Leadership during ... continuous education. + Possess working knowledge of Medicare guidance, inpatient /outpatient status, and observation requirements. + Knowledge of Revenue Cycle… more
- Molina Healthcare (TX)
- …appropriate level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding regulations, and Molina policies; validates the medical record and ... claim submitted support correct coding to ensure appropriate reimbursement to providers. **Job Duties**...DRG Validation, Itemized Bill Review, Appropriate Level of Care, Inpatient Readmission, and any opportunity identified by the Payment… more
- Methodist Health System (Dallas, TX)
- …medical record documentation (paper or electronic) for both outpatient and inpatient professional encounters. Assist in auditing E&M services against documentation ... Aid in training and educating providers and staff on coding issues, and play a significant role in ...coding issues, and play a significant role in coding compliance activities. Your Job Requirements: * Bachelor Degree… more
- Providence (TX)
- …Specialist shall ensure that the Chargemaster (CDM) is consistent with all coding and billing regulations and accurately represents services provided. The Senior CDM ... the training of Hospital ministry staff regarding the CDM Maintenance process, coding updates and charge capture improvement. Providence caregivers are not simply… more
- Humana (Austin, TX)
- …participation in care management. The clinical scenarios predominantly arise from inpatient or post-acute care environments. Has discussions with external physicians ... require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and outpatient… more
- Methodist Health System (Dallas, TX)
- …comfortable with generalist obstetrics and gynecology practice including outpatient care, inpatient care, and surgery -- experience with vaginal and/or pelvic ... documentation of trainees to ensure compliance with CMS billing and coding regulations; and provide timely and consistent teaching physician documentation to… more
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