- Insight Global (Plano, TX)
- …Auditor will perform Diagnostic Related Group (DRG) validation and quality audits on inpatient charts to ensure accurate coding and compliance with federal ... accurately reflect the patient's clinical picture. Utilize ICD-10-CM and ICD-10-PCS coding systems to ensure proper code sequencing and accuracy. Validate Present… more
- Deloitte (Dallas, TX)
- …records for inpatient and outpatient service areas for accuracy of coding and documentation to ensure regulatory compliance + Apply knowledge of medical ... and follow-up entries in medical records to lead to coding accuracy + Identify gaps in clinical documentation and...license required + Certified Clinical Documentation Specialist - CCDS ( inpatient ) certification required. + A minimum of 3 years… more
- SAIC (TX)
- …anywhere in the United States. Applicants must have experience in multiple coding modalities/specialties, such as inpatient professional, inpatient facility, ... for a Full-Time **Remote** Medical Coder III to provide remote medical coding support to government Medical Treatment Facilities assigned under the Defense Health… more
- Cardinal Health (Austin, TX)
- …compliance department audits to determine accuracy and adequacy of documentation and coding related to physician or hospital ( inpatient and outpatient) billing ... define audit priorities based on previous audit findings, management priorities, coding utilization patterns, national normative data, CMS and CCI initiatives, OIG… more
- UTMB Health (Galveston, TX)
- …Management + Care Transitions and Hospital Follow-Up **Hospital Medicine and Inpatient Services:** + Academic Hospitalist Service + Direct Care Hospitalist Service ... with their appointment. **Clinical Responsibilities** **Hospital Medicine (for faculty with inpatient focus):** + Provide attending coverage or direct patient care… more
- Humana (Austin, TX)
- …level of care, and/or requested site of service should be authorized at the Inpatient level. All work occurs within a context of regulatory compliance, and work is ... of decisions to internal associates. The clinical scenarios predominantly arise from inpatient or post-acute care environments. A remote possibility exists of doing… 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 ... for the training of Hospital ministry staff regarding the CDM Maintenance process, coding updates and charge capture improvement. The Senior CDM Specialist acts as a… more
- MD Anderson Cancer Center (Houston, TX)
- …of charge capture experience to include two years of lead/supervisory experience. Coding experience is a plus.* *KEY FUNCTIONS* Conducts regularly scheduled employee ... assignments and issues, progress on projects, etc. Conducts regular meetings with Clinical Coding Ops to maintain review and resolve charge capture issues for all… 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
- Datavant (Austin, TX)
- …+ Conduct timely, accurate, and complete documentation reviews for selected inpatient records, addressing inadequate or conflicting documentation. + Collaborate with ... secondary diagnoses, and procedure impact on DRG. + Improve coding specificity by educating physicians and caregivers on the...throughout a patient's stay. + Follow AHA guidelines and coding clinics for accurate coding and required… more