- Texas Health Resources (Arlington, TX)
- …related preferred or Bachelor's Degree Other (ie, business) 3 years experience in inpatient acute facility coding preferred or HS Diploma or Equivalent 7 years ... experience in inpatient acute facility coding in lieu of degree Experience...knowledge of ICD 10-CM, PCS. Knowledgeable in APC and DRG methodologies and all regulatory/payer requirements as they relate… more
- Houston Methodist (Houston, TX)
- …position is responsible for the day-to-day operations of managing the inpatient /outpatient coding staff and managing the coding workflow for Houston Methodist. ... competent and engaged employee group by conducting regular department meetings to review policies and procedures and operational matters, rounding on all employees,… more
- Houston Methodist (Houston, TX)
- …Serves and actively participates on various committees as directed. + Ensures inpatient , hospital outpatient, and ambulatory visits are coded timely and monitors ... departments. + Responds to or clarifies internal requests for coding review by coders or department representatives. **QUALITY/SAFETY ESSENTIAL FUNCTIONS** + Ensures… more
- Datavant (Austin, TX)
- …+ Conduct timely, accurate, and complete documentation reviews for selected inpatient records, addressing inadequate or conflicting documentation. + Collaborate with ... caregivers to ensure appropriate reimbursement and clinical severity for DRG -based payer patients. + Demonstrate understanding of complications, co-morbidities,… more
- Texas Health Resources (Arlington, TX)
- …Evaluate the effectiveness of internal controls and compliance procedures. Coding & Documentation Review - Assist the audit team with inpatient , outpatient, and ... best practices for areas vulnerable to compliance errors. Denial Support & Case Review - Conduct additional reviews to assist departments handling Medicare, OIG, or… more
- Houston Methodist (Sugar Land, TX)
- …Senior Denials Management Specialist position is responsible for performing utilization review activities, and monitoring the clinical denial management and appeals ... denials for level of care, medical necessity, and as appropriate, DRG recoupments/downgrades, and denials for no authorization. The Senior Denials Management… more
- Cardinal Health (Austin, TX)
- …and adequacy of documentation and coding related to physician or hospital ( inpatient and outpatient) billing and/or medical necessity reviews. + Prepares written ... application of Medicare/Medicaid documentation and coding rules and guidelines; ICD/CPT/HCPCS/ DRG /APC documentation coding rules; medical terminology; E/M rules; healthcare… more