- CenterWell (San Antonio, TX)
- …Doctors, Advanced Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based Coders, Referral Coordinators ... accordance with standards of care. + Follows level of medical care and quality for patients and monitors care...in a timely manner working with a quality- based coder to optimize coding specificity. + Follows policy and… more
- CenterWell (Houston, TX)
- …treats center patients in accordance with standards of care. . Follows level of medical care and quality for patients and monitors care using available data and ... limited to specialty referrals, hospital and SNF coordination, durable medical equipment and home health care. . Acts as...in a timely manner working with a quality- based coder to optimize coding specificity. . Follows policy and… more
- CenterWell (Houston, TX)
- …medicine, continuity of care, health maintenance, and disease prevention. Keeps a medical history and medical records. Refers the patient to specialists ... quality of patient care using available data and chart reviews. + Complete all medical record documentation in a timely manner, working with a quality-based coder… more
- Elevance Health (Houston, TX)
- …be considered._ The **DRG CODING AUDITOR** is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of ... of business, and its clients. Also responsible for performing clinical reviews of medical records and other documentation to evaluate issues of coding and DRG… more
- CenterWell (Humble, TX)
- …Doctors, Advanced Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based Coders, Referral Coordinators ... quality of patient care using available data and chart reviews. + Complete all medical record documentation in a timely manner, working with a quality-based coder… more
- Elevance Health (Houston, TX)
- …considered._ The DRG Coding Auditor Principal is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation Group (DRG) ... of business, and its clients. Specializes in review of DRG coding via medical record and attending physician's statement provided by acute care hospitals on paid… more
- Molina Healthcare (San Antonio, TX)
- …trends and patterns, and the ability to present those findings. **Preferred License, Certification , Association** + AAPC Certified Medical CPC, CPMA, CPCO or ... for investigating and resolving instances of healthcare fraud and abuse by medical providers. This position uses information from a tip, member benefits, and… more
- BAYADA Home Health Care (Austin, TX)
- …for a **Full Time,** OASIS and Coding Review Manager with OASIS and Coding certification to work remotely. RN, PT, OT, and SLP's with certifications will be ... Paid holidays, vacation and sick leave, vision, dental and medical health plans, employer paid life insurance, 401k with...openings available + COS-C or HCS-O or COQS OASIS Certification and experience required + BCHH-C or HCS-D Home… more
- University of Texas Rio Grande Valley (Mcallen, TX)
- …a related field from an accredited university. Licenses/Certifications Preferred:Certified Professional Medical Auditor ( CPMA ), Certified Professional Coder ( ... and regulations and UTRGV policies. To review and analyze medical records, claims, and workflow processes to ensure accuracy,...or GED + Associates Degree, Technical, or Trade School Degree/ Certification or 60 Hours of College Hours + Bachelors… more
- Houston Methodist (Houston, TX)
- …Methodist facilities. The Director manages personnel performing inpatient and outpatient medical record coding, DRG and APC assignment, abstracting, and data entry ... functions; ensures accuracy and quality of coded and abstracted medical record data. This position coordinates coding and abstracting activities; provides data… more