• DRG Coding Auditor

    Elevance Health (Houston, TX)
    …locations may be considered._ The **DRG CODING AUDITOR** is responsible for auditing inpatient medical records and generating high quality recoverable claims for ... its clients. Also responsible for performing clinical reviews of medical records and other documentation to evaluate issues of...a Certified Coding Specialist and/or CIC as a Certified Inpatient Coder . + Requires 5 years of… more
    Elevance Health (06/24/25)
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  • DRG Coding Auditor Principal

    Elevance Health (Houston, TX)
    …may be considered._ The DRG Coding Auditor Principal is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation Group ... its clients. Specializes in review of DRG coding via medical record and attending physician's statement provided by acute...as a Certified Coding Specialist, CIC as a Certified Inpatient Coder , or Certified Clinical Documentation Specialist… more
    Elevance Health (06/05/25)
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  • Clinical Documentation Specialist

    Community Health Systems (Longview, TX)
    …with providers through education and the physician query process, ensuring medical records accurately reflect patient severity of illness and support continuity ... quality metrics, and regulatory compliance. **Essential Functions** + Analyzes inpatient clinical records to identify opportunities for improving documentation… more
    Community Health Systems (06/18/25)
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  • Manager, DRG Coding & Validation (RN) Remote

    Molina Healthcare (Fort Worth, TX)
    …development and implementation of the DRG validation program. Responsible for auditing inpatient medical records and generating high quality claims payment to ... Validation must have an extensive background in either facility-based nursing and/or inpatient coding and has a high level of understanding in reimbursement… more
    Molina Healthcare (06/14/25)
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  • Director Coding - Revenue Cycle - (Museum…

    Houston Methodist (Houston, TX)
    …Department across all Houston Methodist facilities. The Director manages personnel performing inpatient and outpatient medical record coding, DRG and APC ... data entry functions; ensures accuracy and quality of coded and abstracted medical record data. This position coordinates coding and abstracting activities; provides… more
    Houston Methodist (05/13/25)
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  • Manager Revenue Cycle - Self-pay Collections

    Houston Methodist (Katy, TX)
    …areas of Revenue Cycle, to include but not limited to: medical coding, insurance billing, collections, patient account resolution, appeals/denials, customer service, ... or other applicable experience to the area assigned (eg, call center, medical billing, insurance collections) + Two years of supervisory or management experience.… more
    Houston Methodist (05/01/25)
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