- Houston Methodist (Houston, TX)
- …and/or inpatient encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory ... good feedback during coding section meetings, coding education in-services, and coder /CDMP meetings. Takes initiative to assist others and shares knowledge with… more
- CVS Health (Austin, TX)
- …Disease (ICD) codes required.** **Minimum of 2 years recent and related experience in medical record documentation review, diagnosis coding, and/or auditing.** ... **Preferred Qualifications** **5 years recent and related experience in medical record documentation review, diagnosis coding, and/or auditing.** ** Experience… 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,...the American Academy Professional Coders ( AAPC ). Required Experience Two (2) years of related billing/coding and or… more
- Houston Methodist (Katy, TX)
- …other applicable experience to the area assigned (eg, call center, medical billing, insurance collections) + Two years of supervisory or management experience ... of Revenue Cycle, to include but not limited to: medical coding, insurance billing, collections, patient account resolution, appeals/denials,...or a related field or additional four years of experience (in addition to the minimum experience … 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
- University of Texas Rio Grande Valley (Harlingen, TX)
- …documentation and coding deficiencies or gaps. Identifies trends and provides feedback to medical staff, coders, and management. * Acts as a knowledge expert to ... ( CDI ) activities, processes, and procedures. * Provides education for medical student and resident orientation/development and other times as necessary. * Presents… more
- Sharecare (Austin, TX)
- …Radiology Technician + Home Health Aide + Occupational Therapist Aide + Medical Coder + Dental Assistant + Experience in customer service in a healthcare ... the leading digital health company that helps people - no matter where they are in their health journey...utilization management (UM) status, including but not limited to medical , dental, and vision plans + Provider search (PCP,… more
- Houston Methodist (Houston, TX)
- …denials, denial reason and trending, interpretation of payer manuals, medical policies, and local/national coverage determinations. **SERVICE ESSENTIAL FUNCTIONS** + ... are needed. **QUALITY/SAFETY ESSENTIAL FUNCTIONS** + Analyzes data from various sources ( medical records, claims data, payer medical policies, etc.), determines… more
- Elevance Health (Grand Prairie, TX)
- …and/or CCS as a Certified Coding Specialist and/or CIC as a Certified Inpatient Coder . + Requires 5 years of experience working with ICD-9/10CM, MS-DRG, AP-DRG ... Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **DRG CODING AUDITOR** is responsible for auditing… more
- Elevance Health (Grand Prairie, TX)
- …Related Group Clinical Validation Auditor** is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and DRGs ... you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance of … more