• DRG Coding Auditor Principal

    Elevance Health (Houston, TX)
    … preferred . + Broad, deep and niche knowledge of medical claims billing/payment systems provider billing guidelines, payer reimbursement policies, billing ... considered._ The DRG Coding Auditor Principal is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation Group (DRG)… more
    Elevance Health (06/05/25)
    - Related Jobs

  • Compliance Coding And Billing Analyst

    University of Texas Rio Grande Valley (Mcallen, TX)
    …field from an accredited university. Licenses/Certifications Preferred :Certified Professional Medical Auditor ( CPMA ), Certified Professional Coder ( ... federal/state laws and regulations and UTRGV policies. To review and analyze medical records, claims, and workflow processes to ensure accuracy, completeness, and… more
    University of Texas Rio Grande Valley (06/25/25)
    - Related Jobs

  • Coding Charges & Denials Specialist - (Telecommute…

    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
    Houston Methodist (06/13/25)
    - Related Jobs

  • SR Coding Improvement Specialist

    Kelsey-Seybold Clinic (Pearland, TX)
    …Management. Group Presentation Experience **License(s)** Required: CPC (Certified Professional Coder ) or CCS-P (Certified Coding Specialist-Physician. Preferred : ... Associates Degree or High School Diploma with 2 years coding experience. Preferred : N/A **Experience** Required: ICD10, CPT, HCPCS Coding with 5-6 years… more
    Kelsey-Seybold Clinic (04/23/25)
    - Related Jobs

  • Clinical Documentation Specialist

    University of Texas Rio Grande Valley (Harlingen, TX)
    …Professional Nursing License (RN) will be required after 6 months of employment. Preferred : Certified Professional Medical Auditor ( CPMA ) from American Academy ... documentation and coding deficiencies or gaps. Identifies trends and provides feedback to medical staff, coders, and management. * Acts as a knowledge expert to… more
    University of Texas Rio Grande Valley (06/25/25)
    - Related Jobs

  • Primary Care Physician

    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
    CenterWell (04/19/25)
    - Related Jobs

  • Director Coding - Revenue Cycle - (Museum…

    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
    Houston Methodist (05/13/25)
    - Related Jobs

  • Clinical Quality LPN

    Adecco US, Inc. (San Antonio, TX)
    …or more years of experience with data analysis/quality chart reviews. . Certified Professional Coder is preferred **Why work for Adecco?** Weekly Pay 401(k) Plan ... hour **Responsibilities of the Clinical Quality LPN** . Receive medical records directly to onsite office. . Review and...records directly to onsite office. . Review and track medical records received via mail. . Review and track… more
    Adecco US, Inc. (05/09/25)
    - Related Jobs

  • Manager, Clinical Documentation Integrity (CDI)…

    Ascension Health (Austin, TX)
    …obtained prior to hire date or job transfer date. + Certified Professional Coder (CPC) credentialed from the American Academy of Professional Coders (AAPC) obtained ... required. + 3 years of leadership or management experience preferred . **Additional Preferences** + 5 years RN or 3-5...Central Texas and four teaching hospitals, including Dell Seton Medical Center at The University of Texas and Dell… more
    Ascension Health (05/16/25)
    - Related Jobs

  • Physician- PRN

    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
    CenterWell (06/24/25)
    - Related Jobs