- 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
- CenterWell (Beaumont, 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
- 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
- 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
- CenterWell (Houston, 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 (TX)
- …** Preferred Skills, Capabilities and Experiences:** + **AAPC Certified Risk Adjustment Coder preferred .** + Expert level knowledge of ICD-10 CM, CMS ... diagnosis, documentation, coding and care. will review all provider visit medical encounters and apply most appropriate diagnosis codes. + Overall accountability… more
- Datavant (Austin, TX)
- …to help shape the future of healthcare from your own workspace! Preferred : Ideal candidate will preferably have experience with SMART software experience. Candidate ... cases concurrently to ensure optimal workflow and turnaround time + Provides coder education via the auditing process + Function in a professional, efficient,… more
- 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
- 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
- Surgery Care Affiliates (Arlington, TX)
- …package to support your health, well-being, and financial future. Our offerings include medical , dental, and vision coverage, 401k plan with company match, paid time ... and objectives. + Coordinates billing/coding/implant logs and pathology reports with coder and biller. + Monitors on-site business office timesheets for payroll… more