- Elevance Health (Grand Prairie, TX)
- Manager of DRG Coding Audit -Program/Project Locations: _The selected candidate must reside within a reasonable commuting distance of the designated posting ... formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Managers of DRG Coding & Clinical… more
- Texas Health Resources (Arlington, TX)
- Manager Compliance Coding _Are you looking for...guidance based on Federal, State, Local, and THR policies. Coding Audit Team Management - Lead the ... work hours: Monday - Friday; 8:00a-5:00p; Position Summary The Coding Compliance Manager oversees and manages auditing...coding audit team, including training and performance evaluation, to maintain… more
- Cardinal Health (Austin, TX)
- … rules and guidelines; ICD/CPT/HCPCS/DRG/APC documentation coding rules; medical terminology; E/M rules; healthcare compliance audit methodology, principles ... conducts investigations to resolve ethics and compliance issues. **Compliance Audit Manager ** Reporting to the Compliance Director,...+ 6+ years of experience in physician and/or hospital coding and auditing, medical necessity reviews, or… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …practice, providers, and other departmental leaders to provide education on medical coding and documentation based on audit findings and as required by ... current CMS regulations. Work directly with the Medical Coding Auditor Manager to...relevant audit experience in physician or facility medical coding , auditing, or compliance roles +… more
- Elevance Health (Houston, TX)
- …complex and advanced that disputes or appeals may only be reviewed by other DRG Coding Audit Principals (or Executives). **How you will make an impact:** + ... Tabular Indices), complex clinical guidelines and maintaining objectivity in the performance of medical audit activities. + Draws on extremely advanced ICD-10 … more
- Elevance Health (Grand Prairie, TX)
- …principles, clinical guidelines and objectivity in the performance of medical audit activities. + Draws on advanced ICD-10 coding expertise, clinical ... if candidates reside within a commuting distance from an office.** The **DRG Coding Auditor** is responsible for auditing inpatient medical records and… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …applicable Modifier(s) to specialty medical documentation for outpatient and inpatient medical coding and timely billing. + Assist with onboarding training ... (APP) and coding staff on documentation and coding guidelines. + Reviewing medical coding...software systems. + Ability to participate with internal peer coding audit reviews. + Ability to communicate… more
- CenterWell (Austin, TX)
- …required: RHIA, RHIT, CCS, CRC, or CPC + Minimum 5 years' progressive experience in medical coding operations + Minimum of 3 years' direct experience managing or ... degree preferred. **Knowledge, Skills, and Abilities** + Advanced understanding of medical coding guidelines, healthcare regulations (including HIPAA, state and… more
- Datavant (Austin, TX)
- …changes with the appropriate manager . + Prepare the final reports for the coding audit and actively participates in the resolution of audit findings. ... Epic, 3M and Dolbey.** You Will: + Conduct inpatient coding audits on medical records, utilizing ICD-10-CM,...keyboard + Comprehensive training led by a credentialed professional coding manager + Exceptional service-style management and… more
- Elevance Health (Grand Prairie, TX)
- …based sponsorship. **Ensures accurate adjudication of claims, by translating medical policies, reimbursement policies, and clinical editing policies into effective ... and accurate reimbursement criteria.** PRIMARY DUTIES: + Review medical record documentation in support of Evaluation and Management, CPT, HCPCS and ICD-10 code. +… more
Recent Jobs
-
Executive Director, Third Party Risk Management
- Regeneron Pharmaceuticals (Sleepy Hollow, NY)
-
Sr Full Stack Developer
- PennyMac (Westlake Village, CA)
-
Sr. Associate Brand Manager, Innovation
- Kind Snacks (Chicago, IL)
-
Senior Java Backend Engineer (Client site)
- NTT DATA North America (Merrimack, NH)