- 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
- 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
- Datavant (Austin, TX)
- …headset, and keyboard + Comprehensive training led by a credentialed professional coding manager + Exceptional service-style management and mentorship (we're in ... will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education,… more