- 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
- Ascension Health (Austin, TX)
- …Health Information Technician (RHIT), Certified Clinical Documentation Specialist (CCDS) + 3-5 years Medical Coding experience with at least 2 years specific to ... Compensation varies based on factors including, but not limited to, experience, skills, education , performance, location and salary range at the time of the offer._… more
- Elevance Health (Grand Prairie, TX)
- …formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Managers of DRG Coding & Clinical ... Manager of DRG Coding Audit-Program/Project Locations: _The selected candidate must reside...Validation** leads a high-performing team responsible for auditing inpatient medical records to ensure the accuracy and compliance of… more
- Humana (Austin, TX)
- … record review knowledge + 2 or more years of risk adjustment provider education + Familiar with coding guidelines (ie ICD-9/ICD-10) + Comprehensive knowledge of ... of our caring community and help us put health first** The Senior Coding Educator identifies opportunities to improve provider documentation and creates an … more
- Datavant (Austin, TX)
- …members. + Provide a summary of productivity findings on a daily basis, including education on time management and best coding practices. + Provide coaching and ... quality standards of the role. + Report trends for education opportunities to management for review and/or action. +...managing a team of employees. + Familiarity with HCC coding . + A strong knowledge base of medical… more
- CVS Health (TX)
- …and efficiently. . 2-4 years of experience healthcare field, medical /health setting, medical billing and coding . ** Education ** High School Diploma or GED ... role in supporting our clinical partners and ensuring seamless coordination of medical management services. This position focuses on the initial review and triage… more
- Elevance Health (Grand Prairie, TX)
- …Requires a AA/AS and minimum of 1 year related medical coding /auditing experience; or any combination of education and experience, which would ... to aid in investigations and stays abreast of current medical coding and billing issues, trends and...vary from posting based on geographic location, work experience, education , and/or skill level. Even within the range, the… more
- SAIC (TX)
- …possess multiple certifications from the list above are preferred. Medical coding personnel shall maintain the required continuing education hours in order ... for a Full-Time **Remote** Medical Coder III to provide remote medical coding support to government Medical Treatment Facilities assigned under the… more
- Dallas Behavioral Healthcare Hospital (Desoto, TX)
- …service standards. Requirements + Education : Certificate or associate's degree in medical coding /CPC. These additional certifications are not required but a ... services + Knowledge, Skills & Abilities: + Knowledge of medical terminology; basic and advanced ICD-9-CM coding ;...of medical terminology; basic and advanced ICD-9-CM coding ; anatomy and physiology; computer data entry; and … more
- Highmark Health (Austin, TX)
- …are aligned with clinical policy intent. Develop and maintain a thorough understanding of medical coding (ICD-10, CPT, HCPCS) and ensure accurate coding ... Experience with medical policy and utilization management functions + Medical coding experience **LICENSES or CERTIFICATIONS** **Required** + None… more