- Methodist Health System (Dallas, TX)
- …Responsible for assignment of accurate CPT/HCPCS, ICD10, and appropriate modifiers from medical record documentation (paper or electronic) for both outpatient ... Assist in auditing E&M services against documentation (paper or electronic) within the medical record . Aid in training and educating providers and staff on… more
- Covenant Health (Lubbock, TX)
- …review and application of ICD-10 coding rule sets, CPT and HCPCS codes to medical records based on documentation provided by the providers and adheres to ... are not simply valued - they're invaluable. Join our team at Covenant Medical Group and thrive in our culture of patient-focused, whole-person care built on… more
- Molina Healthcare (San Antonio, TX)
- …state/federal guidelines, billing and coding regulations, and Molina policies; validates the medical record and claim submitted support correct coding to ensure ... documentation for denial and modification of payment decisions + Independently re-evaluates medical claims and associated records by applying advanced clinical… more
- CenterWell (Austin, TX)
- … Medical Coding Professional extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical ... and Advanced Practice Providers) to ensure the documentation within medical records supports diagnostic and procedural coding. **Relationship/Concierge… more
- Molina Healthcare (Fort Worth, TX)
- …the likelihood of a formal appeal being submitted. + Independently re-evaluates medical claims and associated records by applying advanced clinical knowledge, ... more of the following: + Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional… more
- Highmark Health (Austin, TX)
- …all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of ... factors. With technical direction and assistance from management, designs and implements coder education program, continuing education programs and Medical Staff… more
- University of Texas Rio Grande Valley (Mcallen, TX)
- …federal/state laws and regulations and UTRGV policies. To review and analyze medical records , claims, and workflow processes to ensure accuracy, completeness, ... billing, coding, and reimbursement processes. + Reviews, assesses and analyzes medical records , coding, billing, claims, reimbursements and workflow processes… more
- Houston Methodist (Houston, TX)
- …opportunities. This position performs quality assurance, detailed claims analysis and medical record reviews of complex claims and records and serves as a ... and baseline reviews of complex and escalated claims or records in a timely manner, evaluates corrective actions and...practices as well as potential risk areas with electronic medical record . + Provides periodic status reports… more
- Banner Health (TX)
- …researching authoritative reference information from a variety of sources. 2. Reviews medical records . Performs an audit of clinical documentation to ensure ... completed by the health care team for the health record (s) and for quality assurance in the alignment of...outcomes. 5. Performs ongoing audits/review of inpatient and/or outpatient medical records to assure the use of… more
- Datavant (Austin, TX)
- …experiences to realize our bold vision for healthcare. As an Auditor, HCC Risk Adjustment Coder , you will review medical records to identify and code ... across Medicare, commercial, and Medicaid sectors. + In-depth knowledge of medical terminology, abbreviations, pharmacology, and disease processes. + Ability to… more