- 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
- Texas Health Resources (Arlington, TX)
- …other utilized technology. . Assigns/sequences ICD-10-CM and PCS codes to selected medical records per Coding Guidelines, THR Coding Compliance Policies, CMS ... Maintains adequate quality and production. . Abstracts pertinent information from patient medical records . . Correctly identifies and abstracts all physicians… more
- Community Health Systems (Longview, TX)
- …collaborates with providers through education and the physician query process, ensuring medical records accurately reflect patient severity of illness and ... to corporate recommended CDI workflows and uses CDI and medical records software, such as 3M 360...opportunities for documentation improvement. + Proficiency in CDI and medical record software systems (eg, 3M 360… more
- Elevance Health (Grand Prairie, TX)
- …-expense spending. The **DRG CODING AUDITOR** is responsible for auditing inpatient medical records and generating high quality recoverable claims for the ... its clients. Also responsible for performing clinical reviews of medical records and other documentation to evaluate...assignment accuracy. Specializes in review of DRG coding via medical record and attending physician's statement sent… more
- Intermountain Health (Austin, TX)
- …Oriented + Communication Verbal & Non-Verbal + Quality Control + Electronic Medical Record + Health Information **Physical Requirements:** **Qualifications** + ... in maintaining the integrity of the legal electronic health record (EHR) and ensure accurate and timely processing for...email required. + Experience with Epic, OnBase preferred. + Medical terminology and medical records … more
- Houston Methodist (Houston, TX)
- …to outpatient and/or inpatient encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and ... with nationally established rules and guidelines based upon documentation within the medical record . + Reviews discharge disposition entered by nursing and… more
- Houston Methodist (Houston, TX)
- …established rules and guidelines based upon documentation within the medical record . + Identifies issues related to missing records or documentation and ... + Must have one of the following: + * RHIT - Certified Health Information Technician (AHIMA) + *...and pharmacology + Knowledge of all components of the medical record + Proficient with electronic encoder… more
- Intermountain Health (Austin, TX)
- …staff to make critical coding decisions based on incomplete, and ambiguous record documentation. They assist the coders in converting patient diagnoses and ... procedures documented by the providers in the EHR (Electronic Health Record ) to ICD10/PCS and CPT codes at an advanced level of complexity. **Essential Functions** +… more
- Houston Methodist (Houston, TX)
- …day surgery and observation encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and ... data. Assigns and enters physician identification number and procedure date correctly in the medical record abstracting system. + Reviews medical record … more
- Houston Methodist (Houston, TX)
- …assigned accurately to inpatient encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and ... data. Assigns and enters physician identification number and procedure date correctly in the medical record abstracting system. + Reviews medical record … more
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