- Houston Methodist (Houston, TX)
- …revenue opportunities. This position performs quality assurance, detailed claims analysis, and medical record reviews of complex claims and records and serves ... 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 of risk-based… more
- Banner Health (TX)
- …coding in support of specialty or multi-specialty physician practices by evaluating medical records and validating that appropriate clinical diagnosis and ... Participates and leads coding round table discussions. CORE FUNCTIONS 1. Analyzes medical information from medical records . Accurately codes diagnostic… 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 ... lines of business, and its clients. Also responsible for performing clinical reviews of medical records and other documentation to evaluate issues of coding and… more
- Molina Healthcare (Houston, TX)
- …clinical guidelines, and industry knowledge to substantiate conclusions. * Audits inpatient medical records and generates high-quality claims payment to ensure ... payment integrity. * Performs clinical reviews of medical records and other utilization management documentation to evaluate issues of coding and DRG assignment… more
- BJs Wholesale Club (Forney, TX)
- …jury duty leave.* + Flexible and Affordable Health Benefits: Choose from three medical plans, and access optional dental, vision, Health Savings Account (HSA), and ... orientation, benefit enrollment, assist in updating and maintaining HR records , filing, and team member communication. Responsible for comprehensive scheduling… more
- Houston Methodist (Houston, TX)
- …within the medical record. + Identifies issues related to missing records or documentation and appropriately communicates to service areas; tracks, trends, and ... Information Administrator (AHIMA) + * CCS - Certified Coding Specialist (AHIMA) **KNOWLEDGE, SKILLS, AND ABILITIES** + Demonstrates the skills and competencies… more
- STG International (Temple, TX)
- …or any other protected class. Medical Corps - 60J, 60L, 61F, 61H, 61N, 61R,62B Medical Specialist Corps - 65B, 65C, 65D Nurse Corps - 66B,66H, 66P Medical ... during QAPI committee. ESSENTIAL FUNCTIONS: 1. Work cooperatively with the Administrator , Director of Nursing Services, and community in assessing training/education… more