• Coding Charges & Denials Specialist - (Telecommute…

    Houston Methodist (Houston, TX)
    …changes are needed. **QUALITY/SAFETY ESSENTIAL FUNCTIONS** + Analyzes data from various sources ( medical records , claims data, payer medical policies, etc.), ... documentation, and claims information into a concise appeal letter, including appropriate medical records submission. + Performs timely review of medical … more
    Houston Methodist (06/13/25)
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  • DRG Coding Auditor

    Elevance Health (Houston, TX)
    …may be considered._ 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...Certified Coding Specialist and/or CIC as a Certified Inpatient Coder . + Requires 5 years of experience working with… more
    Elevance Health (06/24/25)
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  • Primary Care Physician

    CenterWell (Grand Prairie, TX)
    …on outpatient medicine, continuity of care, health maintenance, and disease prevention. Keeps a medical history and medical records . Refers the patient to ... Doctors, Advanced Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based Coders, Referral Coordinators… more
    CenterWell (05/16/25)
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  • Manager, DRG Coding & Validation (RN) Remote

    Molina Healthcare (Fort Worth, TX)
    …and implementation of the DRG validation program. Responsible for auditing inpatient medical records and generating high quality claims payment to ensure ... payment integrity. Responsible for performing clinical reviews of medical records and other documentation to evaluate issues of coding and DRG assignment… more
    Molina Healthcare (06/14/25)
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  • Primary Care Physician

    CenterWell (Houston, TX)
    …on outpatient medicine, continuity of care, health maintenance, and disease prevention. Keeps a medical history and medical records . Refers the patient to ... quality of patient care using available data and chart reviews. + Complete all medical record documentation in a timely manner, working with a quality-based coder… more
    CenterWell (04/19/25)
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  • Compliance Coding And Billing Analyst

    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
    University of Texas Rio Grande Valley (06/25/25)
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  • DRG Coding Auditor Principal

    Elevance Health (Houston, TX)
    …be considered._ The DRG Coding Auditor Principal is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation Group (DRG) ... of business, and its clients. Specializes in review of DRG coding via medical record and attending physician's statement provided by acute care hospitals on paid… more
    Elevance Health (06/05/25)
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  • Investigator, Coding SIU

    Molina Healthcare (San Antonio, TX)
    …medical providers. This position uses information from a tip, member benefits, and medical records to document relevant findings of a post pay clinical ... for payment recovery. **KNOWLEDGE/SKILLS/ABILITIES** + Reviews post pay claims with corresponding medical records to determine accuracy of claims payments. +… more
    Molina Healthcare (06/19/25)
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  • Primary Care Physician

    CenterWell (San Antonio, TX)
    …Doctors, Advanced Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based Coders, Referral Coordinators ... accordance with standards of care. + Follows level of medical care and quality for patients and monitors care...in a timely manner working with a quality- based coder to optimize coding specificity. + Follows policy and… more
    CenterWell (06/27/25)
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  • Primary Care Physician

    CenterWell (San Antonio, TX)
    …Doctors, Advanced Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based Coders, Referral Coordinators ... accordance with standards of care. + Follows level of medical care and quality for patients and monitors care...in a timely manner working with a quality- based coder to optimize coding specificity. + Follows policy and… more
    CenterWell (06/07/25)
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