- 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
- Datavant (Austin, TX)
- …new and existing coders. **You Will:** + Conduct inpatient coding audits on medical records , utilizing ICD-10-CM, CPT, and appropriate coding references for ... accurate DRG and APC assignment. + Review non-CC/MCC records to assess proper coding or identify the need...HCPCS and CPT codes influencing APC assignment. + Provide coder education through the auditing process. + Prepare preliminary… more
- MD Anderson Cancer Center (Houston, TX)
- …The primary purpose of the Senior Clinical Coding Specialist position is to analyze medical records and abstracts clinical data by assigning codes from patient ... records in accordance to coding classification systems. Reviews patient...Knowledgeable in identifying. Initiate queries when appropriate . Review medical record documentation, understand, and assign accurate primary, ICD-10… more
- Datavant (Austin, TX)
- …compliant coding practices across multiple specialties. **What You Will Do:** + Review medical records and assign accurate codes for diagnoses and procedures. + ... attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a...workspace! Seeking an experienced Same day surgery and Observation Coder with 3-5 years of hands-on outpatient coding experience.… more
- Datavant (Austin, TX)
- …System experience with Meditech and 3M required **What You Will Do:** + Review medical records and assign accurate codes for diagnoses and procedures. + Assign ... attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a...healthcare from your own workspace! Seeking full time ancillary coder . Must have experience coding labs, pathology, radiology, and… 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...Certified Coding Specialist and/or CIC as a Certified Inpatient Coder . + Requires 5 years of experience working with… more
- CenterWell (Arlington, 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 (Fort Worth, 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 (Austin, TX)
- …The Program Management Lead, Offshore Coding Operations conducts quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to ... as well as internal policies and guidelines while analyzing coding information and medical records . **Mergers and Acquisitions:** + Partner with coding teams… more
- Molina Healthcare (Houston, 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
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