- HCA Healthcare (Houston, TX)
- **Description** **Introduction** Do you want to join an organization that invests in you as a Coding Quality Audit Reviewer ? At Work from Home, you come ... of our team. **Job Summary and Qualifications** As a Coding Quality Audit Reviewer...result in appropriate reimbursement and data integrity. You will review outcomes are communicated to the HSC team to… more
- Elevance Health (Grand Prairie, TX)
- …based DRG Coding / Clinical Validation Audit setting or hospital coding or quality assurance environment preferred. + Broad knowledge of medical claims ... medical records and other documentation to evaluate issues of coding and DRG assignment accuracy. Specializes in review...information to make audit determinations and generate audit findings letters. + Maintains accuracy and quality… more
- Ascension Health (Austin, TX)
- …or management experience preferred. **Additional Preferences** + 5 years RN or 3-5 coding quality audit experience strongly preferred + Prior adult ... **Details** + **Department: Coding Documentation** + **Schedule: M-F** + **Hospital: Seton...mix index, MS DRG and value-based purchasing reimbursement, and quality /outcomes and compliance requirements. + Manage the review… more
- Banner Health (TX)
- …RHIT or RHIA Coding Certification, and make a difference!** **This is a Quality position, not a day-to-day coding production role but does require coding ... Coding experience.** This position is task-production-oriented ensuring quality in the Inpatient Facility Coding department....audit of clinical documentation to ensure that clinical coding is accurate for proper reimbursement and that … more
- USAA (San Antonio, TX)
- …Be part of what truly makes us special and impactful. **The Opportunity** As a dedicated ** Audit Data Analyst - Audit Manager** , you will be responsible for ... projects and initiatives, and adoption of analytic approaches. Owns, leads, and executes high- quality analytic control tests and data analytics for the Audit … more
- USAA (Plano, TX)
- …Audit Data Analyst** participates in the development of impactful and high- quality analytic control tests. Responsible for audit analytics, internal projects ... of a degree. + 4 years experience with analytic coding techniques and visualization tools. + 2 years experience...+ Strong written and verbal communication skills that deliver quality , actionable and beneficial feedback to audit … more
- Capital One (Plano, TX)
- … Audit function is a dedicated group of professionals focused on delivering top- quality assurance services to the organization's Audit Committee. Audit ... a collaborative, agile environment to deliver value-added opinions and recommendations. Audit 's vision to provide high value, independent, proactive insights, to… more
- Datavant (Austin, TX)
- …participant materials + Provide support to client relations for trainings needed for client audit findings + Research and analysis of coding error trends What ... Adjustment Trainer to help us uplevel our Risk Adjustment Coding Department through improving overall coding accuracy...learning to the work environment through various methods + Review client level audits and advise training content to… more
- Methodist Health System (Dallas, TX)
- …contractors and other areas vulnerable to compliance risk: + Confirm that periodic coding compliance reviews are performed, review reports and corrective action ... of processes in identified risk areas. + Provide input, review and approve entity level annual compliance work plans....Assist the CLO/CCO with agendas and meetings of the Audit & Corporate Oversight Committee and the Corporate Compliance… more
- Molina Healthcare (TX)
- …Identifies and reports quality of care issues. Assists with Complex Claim review including DRG Validation, Itemized Bill Review , Appropriate Level of Care, ... requires decision making pertinent to clinical experience. Documents clinical review summaries, bill audit findings and ...Long-Term Services & Supports issues. + Identifies and reports quality of care issues. + Prepares and presents cases… more