- Humana (Austin, TX)
- …evaluation of variable factors. Where you Come In Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper ... of our caring community and help us put health first** The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records… more
- Cognizant (Austin, TX)
- **About the role** As an Inpatient Medical Coding Auditor, you will make an impact by auditing consultant inpatient. You will be a valued member of the Cognizant ... stakeholders and teams. **In this role, you will:** + Review ICD-10 inpatient patient records for accuracy and compliance...and ICD-10-PCS education and mentoring to Company's clients in coding , billing and compliance + Perform Peer Reviews of… more
- Centene Corporation (Austin, TX)
- …a fresh perspective on workplace flexibility. POSITION IS REMOTE **Position Purpose:** Perform clinical/ coding medical claim review to ensure compliance with ... coding practices through a comprehensive review and analysis of medical claims, ...directives, precedent, AMA and CMS code edit criterion + Review medical records to ensure billing is… more
- HCA Healthcare (Pasadena, TX)
- …coding guidelines and policy + Demonstrates and applies expert level knowledge of medical coding practices and concepts + Participates on special reviews or ... join an organization that invests in you as a Coding Quality Audit Reviewer ? At Parallon, you...Company policy + Reviews all official data quality standards, coding guidelines, Company policies and procedures, and clinical/ medical… more
- CenterWell (Austin, TX)
- **Become a part of our caring community and help us put health first** The Medical Coding Professional extracts clinical information from a variety of medical ... codes (eg, ICD-10-CM, CPT) to patient records. The Medical Coding Professional 2 work assignments are...reviews. (Frequency and sampling methodology to be determined) + Review the encounter for potential missed opportunities. + Address… more
- HCA Healthcare (Houston, TX)
- …coding guidelines and policy + Demonstrates and applies expert level knowledge of medical coding practices and concepts + Participates on special reviews or ... in current Company policy + Reviews all official data quality standards, coding guidelines, Company policies and procedures, and clinical/ medical resources to… more
- Datavant (Austin, TX)
- …role is an opportunity to make a significant impact in the field of medical coding . You will provide essential consulting services and educational support, ... guiding healthcare professionals on improved coding practices. Collaborating closely with key stakeholders such as...strongly encouraged to apply **What You Will Do:** + Review medical records and assign precise codes… more
- HCA Healthcare (Arlington, TX)
- … guidelines and policies + Demonstrates and applies expert level knowledge of medical coding practices and concepts; assists in ensuring vendor coders adherence ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...focus, prebill review , and Ad Hoc quality review process + Submits and reviews coding … more
- Elevance Health (Grand Prairie, TX)
- …editing policies into effective and accurate reimbursement criteria.** PRIMARY DUTIES: + Review medical record documentation in support of Evaluation and ... ICD-10 code. + Reviews company specific, CMS specific, and competitor specific medical policies, reimbursement policies, and editing rules, as well as conducting… more
- University of Texas Rio Grande Valley (Mcallen, TX)
- …to ensure compliance with federal/state laws and regulations and UTRGV policies. To review and analyze medical records, claims, and workflow processes to ensure ... of Duties + Performs monitoring and compliance reviews of medical billing and coding compliance activities, associated...charges. + Performs reviews of electronic and manual documentation, coding , and billing systems. . + Review ,… more