- Centene Corporation (Austin, TX)
- …in state fair hearings and health plan provider calls. + Develop and maintain review guidelines for Corporate medical coding reviews. + Performs other ... medical claim reviews to ensure compliance with coding guidelines through a comprehensive review and analysis of claims, medical records, claims… more
- Humana (Austin, TX)
- …of our caring community and help us put health first** The Senior Inpatient Medical Coding Professional extracts clinical information from a variety of ... an in-depth evaluation of variable factors. **Responsibilities** The Senior Inpatient Medical Coding Professional confirms appropriate diagnosis related group… more
- Centene Corporation (Austin, TX)
- …IS REMOTE IDEAL CANDIDATE WILL HAVE CODING CERTIFICATION **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 (Webster, 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
- Cognizant (Austin, TX)
- …coding , billing, and compliance best practices. - **Support Quality Assurance and Peer Review ** . Perform peer reviews of coding staff to maintain high ... **Experience:** Minimum 5 years of related experience (facility-based auditing and coding experience). **Travel:** None required **About the role:** As an ICD-10… more
- Banner Health (TX)
- …you. **Requirements:** + **5 years recent experience** **in acute-care Inpatient facility-based medical coding ;** + **DRG and PCS experience** + **Bachelors ... coding based on documentation for positive outcomes. 5. Performs ongoing audits/ review of inpatient and/or outpatient medical records to assure the use… more
- HCA Healthcare (Dallas, TX)
- …coding guidelines and policy + Demonstrates and applies expert level knowledge of medical coding practices and concepts + Participates on special reviews or ... Company policy + Reviews all official data quality standards, coding guidelines, Company policies and procedures, and clinical/ medical...compelling, we encourage you to apply for our Inpatient Coding Auditor opening. We promptly review all… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- … coding operational activities of assigned divisions for both physician and hospital coding within the Medical Coding SOM Department. + Provide direct ... personnel or personnel undergoing HR coaching to improve their medical coding skills set for accuracy lo...with vendor quires and questions related to assigned multi-specialty coding inventories. + Review ETM coding… 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
- 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
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