- 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
- 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
- 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
- Molina Healthcare (Austin, TX)
- …will work on set schedule) Looking for a RN with experience with appeals, claims review , and medical coding . **Job Summary** Utilizing clinical knowledge and ... Review . + Minimum two years of experience in Claims Auditing, Medical Necessity Review and Coding experience + Familiar with state/federal regulations… more
- Cognizant (Austin, TX)
- …**Employment Type:** [Full-time] M-F flexible hours A **DRG coder** is a medical coding professional who specializes in assigning **Diagnosis-Related Group ... **Job Title: Inpatient Medical DRG Coder - Hospital (Remote)** **Location:** [Remote]...these DRG codes rather than individual services. **Responsibilities** + Review clinical documentation to assign accurate **ICD-10-CM** and **ICD-10-PCS**… more
- Cognizant (Austin, TX)
- …+ Familiarity with **federal, state, and payer regulations** + Ability to interpret medical records and apply coding guidelines accurately + Proficiency in MS ... **Job Title: Emergency Room Medical Coder - Level 1 Trauma Center (Remote)**...Role** Cognizant Technology Solutions is seeking an experienced **ICD-10 Coding Consultant - Outpatient** to join our team and… more
- Datavant (Austin, TX)
- …interpret, and aggregate data from multiple data sources for supporting risk adjustment medical record coding and quality processes + Design, develop, test, and ... queries to collect and interpret raw data from databases to support risk adjustment coding and medical record + Experience in using business intelligence, data… more
- Cardinal Health (Austin, TX)
- …and/or hospital (technical) services, including: detection and correction of documentation, coding , and billing errors and/or medical necessity of services ... revenue cycle team in identifying the time period of review and conducts a focused audit to identify any...5+ years of experience in physician and/or hospital technical coding /auditing, medical necessity reviews, or related work,… more
- HCA Healthcare (Austin, TX)
- …and protection of human subjects (eg "Common Rule", "GCP", etc.) . Knowledge of medical coding and billing procedures in a physician practice setting. Supporting ... and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low… more
- Datavant (Austin, TX)
- …bold vision for healthcare. **Role Overview** As a Product Manager, Risk Adjustment Coding Data Integration, you will own the data strategy and execution for ... Datavant's Retrospective Risk Adjustment Coding products, driving client data standardization, data integrations, database...exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its… more
- Datavant (Austin, TX)
- …will provide superior quality by performing audits pertaining to risk adjustment coding efforts. The individual will be responsible for daily operations pertaining ... assurance program + Play a key role in ensuring coding compliance and accuracy + Monitor the performance of...exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its… more
- Datavant (Austin, TX)
- …required. + People Leader experience managing a team of employees. + Familiarity with HCC coding . + A strong knowledge base of medical terminology, medical ... educational and life experiences to realize our bold vision for healthcare. The Coding Supervisor serves as a working supervisor with oversight and management of… more
- Datavant (Austin, TX)
- …bold vision for healthcare. As an Auditor, HCC Risk Adjustment Coder, you will review medical records to identify and code diagnoses using a standardized system, ... to the table:** + Minimum 3 years of HCC coding experience + Minimum 2 years of HCC Auditing...Medicare, commercial, and Medicaid sectors. + In-depth knowledge of medical terminology, abbreviations, pharmacology, and disease processes. + Ability… more
- Cardinal Health (Austin, TX)
- …or more years' experience management of medical office setting working with medical insurance, coding and financial matters preferred + Working knowledge of ... Practice Operations Management oversees the business and administrative operations of a medical practice. The Revenue Cycle Management team manages a team focused on… more
- HCA Healthcare (Austin, TX)
- …and/or charge entry experience in the healthcare field is required + Knowledge of medical terminology and coding is highly preferred + Familiarity with third ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...do in this role:** + You will receive and review charge documents for accuracy and coordinates with front… more
- Cardinal Health (Austin, TX)
- …as necessary. + 2 years' experience in medical office, working with medical insurance, coding and financial matters or pharmacy technician preferrred + ... Management oversees the business and administrative operations of a medical practice. Financial assistance counselors guide patients through their healthcare… more
- Datavant (Austin, TX)
- …1 facility. SMART software experience preferred. **You Will:** + Conduct inpatient coding audits on medical records, utilizing ICD-10-CM, CPT, and appropriate ... references for accurate DRG and APC assignment. + Review non-CC/MCC records to assess proper coding ...and Auditing software **Perks:** + Benefits for Full-Time employees: Medical , Dental, Vision, 401k Savings Plan w/match, 2 weeks… more
- Baylor Scott & White Health (Buda, TX)
- …not limited to, governmental and commercial payers. Requires basic knowledge of medical and coding terminology. Proficient typing and keyboarding skills. Basic ... productivity and behavioral related issues regarding staff to management for review . Monitors financial performance of the department by ensuring financial… more