- HCA Healthcare (Pasadena, TX)
- **Description** **Introduction** Do you want to join an organization that invests in you as a Coding Quality Audit Reviewer ? At Parallon, you come first. ... make a difference. We are looking for a dedicated 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 (Houston, TX)
- …based DRG Coding / Clinical Validation Audit setting or hospital coding or quality assurance environment preferred. + Broad, deep and niche knowledge of ... all lines of business, and its clients. Specializes in review of DRG coding via medical record...or appeals may only be reviewed by other DRG Coding Audit Principals (or Executives). **How you… more
- Elevance Health (Houston, 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
- Houston Methodist (Houston, TX)
- …specific practices. Serves a subject matter expert. + Effectively communicates audit results to faculty and staff. ** QUALITY /SAFETY ESSENTIAL FUNCTIONS** ... At Houston Methodist, the Sr Compliance Coding Analyst position is responsible for supporting accurate billing and coding compliance with Medicare and… more
- Houston Methodist (Houston, TX)
- …and communicates ideas and suggestions that improve quality of service. + Assists quality review team with creation of review spreadsheet and data entry. ... At Houston Methodist, the Health Information Management Coding Clerk is responsible for assisting Coding leadership with management of workflow in the coding … more
- Houston Methodist (Houston, TX)
- …drives performance improvement initiatives, and leverages data analytics to monitor coding quality , productivity, and denial trends across the enterprise. ... engaged employee group by conducting regular department meetings to review policies and procedures and operational matters, rounding on...and service quality including measuring and improving quality outcomes. + Ensures that coding and… more
- Molina Healthcare (Houston, TX)
- …on set schedule) Looking for a RN with experience with appeals, claims review , and medical coding . **Job Summary** Utilizing clinical knowledge and experience, ... decision making pertinent to clinical experience + Documents clinical review summaries, bill audit findings and ...two years of experience in Claims Auditing, Medical Necessity Review and Coding experience + Familiar with… more
- Houston Methodist (Houston, TX)
- …the daily work activities of the work unit/department staff, ensuring quality , productivity, functional excellence and efficiency while assisting management in ... competent and engaged employee group by conducting regular department meetings to review policies and procedures and operational matters, rounding on all employees,… more
- SitusAMC (Houston, TX)
- …of the client's CRE loans + Ensure adherence to internal policies, quality standards, and management direction while meeting contractual deliverables to clients and ... Summarize research, as needed, to comprehensively respond to inquiries from Lenders, Audit , Rating Agency and other authorized stakeholders + Design and build… more