- Caris Life Sciences (Austin, TX)
- …than yourself, Caris is where your impact begins.** **Position Summary** The Certified Medical Coder I is responsible for maintaining regulatory compliance to ... **Required Qualifications** + High school diploma and completion of Medical Coding course. + 0-2 years of experience in... Coding course. + 0-2 years of experience in medical coding. Completion of medical coding courses… more
- CenterWell (Austin, TX)
- **Become a part of our caring community and help us put health first** The Medical Coder is responsible for extracting clinical information from medical ... **Use your skills to make an impact** **Required Qualifications** + Certified medical coder with one of the following credentials: + AAPC: CPC, CPC-A, CPC-H,… more
- Datavant (Austin, TX)
- …for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to ... codes using ICD-10-CM and ICD-10-PCS codes + Accurately sequence and abstract medical codes from patient records, ensuring precision and adherence to documentation +… more
- CenterWell (Austin, TX)
- …and influence enhancements to the GenAI ( CODER ) tool to improve the medical coder experience. + Oversees coding operations by identifying Dyad partner needs ... a part of our caring community and help us put health first** The Director, Medical Coding extracts clinical information from a variety of medical records and… more
- Datavant (Austin, TX)
- …to realize our bold vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses using ... Review, analyze, and code diagnostic information in a patient's medical record based on client specific guidelines for the...on client specific guidelines for the project. + The coder will ensure compliance with established ICD-10 CM, third… more
- Highmark Health (Austin, TX)
- … terminology + Certified Coding Specialist (CCS) **OR** Certified In-patient Professional Coder (CIC) + Familiarity with medical terminology + Strong data ... **Job Description :** **GENERAL OVERVIEW:** This job performs thorough medical record review to abstract medical and...performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and… more
- Sharecare (Austin, TX)
- …Manager + Radiology Technician + Home Health Aide + Occupational Therapist Aide + Medical Coder + Dental Assistant + Experience in customer service in a ... utilization management (UM) status, including but not limited to medical , dental, and vision plans + Provider search (PCP,...present premier provider options, including but not limited to medical , dental, and vision plans + Support for spending… more
- Datavant (Austin, TX)
- …for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to ... future of healthcare from your own workspace! Preferred: SDS/OBV Coder . EPIC and 3M360 experience a plus. Observation coding...Trauma, plastic surgery. **What You Will Do:** + Review medical records and assign accurate codes for diagnoses and… more
- Molina Healthcare (Austin, TX)
- …and coding experience. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Certified Clinical Coder , Certified Medical Audit Specialists, Certified Case Manager ... Looking for a RN with experience with appeals, claims review, and medical coding. **Job Summary** Utilizing clinical knowledge and experience, responsible for review… more
- Molina Healthcare (Austin, TX)
- …Completion of a health care related vocational program in health care (ie, certified coder , billing, or medical assistant). To all current Molina employees: If ... determine appropriate appeals and grievance outcomes. * Requests and reviews medical records, notes, and/or detailed bills as appropriate; formulates conclusions per… more
- Molina Healthcare (Austin, TX)
- …and ability to learn new programs. **Preferred Qualifications** * Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case ... JOB DESCRIPTION **Job Summary** The Medical Claim Review Nurse provides support for ... Medical Claim Review Nurse provides support for medical claim review activities. Responsible for ensuring timely claims… more
- Molina Healthcare (Austin, TX)
- …must be active and unrestricted in state of practice. + Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), ... Certified Professional Healthcare Management (CPHM) or Certified Professional in Healthcare Quality (CPHQ). To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare… more
- Datavant (Austin, TX)
- …to realize our bold vision for healthcare. As an Auditor, HCC Risk Adjustment Coder , you will review medical records to identify and code diagnoses using ... across Medicare, commercial, and Medicaid sectors. + In-depth knowledge of medical terminology, abbreviations, pharmacology, and disease processes. + Ability to… more
- Datavant (Austin, TX)
- …for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to ... Reviews rebuttals submitted by coders. Provides education to the coder if the error is correct or sends the...experience a plus + A strong knowledge base of medical terminology, medical abbreviations, pharmacology and disease… more
- CVS Health (Austin, TX)
- …every day. **Position Summary** Responsible for performing quality inter-rater review audits of medical records coded by internal team (CDQA and Sr CDQA) to ensure ... and assists others to achieve the same through mentoring and instruction. + Medical record auditing skills and abstraction expertise. + Serves as the training… more
- CVS Health (Austin, TX)
- …every day. **Position Summary** Responsible for performing audit and abstraction of medical records (provider and/or vendor) to identify and submit ICD codes that ... evidence and tools. + Proficient in abstraction and assignment of accurate medical codes for diagnoses as documented by physicians and other qualified healthcare… more
- Datavant (Austin, TX)
- …experience preferred. **You Will:** + Conduct inpatient coding audits on medical records, utilizing ICD-10-CM, CPT, and appropriate coding references for accurate ... Scrutinizes all HCPCS and CPT codes influencing APC assignment. + Provide coder education through the auditing process. + Prepare preliminary results for review… more
- Highmark Health (Austin, TX)
- …to prevent further improper payments.Forwards case to the Credentialing and/or Medical Review Committee, law enforcement and regulatory agencies. + Responsible for ... to internal and external law enforcement and regulatory agencies, Credentialing or Medical Review Committee. + Engages in delivery of audit results and overpayment… more
- CenterWell (Austin, TX)
- …Program Management Lead, Offshore Coding Operations conducts quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the ... business rules to respond to inquiries and issues. + May participate in coder education programs on coding compliance. + Follows state and federal regulations as… more
- Molina Healthcare (Austin, TX)
- …for investigating and resolving instances of healthcare fraud and abuse by medical providers. This position uses information from a tip, member benefits, and ... medical records to document relevant findings of a post...registered nurse (RN), Licensed practical nurse (LPN) and/or Certified Coder (CPC, CCS, and/or CPMA) **Preferred Education** Bachelor's degree… more
