- HCA Healthcare (Webster, 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 (Grand Prairie, 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
- Banner Health (TX)
- …coding background to a team that values growth and development! This is a Quality position, not a day-to-day coding production role but does require coding ... Coding experience.** This position is task-production-oriented ensuring quality in the Inpatient Facility Coding department....audit of clinical documentation to ensure that clinical coding is accurate for proper reimbursement and that … more
- Molina Healthcare (Fort Worth, TX)
- …coding principles, clinical guidelines, and objectivity in performance of medical audit activities. Draws on advanced ICD-10 coding expertise, clinical ... **Job Description** **Job Summary** The Manager, Clinical DRG Coding & Validation must have an extensive background in either facility-based nursing and/or inpatient… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …Level 1:** Texas Tech Unv Hlth Sci Ctr El Paso **Position Description:** Performs coding and documentation quality audits; provides feedback to coding and ... Establish process to obtain copies of government initiated audits. Conduct concurrent audit / review to determine possible risks and opportunities to assist in… more
- Datavant (Austin, TX)
- …provide superior quality by performing audits pertaining to risk adjustment coding efforts. The individual will be responsible for daily operations pertaining to ... Management to implement benchmarks, establish acceptable thresholds, and effective quality assurance programs. You will: + Maintain a ...assurance program + Play a key role in ensuring coding compliance and accuracy + Monitor the performance of… more
- Datavant (Austin, TX)
- …participant materials + Provide support to client relations for trainings needed for client audit findings + Research and analysis of coding error trends What ... Adjustment Trainer to help us uplevel our Risk Adjustment Coding Department through improving overall coding accuracy...learning to the work environment through various methods + Review client level audits and advise training content to… more
- Methodist Health System (Richardson, TX)
- …evaluation and management service provided according to guidelines (CMS, PASD), and reports audit results quarterly to Coding and Compliance Manager. * Assigns ... of America) **Job Description :** Your Job: The Clinic Coding Coordinator will analyzes resident E/M coding ...a mission to improve and save lives through compassionate, quality healthcare. For nearly a century, Dallas-based Methodist Health… more
- Intermountain Health (Austin, TX)
- …and payor guidelines, and ensures consistent and compliant application with charge/ coding capture, charge editing, and audit and reimbursement practices. ... Intermountain's policies and procedures. **Essential Functions** 1.Analyze data, develop reports, review trends, and recommend enhancements as defined by the RI… more
- Methodist Health System (Dallas, TX)
- …contractors and other areas vulnerable to compliance risk: + Confirm that periodic coding compliance reviews are performed, review reports and corrective action ... of processes in identified risk areas. + Provide input, review and approve entity level annual compliance work plans....Assist the CLO/CCO with agendas and meetings of the Audit & Corporate Oversight Committee and the Corporate Compliance… more
- Datavant (Austin, TX)
- …KPIs such as suspecting accuracy, chart throughput, RAF impact, data latency, coding quality metrics, and client engagement. **Cross-Functional Collaboration** + ... the development of robust, scalable, and actionable analytics that improve coding outcomes, measure product impact, and support value-based client delivery across… more
- Sumitomo Pharma (Austin, TX)
- …Characteristics (SmPC), and Canadian Product Monograph (PM) + Ensures timely and quality review and assessment of ICSRs, including seriousness, expectedness, ... safety narratives, adverse event coding , concomitant medication coding , and causality statements....study team meetings and governance committees. + Performs aggregate review of post-marketing safety data in support of safety… more
- NuScale Power (Houston, TX)
- …improvement initiatives. ESSENTIAL D UTIES AND RESPONSIBILITIES : + Prepare and review journal entries to support the month-end close process , including ... complex data analyses using Microsoft Excel to prepare and review journal entries and support monthly variance reporting +... and approve accounts payable vouchers , ensuring accurate coding under GAAP and NuScale's Chart of Accounts structure… more
- Houston Methodist (Katy, TX)
- …of Revenue Cycle, to include but not limited to: medical coding , insurance billing, collections, patient account resolution, appeals/denials, customer service, cash ... cash collections, denials, avoidable write-offs, staff productivity and work quality and credit balances. The manager position responsibilities include managing… more
- Ascension Health (Austin, TX)
- …experience preferred. **Additional Preferences** + 5 years RN or 3-5 CDI quality audit experience strongly preferred + Prior adult clinical documentation ... **Details** + **Department: Coding Documentation** + **Schedule: M-F** + **Hospital: Seton...mix index, MS DRG and value-based purchasing reimbursement, and quality /outcomes and compliance requirements. + Manage the review… 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
- Texas Health Resources (Dallas, TX)
- …than 1,000 physicians, nurse practitioners and physician assistants dedicated to providing quality , patient-safe care at more than 240 offices located throughout the ... AUDITS AND MONITORING: Develop, coordinate and oversee annual internal compliance review and monitoring work plan including processes and controls to provide… more
- NTT America, Inc. (Austin, TX)
- …and enhancing system and process controls, and assistance with outside audit preparation. **What you'll be doing** **ESSENTIAL DUTIES & RESPONSIBILITIES** + ... proper company code, GL account, department, location, and project cost coding with appropriate supporting documentation + Continuously reviews documents and… more