- Conifer Revenue Cycle Solutions (Frisco, TX)
- …ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned. Coding : Reviews medical records for the determination of accurate assignment ... documented diagnoses and procedures. Adheres to Standards of Ethical Coding (AHIMA). Abstracting: Reviews medical records to...OPPS, ICD-10-CM and CPT updates) for inpatient and outpatient coding . Quarterly review of AHA Coding… more
- DERMCARE MANAGEMENT LLC (Frisco, TX)
- …records or note to file. Documenting patients' medical information, including medical history and review of symptoms within EHR of patients chart. ... on laboratory results and documenting properly within chart. Updating and filing patient medical records and or any patient correspondence. Coding and filling… more
- Conifer Revenue Cycle Solutions (Bryan, TX)
- …Analysis and interpretation of regional and facility-specific data and CDI audits Record Review : As needed, completes initial medical records reviews of patient ... seminars on annual basis (IPPS and OPPS, ICD-9-CM and CPT updates) for inpatient. Quarterly review of AHA Coding Clinic. Attends Quarterly Coding Updates and… more
- Conifer Revenue Cycle Solutions (Frisco, TX)
- …seminars on annual basis (IPPS and OPPS, ICD-9-CM and CPT updates) for inpatient. Quarterly review of AHA Coding Clinic. Attends Quarterly Coding Updates and ... and plans ensuring alignment with national goals and yearly evaluations Improve Medical CMI throughout Conifer. Responsible for the supervision and coordination of… more
- Revantage Corporate Services (Dallas, TX)
- …and prepare detailed analyses explaining the monthly and quarterly fluctuations Review accounts payable/receivable for accuracy, including account coding and ... time, including but not limited to terms and conditions regarding eligibility. Please review the job applicant privacy notice here. Perks for You Competitive salary,… more
- 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
- HCA Healthcare (Pasadena, 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
- 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
- HCA Healthcare (Houston, TX)
- …coding guidelines and policy + Demonstrates and applies expert level knowledge of medical coding practices and concepts + Participates on special reviews or ... in current Company policy + Reviews all official data quality standards, coding guidelines, Company policies and procedures, and clinical/ medical resources to… 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
- HCA Healthcare (Arlington, TX)
- … guidelines and policies + Demonstrates and applies expert level knowledge of medical coding practices and concepts; assists in ensuring vendor coders adherence ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...focus, prebill review , and Ad Hoc quality review process + Submits and reviews coding … more
- Elevance Health (Grand Prairie, TX)
- …editing policies into effective and accurate reimbursement criteria.** PRIMARY DUTIES: + Review medical record documentation in support of Evaluation and ... ICD-10 code. + Reviews company specific, CMS specific, and competitor specific medical policies, reimbursement policies, and editing rules, as well as conducting… 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
- Elevance Health (Houston, TX)
- …documentation to evaluate issues of coding and DRG assignment accuracy. Specializes in review of DRG coding via medical record and attending physician's ... formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **DRG CODING AUDITOR** is responsible for… more
- Dallas Behavioral Healthcare Hospital (Desoto, TX)
- …service standards. Requirements + Education: Certificate or associate's degree in medical coding /CPC. These additional certifications are not required but ... industry-standard guidelines for CPT, ICD-9 and ICD-10. + Answer coding questions + Review clinical documentation to...services + Knowledge, Skills & Abilities: + Knowledge of medical terminology; basic and advanced ICD-9-CM coding ;… more
- Molina Healthcare (San Antonio, 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
- UTMB Health (Galveston, TX)
- …Certified Coding Specialist (CCS) certification, and a minimum of 3 years of medical coding experience. **Or** . Registered nurse (or medical school ... + Understand the general flow of health information from medical record documentation and discharge, through coding ,...is needed to assign coded data. + Collaborate with HIM/ coding professionals to review individual problematic cases… more
