- 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 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)
- …education sessions to coding staff based on needs identified due to coding audit results, regulatory changes, hospital policy changes or implementation of ... coding program and monitor the success of the coding program including assisting with student recruitment. ** QUALITY...or education **WORK EXPERIENCE** + Eight years of progressive coding and/or coding review (auditing)… 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
- Elevance Health (Houston, TX)
- …or insurance sector), including a minimum of 1 year related experience in a quality audit capacity; or any combination of education and experience, which would ... **Performance Quality Analyst II** **Location:** This role requires associates...implementation audits of providers, claims processing and payment, benefit coding , member and provider inquiries, enrollment & billing transactions… 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