- 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 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
- 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
- Molina Healthcare (Houston, TX)
- …coding experience including diagnosis. Candidates with knowledge of CPT/HCPCS codes, record review , chart audit , provider disputes, appeals, and 1500 & UB04 ... review , medical claims review , claims auditing, medical necessity review and/or coding experience, or equivalent combination of relevant education 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
- BrightSpring Health Services (Houston, TX)
- …and communicating payroll discrepancies to the business center + Collection and review of employee punch correction forms and/or manual timesheets. Obtain applicable ... reports received from the Resource Center to supervisors for review + Collection and review of employee...Center weekly + Process accounts payable invoices including invoice coding to General Ledger Account and locations in Oracle,… more
- Molina Healthcare (Houston, TX)
- …for Risk Adjustment, RADV, or Risk Adjustment-like projects, and other state specific audit projects and deliverables related to accurate billing and coding . ... This role also works with the Health Plan Risk/ Quality leaders to strategically plan for supplemental data source (SDS) acquisition from providers as well as… 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