- CHRISTUS Health (San Antonio, TX)
- …other departmental areas as requested by leadership and report directly to the Regional Coding Manager , with additional oversight from the Director of Coding ... They review clinical documentation and diagnostic results, achieving a consistent coding accuracy rate of 95% or better. Data is abstracted into all appropriate… more
- CHRISTUS Health (San Antonio, TX)
- …department, as requested by leadership. Coder will report directly to their Regional Coding Manager , with additional leadership from the Director of Coding ... clinical documentation and diagnostic results, with a consistent coding accuracy rate of 95% or better. Coder will...for Coding and Reporting through review of coding critical documentation, to generate appropriate MS/APR DRG… more
- CHRISTUS Health (San Antonio, TX)
- …department, as requested by leadership. Coder will report directly to their Regional Coding Manager , with additional leadership from the Director of Coding ... clinical documentation and diagnostic results, with a consistent coding accuracy rate of 95% or better. Specialty Coder...for Coding and Reporting through review of coding critical documentation, to generate appropriate MS/APR DRG… more
- Elevance Health (Grand Prairie, TX)
- Manager of DRG Coding ...prevent unnecessary medical-expense spending. The ** Managers of DRG Coding & Clinical Validation** ... or process improvement and efficiency recommendations. .Draws on advanced ICD-10 coding expertise, clinical guidelines, and industry knowledge to substantiate… more
- Elevance Health (Houston, TX)
- …Skills, Capabilities and Experiences** : + BA/BS preferred. + Experience with vendor based DRG Coding / Clinical Validation Audit setting or hospital ... ** DRG Coding Auditor Principal** **_Virtual: _**...medical audit activities. + Draws on extremely advanced ICD-10 coding expertise, clinical guidelines, and industry knowledge… more
- Elevance Health (Grand Prairie, TX)
- …Experiences** : + BA/BS preferred. + Experience with vendor based Diagnosis-Related Group ( DRG ) Coding / Clinical Validation Audit setting or hospital ... **Build the Possibilities. Make an Extraordinary Impact.** **Title** : DRG Coding Auditor (ICD-9/10CM, MS- DRG ,...+ Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines and objectivity in… more
- Elevance Health (Houston, TX)
- …Inpatient Coding Credential such as CCS or CIC. + Experience with third party DRG Coding and/or Clinical Validation Audits or hospital clinical ... **Title:** Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS- DRG , AP-...+ Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in… more
- Texas Health Resources (Arlington, TX)
- Manager Compliance Coding _Are you looking for a rewarding career with family-friendly hours and top-notch benefits? We're looking for qualified candidates like ... work hours: Monday - Friday; 8:00a-5:00p; Position Summary The Coding Compliance Manager oversees and manages auditing...identify trends, and recommend solutions for complex compliance and coding challenges. Extensive knowledge of MS DRG ,… more
- Deloitte (Dallas, TX)
- …A CDS: + Is knowledgeable regarding clinical documentation standards and clinical indicators which drive reimbursement, MS- DRG , APR- DRG , PSIs, HACs, ... and follow-up entries in medical records to lead to coding accuracy + Identify gaps in clinical ...CCA, CCS-P, CCS, CPC, CDIP, CCM) + Experience as clinical registered nurse, physician, physician assistant, case manager… more
- UTMB Health (Galveston, TX)
- …clarification. + Apply knowledge of inpatient ICD-10 coding guidelines and clinical documentation requirements to assign working MS- DRG . + Enter review ... physicians, members of the patient care team, and hospital coding staff. **Function:** Ensures clinical documentation accurately...accuracy of final coded data in conjunction with CDI managers , coding managers , and/or physician… more
- Houston Methodist (Houston, TX)
- … clinical documentation. This position analyzes medical records for DRG 's, complications, and comorbidities; identifies trends; and notes observations and ... principles + Demonstrates knowledge of DRG payor issues, appropriate DRG assignment alternatives, clinical documentation requirements, and referral policies… more
- Abbott (Austin, TX)
- …more than 500,000 people with diabetes from routine fingersticks. The **Associate Manager of Clinical Trial Reimbursement** is responsible for implementing and ... managing clinical trial reimbursement processes to secure Medicare and private...Experience with US reimbursement that includes working knowledge of coding , Diagnostic Related Group ( DRG ) assignments, Ambulatory… more
- Datavant (Austin, TX)
- …headset, and keyboard + Comprehensive training led by a credentialed professional coding manager + Exceptional service-style management and mentorship (we're in ... audits on medical records, utilizing ICD-10-CM, CPT, and appropriate coding references for accurate DRG and APC...facility or CCS HIM director. + Review disagreements on APC/ DRG changes with the appropriate manager . +… more
- Datavant (Austin, TX)
- …headset, and keyboard + Comprehensive training led by a credentialed professional coding manager + Exceptional service-style management and mentorship (we're in ... audits on medical records, utilizing ICD-10-CM, CPT, and appropriate coding references for accurate DRG and APC...facility or CCS HIM director. + Review disagreements on APC/ DRG changes with the appropriate manager . +… more
- Molina Healthcare (Houston, TX)
- …regulatory requirements, Molina policies and procedures, and medically appropriate clinical guidelines. Contributes to overarching strategy to provide quality and ... cost-effective member care. **ESSENTIAL JOB DUTIES:** + Facilitates clinical /medical reviews of retrospective medical claim reviews, medical claims and previously… more
- Datavant (Austin, TX)
- …headset, and keyboard + Comprehensive training led by a credentialed professional coding manager + Exceptional service-style management and mentorship (we're in ... 2 Coders, where applicable + Champion documentation improvement opportunities and coding issues, facilitating resolution with relevant stakeholders + Uphold an… more
