- Elevance Health (Grand Prairie, TX)
- Manager of DRG Coding Audit -Program/Project Locations: _The selected candidate must reside within a reasonable commuting distance of the designated ... eliminate and prevent unnecessary medical-expense spending. The ** Manager of DRG Coding Audit ** leads a high-performing team responsible for auditing… more
- Elevance Health (Grand Prairie, TX)
- …be so complex and advanced that disputes or appeals may only be reviewed by other DRG Coding Audit Principals (or Executives). **How you will make an ... : + BA/BS preferred. + Experience with vendor based DRG Coding / Clinical Validation Audit...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… 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 **Virtual: ** _ _...clinical guidelines and objectivity in the performance of medical audit activities. + Draws on advanced ICD-10 coding… more
- Texas Health Resources (Arlington, TX)
- Manager Compliance Coding _Are you looking for...guidance based on Federal, State, Local, and THR policies. Coding Audit Team Management - Lead the ... work hours: Monday - Friday; 8:00a-5:00p; Position Summary The Coding Compliance Manager oversees and manages auditing...coding audit team, including training and performance evaluation, to maintain… more
- Molina Healthcare (Fort Worth, TX)
- …proficiency. **PREFERRED QUALIFICATIONS:** + Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified ... readmissions. + Validates member medical records and claims submitted/correct coding , to ensure appropriate reimbursement to providers. + Resolves escalated… more