- University Health (San Antonio, TX)
- …Plan. This position is responsible for conducting complex audits of medical coding , billing, and documentation practices to ensure adherence to federal and state ... ethical guidelines. The position performs end-to-end reviews of clinical documentation, coding assignments, charge capture, and claim submissions, ensuring that … more
- 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 posting ... Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** Manager of DRG Coding Audit ** leads a high-performing… more
- Texas Health Resources (Arlington, TX)
- Manager Compliance Coding _Are you looking for...& Education - Inform and educate the audit team, coding staff, and other relevant departments ... and documentation procedures, addressing conflicting or vague documentation issues. Recommend coding education , training, and best practices for areas vulnerable… more
- Cardinal Health (Austin, TX)
- …and conducts investigations to resolve ethics and compliance issues. **Compliance Audit Manager ** Reporting to the Compliance Director, this position ... and completion of the annual enterprise risk assessment and audit and monitoring plan. The Manager has...to define audit priorities based on previous audit findings, management priorities, coding utilization patterns,… more
- Datavant (Austin, TX)
- …presentations, reports, educational programs, memoranda, etc. by providing formal and informal education to QA specialists, coding vendors and staff. + Report ... will provide superior quality by performing audits pertaining to risk adjustment coding efforts. The individual will be responsible for daily operations pertaining… more
- Elevance Health (Houston, TX)
- …complex and advanced that disputes or appeals may only be reviewed by other DRG Coding Audit Principals (or Executives). **How you will make an impact:** + ... audit activities. + Draws on extremely advanced ICD-10 coding expertise, clinical guidelines, and industry knowledge to substantiate sophisticated conclusions.… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …practice, providers, and other departmental leaders to provide education on medical coding and documentation based on audit findings and as required by ... current CMS regulations. Work directly with the Medical Coding Auditor Manager to implement best practices...El Paso **Preferred Qualifications:** + 5 years of relevant audit experience in physician or facility medical coding… more
- Elevance Health (Grand Prairie, TX)
- …coding principles, clinical guidelines and objectivity in the performance of medical audit activities. + Draws on advanced ICD-10 coding expertise, clinical ... : + BA/BS preferred. + Experience with vendor based Diagnosis-Related Group (DRG) Coding /Clinical Validation Audit setting or hospital coding or quality… more
- Datavant (Austin, TX)
- …changes with the appropriate manager . + Prepare the final reports for the coding audit and actively participates in the resolution of audit findings. ... + Provide coder education via email and/or conference calls, utilizing the audit spreadsheet findings and comments. + Attend coding workshops as necessary. +… more
- CenterWell (Austin, TX)
- …business rules to respond to inquiries and issues. + May participate in coder education programs on coding compliance. + Follows state and federal regulations as ... in Payer calls/chart reviews. + May participate in provider education programs on coding compliance. + Exercises...in Microsoft Office Suite (Word, Excel, PowerPoint) and relevant coding / audit software + Strong business acumen with… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …and patient accounting software systems. + Ability to participate with internal peer coding audit reviews. + Ability to communicate with physicians and other ... **43114BR** **Extended Job Title:** Coding Specialist **Org Level 1:** Texas Tech Unv Hlth Sci Ctr El Paso **Position Description:** Review medical record provider… more
- Datavant (Austin, TX)
- …needs related to coding quality, compliance assessments, external payer reviews, coding education , and coding workflow operations reviews. In this ... headset, and keyboard + Comprehensive training led by a credentialed professional coding manager + Exceptional service-style management and mentorship (we're in… more
- Datavant (Austin, TX)
- …educational needs related to coding quality, compliance assessments, external payer reviews, coding education , interim coding management, and coding ... headset, and keyboard + Comprehensive training led by a credentialed professional coding manager + Exceptional service-style management and mentorship (we're in… more
- Elevance Health (Grand Prairie, TX)
- …of claims systems and system edits to identify adjudication issues and to audit claims adjudication for accuracy. + Perform pre-adjudication claims reviews to ensure ... proper coding was used....of 2 years related experience; or any combination of education and experience, which would provide an equivalent background. Certified… more
- Houston Methodist (Katy, TX)
- At Houston Methodist, the Manager Revenue Cycle position is responsible for the daily management of the staff and operations for one or more of the following areas ... of Revenue Cycle, to include but not limited to: medical coding , insurance billing, collections, patient account resolution, appeals/denials, customer service, cash… more
- Texas Tech University (Lubbock, TX)
- **42939BR** **Extended Job Title:** Program Manager **Position Description:** Designs, implements and manages an assigned program. Typical duties can include but are ... in maintaining and auditing undergraduate student information/records to include the degree audit system. + Help process and award undergraduate degrees. + Serves as… more
- Elevance Health (Houston, TX)
- …coding principles, clinical guidelines, and objectivity in the performance of medical audit activities. + Draws on advanced ICD-10 coding expertise, mastery ... findings letters. + Maintains accuracy and quality standards as established by audit management. + Identifies potential documentation and coding errors by… more
- Cardinal Health (Austin, TX)
- …drive business value. Application Development & Maintenance performs configuration or coding to develop, enhance and sustain the organization's software systems in ... that supports the enterprise + Responsible for IT Controls, SOX compliance, and Audit findings in finance functional areas + Overall solution ownership of incidents,… more
- HCA Healthcare (Dallas, TX)
- …CFOs, and staff. + Assists, as needed, with data entry, billing/ audit questions, facility inquiries, in-service education , database maintenance, statistical ... + Minimum of three years' related work experience required. + Chart/Bill audit experience preferred + HCPCS/CPT coding experience preferred. + Experience… 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 ... codes from patient records, ensuring precision and adherence to documentation + Oversee and audit the work of Level 1 & 2 Coders, where applicable + Champion… more
