Manager Clinical Performance & Quality Coding (Nurse Practitioner or PA) Elevance Health IncManager Clinical Performance & Quality Coding (Nurse Practitioner or PA)Grand Prairie, TXDevelop and manage clinical quality reviews to ensure peer review and clinical quality chart audit process including targeting chart reviews, auditing percentages, score guidelines feedback mechanism and ensure compliance with remediation procedures. Requires a master's in Nursing (or PA equivalent) and at least 3 years of clinical experience in applying appropriate diagnosis in the Medicare HCC Mode; or any combination of education and experience, which would provide an equivalent background.
Payer Coding Ops Hourly DatavantPayer Coding Ops HourlyDallas, TX$25–$26.70 / hourGuided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. USD To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc.
NewSenior Clinical Coding Nurse Consultant North Texas Market UnitedHealth Group IncSenior Clinical Coding Nurse Consultant North Texas MarketFort Worth, TX$72,800–$130,000 / yearPrimary Responsibilities: Subject matter expert for all RA related activities within their assigned market(s) working within a matrix relationship, which includes DataRAP Operations and regional/market operations. Participate in scheduled meeting with clinician groups on weekly, monthly, quarterly, and annual Business Review meetings related to RA activities, which summarize the clinicians care to our members via RA reporting.
Coding Coordinator Baylor Scott & White HealthCoding CoordinatorDallas, TXCERTIFICATION/LICENSE/REGISTRATION - Cert Coding Specialist (CCS), Cert Coding Spec Physician Bas (CCS-P), Cert Inpatient Coder (CIC), Cert Interv Radiology CV Coder (CIRCC), Cert Outpatient Coder (COC), Cert Professional Coder (CPC), Reg Health Info Administrator (RHIA), Reg Health Information Technic (RHIT): Must have one of these certifications: CCS, CCS-P, CIRCC, COC, CPC, RHIA, RHIT. The Coding Coordinator monitors operations, functions, workflow, and services by third-party suppliers for HIM Coding.
NewManager Clinical Performance & Quality Coding (Nurse Practitioner Or PA) Elevance HealthManager Clinical Performance & Quality Coding (Nurse Practitioner Or PA)Grand Prairie, TXDevelop and manage clinical quality reviews to ensure peer review and clinical quality chart audit process including targeting chart reviews, auditing percentages, score guidelines feedback mechanism and ensure compliance with remediation procedures. Requires a master's in Nursing (or PA equivalent) and at least 3 years of clinical experience in applying appropriate diagnosis in the Medicare HCC Mode; or any combination of education and experience, which would provide an equivalent background.
NewProfee Coding Specialist CorroHealth IncProfee Coding SpecialistTXAccurately apply diagnosis and procedure codes utilizing ICD-10-CM, ICD-10-PCS, CPT, and HCPCS. Specific tasks, responsibilities or competencies may be documented in the Team Member's performance objectives as outlined by the Team Member's immediate Leadership Team Member.
Epic Resolute Application Developer (Charge Router and Coding Skills) - 6260321 Accenture PlcEpic Resolute Application Developer (Charge Router and Coding Skills) - 6260321Irving, TXIn addition to delivering innovative solutions for Accenture's clients, you will work with a highly skilled, diverse network of people across Accenture businesses who are using the latest emerging technologies to address today's biggest business challenges. Dropping orders using chart review-> creating new patient encounter -> dropping an order and signing the order/Unite charge entry ->creating new encounter.
NewSenior Coding Educator UnitedHealth Group IncSenior Coding EducatorDallas, TX$72,800–$130,000 / yearProvides continuing education supporting medical coders to stay updated with evolving regulations, coding guidelines, and payer requirements, continuing education credits required for professional credentialing maintenance and industry topics for career development. Develop and provide educational programs to assist coders in updated regulatory requirements, coding guidelines, payer requirements, and updated coding topics in large group settings, individual settings, and/or focused groups.
HB-PB Coding Specialist II West Virginia University MedicineHB-PB Coding Specialist IITXReviews and accurately interprets medical record documentation from all accounts in order to identify all diagnosis and procedures that affect the current inpatient stay or outpatient encounter and assigns the appropriate ICD-10, CPT, or modifier codes for each diagnosis and procedure that is identified. This position is an integral part of an overall compliance program effort as it pertains to hospital/physician coding and billing functions, as such will interact with physician and non-physician providers to maximize correct coding initiatives along with hospital coding.
Auditor, HCC Risk Adjustment Coding DatavantAuditor, HCC Risk Adjustment CodingDallas, TX$29–$32 / hourThe estimated total cash compensation range for this role is: $29—$32 USD To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies.
Facility Coding Quality Specialist CorroHealth IncFacility Coding Quality SpecialistTXPerforms complex retrospective analysis of medical record documentation to identify coding and billing errors and inconsistencies according to guidelines of the AHA, CMS, AMA, Clinic Coding Clinic and CPT Assistant. Provides second -level review of diagnosis, procedure and billing codes to ensure compliance with legal and procedural policies that ensure optimal reimbursements while adhering to regulations prohibiting unbundling and other questionable practices.
NewInpatient Profee Coding Speciaist CorroHealth IncInpatient Profee Coding SpeciaistPlano, TXAccurately apply diagnosis and procedure codes utilizing ICD-10-CM, ICD-10-PCS, CPT, and HCPCS. Specific tasks, responsibilities or competencies may be documented in the Team Member's performance objectives as outlined by the Team Member's immediate Leadership Team Member.
Office Coding Specialist - Family Medicine CorroHealth IncOffice Coding Specialist - Family MedicineTXRemoteProfessional Fee Specialties could include UR, Podiatry, Plastics, Pediatrics, OB, Pain Management, Ortho, Addiction, General Surgery, Internal Medicine, Urgent Care, Pulmonary, or ED. Examples include: Excel you should be able to open and add to a spreadsheet, perform basic formulas like adding or multiplying, and create a basic pivot table.
Inpatient Coding Compliance Auditor (Remote) Memorial Hermann Health SystemInpatient Coding Compliance Auditor (Remote)TXRemoteLicenses/Certifications: Inpatient - Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Associate (CCA), Certified Coding Specialist (CCS), or Certified Inpatient Coder (CIC) Coding Certification(s) from American Health Information Management Association (AHIMA) or American Association of Professional Coders (AAPC) required. Outpatient - Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or relevant Coding Certification(s) from American Health Information Management Association (AHIMA) or American Association of Professional Coders (AAPC) required.
Inpatient Coding Auditor Huron Consulting GroupInpatient Coding AuditorColorado, TXRemote$38.46–$52.40 / hourPHYSICAL DEMANDS: This role requires remaining seated at a desk/computer for 8 hours daily; repetitive use of computer keyboard and mouse; use of computer monitors for 8 hours daily; interaction though video/audio conference calls and possible use of a headset with microphone; very rarely duties might require the ability to lift up to 20 pounds and bending & standing for periods at a time. Utilizes encoder software applications, which includes all applicable online tools and references in the assignment of International Classification of Diseases, Clinical Modification (ICD-CM) diagnosis and procedure codes (ICD-PCS), MS-DRG, APR DRG, POA, SOI & ROM assignments.
Client Coding Project Manger (CCPM) DatavantClient Coding Project Manger (CCPM)Dallas, TX$75,000–$90,000 / yearThe estimated total cash compensation range for this role is: $75,000—$90,000 USD To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies.
Outpatient Coding & QA Trainer Harris Health SystemOutpatient Coding & QA TrainerTXHarris Health is among an elite list of health systems in the U.S. achieving Magnet nursing excellence designation for its hospitals, the prestigious National Committee for Quality Assurance designation for its patient-centered clinics and health centers and its strong partnership with nationally recognized physician faculty, residents and researchers from Baylor College of Medicine; McGovern Medical School at The University of Texas Health Science Center at Houston (UTHealth); and The University of Texas MD Anderson Cancer Center. Other Requirements:Detailed knowledge of coding conventions and rules established by the American Medical Association (AMA), the Center for Medicare and Medicaid Services (CMS), the ICD-9-CM Official Coding Guidelines, AHIMA, and AAPC for assignment of diagnostic and procedural codes.
NewCoding Instructor Code NinjasCoding InstructorLewisville, TexasWe are looking for a Coding Instructor to join our team of dynamic, energetic, forward-thinking minds, working toward our common goal: providing a fun and safe learning environment for children. Parents are thrilled as their children gain confidence and new skills including coding, math, logic, and problem-solving, as they progress from white to black belt.
Risk Adjustment Coding Auditor Retail IndustryRisk Adjustment Coding AuditorDallas, TexasWe offer a comprehensive suite of solutions including business and technology consulting, Cloud,e-business and digital transformation services, system integration, custom application development, re-engineering, and long-term application support. Vytwo Technologies is a global leader in enterprise application integration, delivering end-to-end IT consulting and business services for mid to large-scale organizations.
Risk Adjustment Coding Auditor VytwoRisk Adjustment Coding AuditorDallas, TXFull timeJD: This role will be occupied by a certified risk adjustment coder to support first and second pass auditing for CMS RADV's. Role type: Risk Adjustment Coding Auditor.