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  • Medical Auditor

    Methodist Health System (Dallas, TX)



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    Hours of Work :

    Flexible 8 am - 4:30 pm

    Days Of Week :

    Monday through Friday

    Work Shift :

    Job Description :

    _Remote or On-Site (Dallas, TX)_

    **Employment/Education History Requirements** :

    **_Certifications_** : High school education or equivalent; some college credit; Bachelor’s degree preferred.

     

    Certified Professional Coder ( **CPC** ) certification from AAPC **or** Certified Coding Specialist – Physician-based ( **CCS-P** ) certification from AHIMA with the appropriate level of experience for auditing and abstracting.

     

    **_Preferred_** : Certified Professional Medical Auditor (CPMA) certification from AAPC

    **_Experience/Knowledge_** :

     

    2+ years of multispecialty auditing medical documentation experience for appropriate E&M level and CPT assignment **or** 4-5 years of multispecialty coding experience.

     

    Thorough knowledge of anatomy/medical terminology.

     

    Proficient with Microsoft Word and Excel.

     

    Experience with Epic preferred.

     

    Ability to communicate effectively via written and verbal communication.

     

    Ability to research payer and federal regulatory sites.

     

    Excellent knowledge of guidelines for ICD-10-CM, CPT®, HCPCS, and regulatory guidance.

     

    Knowledge of CMS split/shared, teaching physician, incident-to, and scribe documentation guidelines.

     

    Critical thinking skills to assess and comprehend documentation in various forms within the medical record.

     

    **Your Job Responsibilities** :

    **_Duty 1_** : Audit coder I & II assigned E&M levels and surgical/procedural codes against provider documentation for quarterly compliance program auditing requirements.

    **_Duty 2:_** Audit coder III denial actions and resolutions.

    **_Duty 3_** : At the direction of the Director/Audit Manager, perform random risk audits for areas of concern to assure documentation standards are being met for billing/coding purposes.

    **_Duty 4_** : Assist in training and education of coders and staff on compliance billing and coding principles for government and commercial payers.

    **_Duty 5_** _:_ Assists in research and responding to coder questions via e-mail.

    **_Duty 6_** : Assists in production coding in order to maintain volume in work queues for end of month.

    **_Duty 7_** : Assists in all other areas within the coding/auditing department as directed by Director/Audit Manager.

    **_Duty 8_** : Adhere to patient and office confidentiality guidelines as outlined by the policies and procedures of MMG and MHS as well as HIPAA, red flag regulations, and any other polices that relate to compliance to federal program guidelines.

    **_Duty 9_** : Supports the mission, vision, values and strategic goals of the Methodist Health System and the Methodist Medical Group.

     

    Other duties as assigned.

     

    Methodist Medical Group is the North Texas physician organization affiliated with Methodist Health System. Our fast-growing network of providers includes more than 60 healthcare clinics, an urgent care clinic, and a virtual care service known as MethodistNOW. Our employees enjoy not only competitive salaries but also the outstanding benefits package of Methodist Health System, which includes medical, dental, and vision insurance; a matched retirement plan; an employee wellness program; and more. The opportunities for career growth are equally generous. Our affiliation means being part of an award-winning workplace:

     

    + 150 Top Places to Work in Healthcare by _Becker’s Hospital Review_ , 2023

    + Top 10 Military Friendly® Employer, Gold Designation, 2023

    + Top 10 Military Spouse Friendly® Employer, 2023

     

    Methodist Health System is a faith-based organization with a mission to improve and save lives through compassionate, quality healthcare. For nearly a century, Dallas-based Methodist Health System has been a trusted choice for health and wellness. Named one of the fastest-growing health systems in America by _Modern Healthcare_ , Methodist has a network of 12 hospitals (through ownership and affiliation) with nationally recognized medical services, such as a Level I Trauma Center, multi-organ transplantation, Level III Neonatal Intensive Care, neurosurgery, robotic surgical programs, oncology, gastroenterology, and orthopedics, among others. Methodist has more than two dozen clinics located throughout the region, renowned teaching programs, innovative research, and a strong commitment to the community. Our reputation as an award-winning employer shows in the distinctions we’ve earned:

     

    + TIME magazine Best Companies for Future Leaders, 2025

    + Great Place to Work® Certified™, 2025

    + Glassdoor Best Places to Work, 2025

    + PressGaney HX Pinnacle of Excellence Award, 2024

    + PressGaney HX Guardian of Excellence Award, 2024

    + PressGaney HX Health System of the Year, 2024

    Equal Opportunity Employer

    It is the policy of Methodist Health System (MHS) to select, develop, and promote employees based on individual ability and job performance. It has been, and will continue to be, the policy of MHS to provide equal employment opportunity to all people in all aspects of employer-employee relations without discrimination because of race, color, religion, national origin, age, sex, sexual orientation, gender expression, disability, marital status, genetic information or ancestry. This policy affects decisions including, but not limited to, an employee’s compensation, benefits, terms and conditions of employment, opportunities for promotion, training, development, transfer all other privileges of employment. MHS is committed to maintain a working environment free of intimidation, workplace discrimination and harassment. Retaliation or attempted retaliatory behavior that occurs as a result of an employee’s exercise of their rights under this policy or any other statutorily protected right is strictly prohibited and will be grounds for disciplinary action.

     


    Apply Now



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