- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- … Coding Auditor Manager + Participate in the development of coding and billing strategies, evaluating processes related to Revenue Cycle andmaking ... **42425BR** **Extended Job Title:** Medical Coding Auditor **Org Level 1:** Texas...roles Licensure/certification + Current CPC (CertifiedProfessional Coder), CCS (Certified Coding Specialist), or CBCS (Certified Billing and… more
- HCA Healthcare (Houston, TX)
- …you to apply! **Job Summary and Qualifications** As a work from home Inpatient Coding Auditor , you will be responsible for performing internal quality assessment ... of each individual is recognized. Submit your application for the opportunity below: Inpatient Coding Quality Auditor Parallon. **This is a fully work from home… more
- Highmark Health (Austin, TX)
- … audit activities. Reviews medical records to determine data quality and accuracy of coding , billing and documentation related to DRGs, APCs, CPTs and HCPCS ... with CDMP and compliance programs to improve documentation which supports compliant coding . Interacts with external consultants regarding billing , coding … more
- Cognizant (Austin, TX)
- **About the role** As an Inpatient Medical Coding Auditor , you will make an impact by auditing consultant inpatient. You will be a valued member of the Cognizant ... ICD-10-CM and ICD-10-PCS education and mentoring to Company's clients in coding , billing and compliance + Perform Peer Reviews of Company Health Information… more
- Elevance Health (Houston, TX)
- …as necessary to aid in investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations. + Collaborates ... **Clinical Provider Auditor II** **Location:** _Hybrid1:_ This role requires associates...an Impact:** + Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities for fraud… more
- Elevance Health (Houston, TX)
- …as necessary to aid in investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations. + Collaborates ... **Clinical Provider Auditor II** **Supports the Payment Integrity line of...an impact:** + Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities for fraud… more
- Humana (Corpus Christi, TX)
- …accuracy, and Medicare Conditions of Participation demand meticulous documentation. A QA Auditor will help ensure all records meet federal, state, and payer-specific ... standards, reducing audit risk and financial exposure. The QA Auditor will review Start of Care (SOC), Recertification, and Discharge documentation for completeness… more
- Molina Healthcare (Fort Worth, TX)
- …standard principles and state specific policies and regulations to identify incorrect coding , abuse and fraudulent billing practices, waste, overpayments, and ... and services billed under Institutional and non-institutional claims. * Validates coding , updating and maintaining benefit plans, provider contracts, fee schedules… more
- HCA Healthcare (Pasadena, TX)
- …of our team. **Job Summary and Qualifications** As a work from home Inpatient Coding Auditor , you will be responsible for performing internal quality assessment ... Do you want to join an organization that invests in you as a Coding Quality Audit Reviewer? At Parallon, you come first. HCA Healthcare has committed up… more
- Houston Methodist (Houston, TX)
- …+ Where applicable assists with pre-billed claim edits to ensure complaint coding , charting and billing . **GROWTH/INNOVATION ESSENTIAL FUNCTIONS** + Designs, ... At Houston Methodist, the Coding Educator position is responsible for developing ...Coders only) **OR** + CPMA - Certified Professional Medical Auditor (AAPC) -- (CBO Coders only) **KNOWLEDGE, SKILLS, AND… more