- Sedgwick (San Antonio, TX)
- …provided to insurance carriers, corporate legal departments and government entities. The auditor will apply client specified billing guidelines and/or Generally ... Fortune Best Workplaces in Financial Services & Insurance Attorney Auditor ** **This is a fully remote position, and...Ability to effectively communicate with law firms to discuss compliance with client's billing requirements. + Effectively… more
- HCA Healthcare (Houston, TX)
- …Our services include scheduling, registration, insurance verification, hospital billing , revenue integrity, collections, payment compliance , credentialing, ... recognized. Submit your application for the opportunity below: Inpatient Coding Quality Auditor Parallon. **This is a fully work from home position.** **This… more
- Humana (Austin, TX)
- …about 340+ senior focused primary care centers in 15 states. The Regulatory Compliance team that supports the PCO is responsibility to assess, investigate, audit and ... validate the mitigation of compliance risk across the organization. This team ensures that...federal and/or state requirements related to Provider Clinic operations, billing , investigations, and processes. Coordinates site visits for regulators,… more
- Elevance Health (Houston, TX)
- …and abuse. **How you will make an impact:** + Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities for ... **Clinical Provider Auditor II** **Supports the Payment Integrity line of...investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations. + Collaborates… more
- Elevance Health (Grand Prairie, TX)
- …and abuse. **How you will make an impact:** + Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities for ... **Clinical Provider Auditor II** This role requires associates to be...investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations. + Collaborates… more
- Highmark Health (Austin, TX)
- …activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code ... with coding principles and guidelines. Promotes cooperation with CDMP and compliance programs to improve documentation which supports compliant coding. Interacts… more
- Fresenius Medical Center (Plano, TX)
- …support in compliance with company policies and procedures. The Internal Auditor I provides guidance and leadership to ensure performance is in alignment with ... Medical AR and Insurance Verification experience PURPOSE AND SCOPE: An Internal Auditor I is responsible for assisting, developing, and conducting monthly audits for… more
- Methodist Health System (Dallas, TX)
- …**_Duty 4_** : Assist in training and education of coders and staff on compliance billing and coding principles for government and commercial payers. **_Duty ... for auditing and abstracting. **_Preferred_** : Certified Professional Medical Auditor (CPMA) certification from AAPC **_Experience/Knowledge_** : 2+ years of… more
- Hoffman Construction Company (Amarillo, TX)
- …to owner representatives and auditors. + They also ensure that subcontractor billing is accurate and in compliance with contractual agreements. Development ... the client's direction, and that all subcontractors remain in compliance with local and project specific financial requirements. This...according to contract. + Work with client and third-party auditor to resolve any billing concerns. +… more
- Hoffman Construction Company (Amarillo, TX)
- …client timely and according to contract. + Work with client and third-party auditor to resolve any billing concerns. + Ensure that subcontractor/vendor payments ... Accounts Receivable procedures from subcontractor/vendor invoice/payment processing to client billing . Project Accounts Payable management includes staffing Accounts Payable… more