- Elevance Health (Houston, TX)
- …documentation purposes (eg, letter writing) on lower level auditors. + Identifies new claim types by identifying potential claims outside of the concept where ... **DRG Coding Auditor Principal** **_Virtual: _** _ _ This role...Principal** is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation Group (DRG) methodology,… more
- MD Anderson Cancer Center (Houston, TX)
- As a *Nurse Defense Auditor * in our *Hospital Billing & Collections* department, your expertise ensures accurate reimbursement and supports patient access to ... management, and utilization review to request reconsideration and/or appeal of claims requiring clinical intervention, ensuring comprehensive data is provided to… more
- Insight Global (Houston, TX)
- Job Description A large hospital system in Houston, TX is seeking a Hospital Auditor to join their Profee team. The Hospitalist Auditor is responsible for ... and identifies opportunities for improvement. In addition to auditing, the auditor will provide targeted education to hospitalist providers to enhance documentation… more
- Jack Henry & Associates (Allen, TX)
- …and draw valid conclusions. + Able to meet aggressive deadlines. + Certification such as Certified Information Systems Auditor (CISA), Certified Information ... (CISM), GIAC or equivalent IT audit and controls related certification . If you got this far, we hope you're...complaints of discrimination of any kind, pursuing any discrimination claim , or cooperating in related investigations. Requests for full… more
- Houston Methodist (Houston, TX)
- …annual training program budget. + Where applicable assists with pre-billed claim edits to ensure complaint coding, charting and billing. **GROWTH/INNOVATION ... REQUIRED** + For inpatient/outpatient coding: RHIT, RHIA, or CCS certification from AHIMA is required + For professional fee...Coders only) **OR** + CPMA - Certified Professional Medical Auditor (AAPC) -- (CBO Coders only) **KNOWLEDGE, SKILLS, AND… more