- Kemper (Dallas, TX)
- …is excited to be adding to our Claims Auditing Team. Our claims auditor position is responsible for reviewing claim files in an effort to: + Provide ... timely and accurate feedback on claim quality as measured by compliance with company and...and impacting bottom-line results + Maximize value to the claims department through planned partner relationships designed to foster… more
- Prime Therapeutics (Austin, TX)
- …career? Come build the future of pharmacy with us. **Job Posting Title** Pharmacy Claims Auditor - Remote **Job Description** The Pharmacy Claims ... analyze and compile supporting information. This role will also execute and support audit-related projects, best practices in identifying audit trends, and business… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- **42910BR** **Extended Job Title:** Medical Coding Auditor **Org Level 1:** Texas Tech Unv Hlth Sci Ctr El Paso **Position Description:** Responsible for auditing ... compliance with healthcare laws and organizational policies. The Medical Coding Auditor collaborates with practice, providers, and other departmental leaders to… 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
- Humana (Austin, TX)
- …and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursement. The Nurse Auditor 2 work assignments are varied ... of our caring community and help us put health first** The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation… more
- Elevance Health (Houston, TX)
- …week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office ... Included are processes related to enrollment and billing and claims processing, as well as customer service written and...you will make an impact:** + Assists higher level auditor /lead on field work as assigned and acts as… more
- Dallas Behavioral Healthcare Hospital (Desoto, TX)
- …Clerk/Coder to assign procedure, and diagnosis codes for insurance billing, review claims data, research, and correspond with insurance companies to obtain accurate ... reimbursement for healthcare claims . This person will also be responsible for analyzing,...covers the duties of receptionist. + Provides backup clerical support to various departments. + Researches, prioritizes, and follows… more
- Jack Henry & Associates (Allen, TX)
- …and other third-party assessments, ensuring accountability and resolution. + Remediation Support + Proactively monitor and track Complementary Solutions Threat & ... aggressive deadlines. + Certification such as Certified Information Systems Auditor (CISA), Certified Information Systems Security Professional (CISSP), Certified… more
- Houston Methodist (Houston, TX)
- …is captured accurately. + Performs/Leads performance improvement activities that support operational efficiencies, data integrity and service quality including ... training program budget. + Where applicable assists with pre-billed claim edits to ensure complaint coding, charting and billing....for best practices. + Strives to improve and enhance support to the Hospital and System and seeks opportunities… more