- Elevance Health (Grand Prairie, TX)
- **Diagnosis Related Group Clinical Validation Auditor -RN** **Virtual:** This role enables associates to work virtually full-time, with the exception of required ... Shift:** Monday - Friday 8AM -5PM (local time) The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records… more
- Elevance Health (Houston, TX)
- ** Clinical Provider Auditor II** **Location:** _Hybrid1:_ This role requires associates be in the office 1-2 days per week, fostering collaboration and ... unless an accommodation is granted as required by law. The ** Clinical Provider Auditor II** is responsible for identifying issues and/or entities that may… more
- Elevance Health (Grand Prairie, TX)
- ** Clinical Provider Auditor II** **Supports the Payment Integrity line of business** **Hybrid 1** : This role requires associates to be in-office **1-2** days ... is determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** Clinical Provider Auditor II** is responsible for identifying issues… more
- Intermountain Health (Austin, TX)
- **Job Description:** The goal of the Clinical Documentation Specialist- Auditor is to improve the accuracy of the overall clinical picture and the ... of the complexity and severity of illness of patients through improved clinical documentation and diagnostic coding practices. Job Essentials Reviews medical records… more
- HCA Healthcare (Houston, TX)
- …recognized. Submit your application for the opportunity below: Inpatient Coding Quality Auditor Parallon. **This is a fully work from home position.** **This ... for benefits may vary by location._** We are seeking an Inpatient Coding Quality Auditor for our team to ensure that we continue to provide all patients with… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Sr. Internal Auditor is responsible for independently planning, coordinating, and executing reviews of processes or activities of Houston ... - State Licensure **OR** + CIA - Certified Internal Auditor (IIA) **OR** + CFE - Certified Fraud Examiner...that operate at the system level to help enable clinical departments to provide high quality patient care. Houston… more
- Elevance Health (Houston, TX)
- **DRG CODING AUDITOR ** **_Virtual_** **_: _** _ _ __ This role enables associates to work virtually full-time, with the exception of required in-person training ... recover, eliminate and prevent unnecessary medical-expense spending. The **DRG CODING AUDITOR ** is responsible for auditing inpatient medical records and generating… more
- Datavant (Austin, TX)
- …for healthcare. **What We're Looking For:** As an HCC (Hierarchical Condition Category) Auditor you will review medical records that have been coded in a ... purposes. You will play a critical role in translating clinical documentation into precise codes that reflect the complexity...a diagnosis level + Answer rebuttals entered on the auditor by coders and or auditors + Participate in… more
- UTMB Health (Galveston, TX)
- Nurse Auditor - Revenue Cycle Patient Accounts **Galveston, Texas, United States** **New** Business, Managerial & Finance UTMB Health Requisition # 2504740 **Job ... Description:** To provide clinical / technical support for the department through investigating denials, responding to inquiries regarding revenue integrity,… more
- Insight Global (Houston, TX)
- …A large healthcare employer in Houston, TX is seeking a Physician Educator & Auditor to join their growing team. This team will consist of provider auditors and ... documentation is correct and effective from a coding and clinical perspective. The ideal candidate needs to be comfortable...to help educate them on the best practices for clinical documentation and be able to answer any questions… more