- Elara Caring (Dallas, TX)
- …include, but are not limited to eligibility, billing, coding, and clinical documentation . Duties of the Billing Compliance Auditor include but are not ... the Right Place. **Job Description:** **Remote Position** The Billing Compliance Auditor performs comprehensive audits within the Skilled Home Health, Hospice,… more
- Elevance Health (Grand Prairie, TX)
- … Auditor ** is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and DRGs billed and reimbursed. ... **Diagnosis Related Group Clinical Validation Auditor -RN** **Virtual:** This role...years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of… 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 ... appropriate audit report cycle times and audit work paper documentation within established timelines in the appropriate audit system....- State Licensure **OR** + CIA - Certified Internal Auditor (IIA) **OR** + CFE - Certified Fraud Examiner… more
- Elevance Health (Grand Prairie, TX)
- …for all lines of business, and its clients. Also responsible for performing clinical reviews of medical records and other documentation to evaluate issues ... **DRG CODING AUDITOR ** **_Virtual_** **_: _** _ _ __ _This...and audits claims by integrating medical chart coding principles, clinical guidelines and objectivity in the performance of medical… more
- Datavant (Austin, TX)
- …adjustment and reimbursement purposes. You will play a critical role in translating clinical documentation into precise codes that reflect the complexity and ... We're Looking For:** As an HCC (Hierarchical Condition Category) Auditor you will review medical records that have been...a diagnosis level + Answer rebuttals entered on the auditor by coders and or auditors + Participate in… more
- Providence (TX)
- **Description** **Providence is calling for Revenue Cycle Auditor RN within our 7 footprints location: AK, WA, OR, CA, TX, NM, or MT** The Revenue Integrity ... Auditor is responsible for providing patient focused, standardized, compliant...+ Bachelor's Degree - Nursing. + 5 years - Clinical experience in an acute care setting. + 3… more
- Houston Methodist (Houston, TX)
- …appropriate, utilizing the established physician query process. Provides assistance to Clinical Documentation Management Program (CDMP) with appropriate MS-DRG ... TX, LA, FL, TN, WA or GA** At Houston Methodist, the Coding Quality Auditor position is responsible for ensuring accuracy in code assignment of diagnosis and… more
- Highmark Health (Austin, TX)
- …Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code and modifier ... Promotes cooperation with CDMP and compliance programs to improve documentation which supports compliant coding. Interacts with external consultants regarding… more
- L3Harris (Waco, TX)
- …domains in the interest of national security. Job Title: Specialist, Quality (Inspection/ Auditor ) Job ID: 26487 Job Location: Waco, TX; On-site Job Schedule: 4/10 ... related to assembly, process, mechanical, electrical, electro-mechanical systems, field and clinical data. + Further investigates the cause for discrepancies and… more
- University of Texas Rio Grande Valley (Harlingen, TX)
- …of Medicine/ Revenue Cycle FTE1.0 FLSAExempt Scope of Job To promote appropriate clinical documentation through collaboration with the School of Medicine ... appropriate process is followed. Description of Duties * Obtains and promotes appropriate clinical documentation through interaction with clinical staff and… more
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