- Merck (Austin, TX)
- …Skills:** Accountability, Accountability, Adaptability, Audits Compliance, Business Processes, Clinical Documentation , Clinical Quality Management, ... and saving lives around the world. Our Research & Development Division QA Clinical Quality (CQ) provide independent assurance that our Company ensures the safety,… more
- CVS Health (Austin, TX)
- …Eastern and Central time zones._ **Job Summary:** The NCQA Accreditation Auditor is responsible for evaluating healthcare organizations' compliance with NCQA ... and supporting quality activities. This role involves conducting audits, preparing documentation , and collaborating with internal teams, as well as external… more
- Datavant (Austin, TX)
- …audits. + Develop and implement education for physicians, nursing, and other clinical staff to enhance documentation . + Communicate effectively with co-workers, ... the future of healthcare from your own workspace! Inpatient auditor with 3-5 years of experience at a Trauma...assess proper coding or identify the need for additional documentation . Scrutinizes all HCPCS and CPT codes influencing APC… more
- Texas Health Resources (Arlington, TX)
- …ensuring documentation accurately captures a patient's health status and clinical condition. Proficiency in researching Medicare, OIG, CMS, and other regulatory ... establishing management correction plans when necessary. Additionally, the Compliance Auditor Manager effectively communicates audit findings through reports, presentations,… more
- Aegis Therapies (Tomball, TX)
- …preferred. + Minimum 1 year of therapy management experience. + Currently Credentialed Documentation Auditor (CDA) or ability to become credentialed within six ... with specialized, ongoing training, career advancement opportunities and the strongest clinical support in the industry. + **Flexibility - Redefining Work-life… more
- Dallas Behavioral Healthcare Hospital (Desoto, TX)
- …industry-standard guidelines for CPT, ICD-9 and ICD-10. + Answer coding questions + Review clinical documentation to ensure it meets the level of CPT codes and ... appropriate personnel. + Follows through and investigates missing charts. + Clarify documentation with the Physician and Director as needed. + Completes reports and… more
- Molina Healthcare (Dallas, TX)
- …of department interventions. + Creates, manages, and/or compiles the required documentation to maintain critical quality improvement functions. + Leads quality ... Excel and Visio (flow chart equivalent). **Preferred Education** Preferred field: Clinical Quality, Public Health or Healthcare. **Preferred Experience** 1 year of… more
- Dallas Behavioral Healthcare Hospital (Desoto, TX)
- …standard guidelines for CPT, ICD-9 and ICD-10. + Answer coding questions + Review clinical documentation to ensure it meets level of CPT codes and ICD-10 ... Certified Interventional Radiology Cardiovascular Coder (CIRCC) and Certified Professional Medical Auditor (CPMA) + Experience: A minimum of 1 year coding experience… more
- Houston Methodist (Houston, TX)
- …ESSENTIAL FUNCTIONS** + Prepares journal entries with appropriate supporting documentation . Manages and reconciles banking accounting process daily and reconciles ... Public Accountant - State Licensure **AND** + CIA - Certified Internal Auditor (IIA) **KNOWLEDGE, SKILLS, AND ABILITIES** + Demonstrates the skills and competencies… more