- Elara Caring (Dallas, TX)
- …the Right Place. **Job Description:** **Remote Position** The Billing Compliance Auditor performs comprehensive audits within the Skilled Home Health, Hospice, ... will include, but are not limited to eligibility, billing, coding , and clinical documentation. Duties of the Billing Compliance..., and clinical documentation. Duties of the Billing Compliance Auditor include but are not limited to: (1) conducting… more
- 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 ... Friday 8AM -5PM (local time) The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure clinical… more
- Elevance Health (Grand Prairie, TX)
- **Clinical Provider Auditor II** **Virtual:** This role enables associates to work virtually full-time, with the exception of required inperson training sessions, ... recover, eliminate and prevent unnecessary medical-expense spending. The **Clinical Provider Auditor II i** s responsible for identifying issues and/or entities that… more
- Elevance Health (Grand Prairie, TX)
- **Clinical Provider Auditor II** **Supports the Payment Integrity line of business** **Virtual:** This role enables associates to work virtually full-time, with the ... recover, eliminate and prevent unnecessary medical-expense spending. The **Clinical Provider Auditor II** is responsible for identifying issues and/or entities that… 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 ... a diagnosis level + Answer rebuttals entered on the auditor by coders and or auditors + Participate in...by coders and or auditors + Participate in weekly coding project review meetings + Any other tasks asked… more
- WTW (Dallas, TX)
- **Description** As a Field Auditor , you will apply your medical claims audit, project management and claim processing and auditing experience to perform self-insured ... + Must have detailed knowledge of ICD-10 and CPT and revenue codes and coding protocols + Excellent oral and written communications skills + Team player with strong… more
- Texas Health Resources (Denton, TX)
- **Charge Auditor Specialist** _Bring your passion to THR so we are Better + Together!!_ Work location: Texas Health Denton: 3000 North I-35 Denton, Texas 76201 Work ... via assigned Epic work queues and/or email inquiries from Finance, HIM Coding , Compliance, Central Business Office, and/or Revenue Integrity. * Provide staff… more
- Molina Healthcare (San Antonio, TX)
- …payment in all markets * Performs monthly audit on internal Molina Coding Specialists * Audits external Molina Vendors. **Job Qualifications** **Required Education** ... Associates degree. **Required Experience** 3 Years in coding and medical record chart review and experience with risk adjustment data validation Required Li… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Coding Educator position is responsible for developing coding education plans and training programs for new hires and current staff to ... enhance coding skills as well as to ensure compliance with...Coders only) **OR** + CPMA - Certified Professional Medical Auditor (AAPC) -- (CBO Coders only) **KNOWLEDGE, SKILLS, AND… more
- University of Texas Rio Grande Valley (Mcallen, TX)
- Position Information Posting NumberSRGV8219 Working TitleCOMPLIANCE CODING AND BILLING ANALYST Number of Vacancies1 LocationMcAllen, Texas DepartmentOffice of the ... of Job Responsible for performing compliance reviews of billing and coding compliance functions and activities, compliance risk assessments, developing policies and… more