- Humana (Corpus Christi, TX)
- …accuracy, and Medicare Conditions of Participation demand meticulous documentation. A QA Auditor will help ensure all records meet federal, state, and payer-specific ... standards, reducing audit risk and financial exposure. The QA Auditor will review Start of Care (SOC), Recertification, and Discharge documentation for completeness… 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
- Humana (Austin, TX)
- …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 ... is complete, compliant and accurate to support optimal reimbursement. The Nurse Auditor 2 work assignments are varied and frequently require interpretation and… more
- Datavant (Austin, TX)
- …will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, ... workspace! **What You Will Do:** + Performs Inpatient Facility coding audits according to scope of work, for the...of reviews, using appropriate assignment of codes and other coding -related elements using MS DRG or APR DRGs. +… 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
- Texas Health Resources (Arlington, TX)
- Manager Compliance Coding _Are you looking for a rewarding career with family-friendly hours and top-notch benefits? We're looking for qualified candidates like you ... + Core work hours: Monday - Friday; 8:00a-5:00p; Position Summary The Coding Compliance Manager oversees and manages auditing and monitoring activities related to… more
- Datavant (Austin, TX)
- …Seeking a profee auditor proficient in multi-specialty including procedure and E/M coding in multiple settings **What You Will Do:** + Performs Professional Fee ... Seeking a profee auditor proficient in multi-specialty including procedure and E/M coding in multiple settings **What You Need to Succeed:** + 5+ years of… more
- Datavant (Austin, TX)
- …will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, ... the future of healthcare from your own workspace! Inpatient auditor with 3-5 years of experience at a Trauma...strongly encouraged to apply **You Will:** + Conduct inpatient coding audits on medical records, utilizing ICD-10-CM, CPT, and… more
- Dallas Behavioral Healthcare Hospital (Desoto, TX)
- …professionals to resolve issues resulting from denied claims + Adhere to coding policies and procedures consistent with the industry standard guidelines for CPT, ... ICD-9 and ICD-10. + Answer coding questions + Review clinical documentation to ensure it...Interventional Radiology Cardiovascular Coder (CIRCC) and Certified Professional Medical Auditor (CPMA) + Experience: A minimum of 1 year… more
- Dallas Behavioral Healthcare Hospital (Desoto, TX)
- …professionals to resolve issues resulting from denied claims + Adhere to coding policies and procedures consistent with the industry-standard guidelines for CPT, ... ICD-9 and ICD-10. + Answer coding questions + Review clinical documentation to ensure it...Interventional Radiology Cardiovascular Coder (CIRCC) and Certified Professional Medical Auditor (CPMA) + Experience: A minimum of 1 year… more