- 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 connectivity, ... unless an accommodation is granted as required by law. The **Clinical Provider Auditor II** is responsible for identifying issues and/or entities that may pose… more
- Elevance Health (Houston, 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 per ... recover, eliminate and prevent unnecessary medical-expense spending. The **Clinical Provider Auditor II** is responsible for identifying issues and/or entities that… more
- Elevance Health (Houston, TX)
- **Claims Auditor I** **Location :** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing ... for employment, unless an accommodation is granted as required by law._ The **Claims Auditor I** is responsible for pre and post payment and adjudication audits of… more
- WTW (Dallas, TX)
- **Description** As a Lead Auditor you will apply your audit, project management and client management skills to lead client audits. You will serve as the team leader ... mental health and Medicare + Detailed knowledge of ICD-10 and CPT codes and coding protocols + Excellent oral and written communications skills + Team player with… more
- Molina Healthcare (Fort Worth, TX)
- …and services billed under Institutional and non-institutional claims. * Validates coding , updating and maintaining benefit plans, provider contracts, fee schedules ... principles and state specific policies and regulations to identify incorrect coding , abuse and fraudulent billing practices, waste, overpayments, and processing… 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
- Datavant (Austin, TX)
- …will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, ... of healthcare from your own workspace! Preferred: Strong IP Auditor 3+ years experience, Cerner/3M a plus. Must have...topics. **What You Will Do:** + Performs Inpatient Facility coding audits according to scope of work, for the… more
- HCA Healthcare (Arlington, TX)
- …work from home position.** **This position has a specialization in Inpatient Coding .** **Benefits** Parallon offers a total rewards package that supports the health, ... **Job Summary and Qualifications** As a Vendor Resource Management Coding Lead, you will be responsible for performing concurrent...weekly/monthly quality data to identify trends by vendor and coder/ auditor that need to be addressed + Prepares 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
- University of Texas Rio Grande Valley (Harlingen, TX)
- …provides supporting evidence and makes recommendations regarding identified documentation and coding deficiencies or gaps. Identifies trends and provides feedback to ... Acts as a knowledge expert to service providers and coders through familiarity with coding conventions. * Works closely with Revenue Cycle coding staff on… more