- WTW (Houston, TX)
- …of project + Clearly communicate and professionally interact with vendor and audit team + Review documentation of potential discrepancies for thoroughness ... **Description** As a Medical Claim Lead Auditor, you will apply your audit , project management and client management skills to lead client audits. You will serve as… more
- Datavant (Austin, TX)
- …preferably within an academic medical facility. + Experience with significant level of coding quality review feedback + Experience in computerized encoding ... codes from patient records, ensuring precision and adherence to documentation + Oversee and audit the work of Level 1 & 2 Coders, where applicable + Champion… more
- Insight Global (Plano, TX)
- …(DRG) validation and quality audits on inpatient charts to ensure accurate coding and compliance with federal regulations. This is a remote opportunity and the ... asked to audit clients' CDI programs, including query reviews and coding analysis. Responsible for maintaining access credentials for company systems and EMRs.… more
- CVS Health (TX)
- …who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - ... one family and one community at a time. Responsible for the review and evaluation of clinical information and documentation. Reviews documentation and interprets… more
- Oracle (Austin, TX)
- …with regulatory authorities, notified bodies, and in external audit situations. **Responsibilities** **Key Responsibility** **Cross-Organizational and Cross-Team ... clinical oversight across Oracle Health, partnering with product development, engineering, quality , and regulatory functions to align clinical best practices with… more
- Oracle (Austin, TX)
- …currency, FX history, escalation indices, and vendor rate cards. + Implement data quality standards, coding , and metadata to enable parametric and benchmark ... analysts) with clear roles, SLAs, and succession plans. + Chair the Estimate Review Board; provide independent cost assurance for major funding decisions. + Oversee… more
- Houston Methodist (Katy, TX)
- …of Revenue Cycle, to include but not limited to: medical coding , insurance billing, collections, patient account resolution, appeals/denials, customer service, cash ... cash collections, denials, avoidable write-offs, staff productivity and work quality and credit balances. The manager position responsibilities include managing… more
- PwC IT Services Co. (Fort Worth, TX)
- …Requirements Analysis, C#.NET, C++ Programming Language, Client Management, Code Review , Coding Standards, Communication, Computer Engineering, Computer Science, ... needs of your teams and clients, and to deliver quality . Embracing increased ambiguity, you are comfortable when the...technical standards (eg refer to specific PwC tax and audit guidance), the Firm's code of conduct, and independence… more
- CIBC (TX)
- …Audits, Compliance Exams, AML/ CEEP, and GORM Reviews for the LOB regarding audit scope review & finalization, requests for information, fieldwork support and ... all lines of defense, inclusive of Operational Risk Management, Internal Audit , Enterprise counterparts, and control assessment teams. + **Collaboration** - Engaging… more
- Coinbase (Austin, TX)
- …and business risk owners. * Maintain source of truth risk register: Quality control of data, tooling support, and implementing automation/process improvements to ... for risks, assessments, and reporting to meet regulatory requirements. * Support audit and regulatory inspections: Support data compilation to respond to US and… more