- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …current knowledge of billing and coding requirements, risks and billing compliance requirements. Regularly reviews JH-MAC website and Texas Medicaid ... **41281BR** **Extended Job Title:** Documentation & Coding Auditor **Org Level 1:** Texas Tech Unv Hlth...necessary. Research payer policies to accurately and completely address billing compliance questions. Participate in coding/ billing… more
- Sedgwick (San Antonio, TX)
- …provided to insurance carriers, corporate legal departments and government entities. The auditor will apply client specified billing guidelines and/or Generally ... Fortune Best Workplaces in Financial Services & Insurance Attorney Auditor ** **This is a fully remote position, and...Ability to effectively communicate with law firms to discuss compliance with client's billing requirements. + Effectively… more
- Humana (Austin, TX)
- …business partners to uphold ethical standards and mitigate risks. The Senior Clinical Compliance Professional will support the Director of Compliance , by ... data requires an in-depth evaluation of variable factors. As the Senior Clinical Compliance Professional , you will develop and/or evaluate compliance … more
- Highmark Health (Austin, TX)
- …(Outpatient): Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or ... activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code… more
- Elevance Health (Houston, TX)
- …and abuse. **How you will make an impact:** + Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities for ... **Clinical Provider Auditor II** **Supports the Payment Integrity line of...investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations. + Collaborates… more
- Elevance Health (Grand Prairie, TX)
- …and abuse. **How you will make an impact:** + Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities for ... **Clinical Provider Auditor II** This role requires associates to be...investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations. + Collaborates… more
- Methodist Health System (Dallas, TX)
- …**_Duty 4_** : Assist in training and education of coders and staff on compliance billing and coding principles for government and commercial payers. **_Duty ... of experience for auditing and abstracting. **_Preferred_** : Certified Professional Medical Auditor (CPMA) certification from AAPC **_Experience/Knowledge_**… more
- Hoffman Construction Company (Amarillo, TX)
- …to owner representatives and auditors. + They also ensure that subcontractor billing is accurate and in compliance with contractual agreements. Development ... client timely and according to contract. + Work with client and third-party auditor to resolve any billing concerns. + Ensure that subcontractor/vendor payments… more
- University of Texas Rio Grande Valley (Harlingen, TX)
- …of service rendered to patients. * Conducts complex reviews of physician/provider billing compliance activities in accordance with applicable laws, regulations, ... Performs prospective and retrospective audits of documentation to confirm compliance with documentation and billing rules and...be required after 6 months of employment. Preferred: Certified Professional Medical Auditor ( CPMA ) from… more
- Hoffman Construction Company (Amarillo, TX)
- …client timely and according to contract. + Work with client and third-party auditor to resolve any billing concerns. + Ensure that subcontractor/vendor payments ... Accounts Receivable procedures from subcontractor/vendor invoice/payment processing to client billing . Project Accounts Payable management includes staffing Accounts Payable… more