- Elara Caring (Dallas, TX)
- …to eligibility, billing, coding, and clinical documentation. Duties of the Billing Compliance Auditor include but are not limited to: (1) conducting audits ... Time, in the Right Place. **Job Description:** **Remote Position** The Billing Compliance Auditor performs comprehensive audits within the Skilled Home Health,… more
- Elevance Health (Houston, TX)
- ** Clinical Provider Auditor II** **Supports the Payment Integrity line of business** _Location:_ **Virtual:** This role enables associates to work virtually ... is determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** Clinical Provider Auditor II** is responsible for identifying issues… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Sr. Internal Auditor is responsible for independently planning, coordinating, and executing reviews of processes or activities of Houston ... in achieving organizational objectives including the adequacy of internal controls, compliance with laws and regulations, adherence to policy and procedures,… more
- Humana (Austin, TX)
- …is a full-time, remote/work-from-home position. **Description** The Inpatient Medical Coding Auditor extracts clinical information from medical records and ... is looking is an experienced and well-grounded medical coding auditor to quality review the inpatient hospital claims for...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Humana (Austin, TX)
- …with business partners to uphold ethical standards and mitigate risks. The Senior Clinical Compliance Professional will support the Director of Compliance , ... requires an in-depth evaluation of variable factors. As the Senior Clinical Compliance Professional, you will develop and/or evaluate compliance policies… more
- Highmark Health (Austin, TX)
- …with coding principles and guidelines. Promotes cooperation with CDMP and compliance programs to improve documentation which supports compliant coding. Interacts ... and modifier systems, missed secondary diagnoses and procedures and ensures compliance with DRG/APC structure and regulatory requirements. Performs periodic claim… more
- Houston Methodist (Houston, TX)
- …TX, LA, FL, TN, WA or GA** At Houston Methodist, the Coding Quality Auditor position is responsible for ensuring accuracy in code assignment of diagnosis and ... based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory body guidelines. This position… more
- L3Harris (Waco, TX)
- …domains in the interest of national security. Job Title: Specialist, Quality (Inspection/ Auditor ) Job ID: 26487 Job Location: Waco, TX; On-site Job Schedule: 4/10 ... testing and evaluating the precision and accuracy of company products in compliance with contractual and regulatory requirements. + Performs analysis on reported… more
- Humana (Austin, TX)
- …us put health first** The Senior Inpatient Medical Coding Professional extracts clinical information from a variety of medical records and assigns appropriate ... medical coding, analytics, health record security and privacy, HIPAA compliance , and data governance. + Hold at least one...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- MD Anderson Cancer Center (Houston, TX)
- …National Cancer Institute. *Job Summary* We are seeking a highly motivated Regulatory Compliance Specialist to support clinical trial operations. This role is ... EDUCATION PREFERRED - Master's Degree EXPERIENCE REQUIRED - 3 years experience in clinical research, regulatory compliance , or quality assurance OR 1 year… more