- Elara Caring (Dallas, TX)
- …you have countless ways to make a difference as a Billing Compliance Auditor by keeping a team of elite healthcare professionals operational. To continue to ... our mission every day. Join our elite team of healthcare professionals, providing the Right Care, at the Right...the Right Place. **Job Description:** **Remote Position** The Billing Compliance Auditor performs comprehensive audits within the… more
- City National Bank (Dallas, TX)
- * AUDITOR II- TREASURY/FINANCE* WHAT IS THE OPPORTUNITY? The Auditor II will work within a team and on occasion as an individual contributor on audit assignments ... testing internal controls and ensuring compliance with bank policies, procedures, and regulatory requirements, focusing...where audit responsibilities are assigned. * Assists the Senior Auditor and or Audit Manager in the development of… more
- Houston Methodist (Houston, TX)
- …junior internal auditors. **SERVICE ESSENTIAL FUNCTIONS** + Conducts a variety of healthcare , financial, compliance and operational internal audits and actively ... + CFE - Certified Fraud Examiner (ACFE) **OR** + CHIAP - Certified Healthcare Internal Auditor (AIHC) **KNOWLEDGE, SKILLS, AND ABILITIES** + Demonstrates the… more
- Elevance Health (Houston, TX)
- **Internal Auditor , Senior** **Location:** This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while providing ... accommodation is granted as required by law. The **Internal Auditor , Senior** is responsible for conducting financial/operationalaudits, internal control… more
- Humana (Austin, TX)
- …a full-time, remote/work-from-home position. **Description** The Inpatient Medical Coding Auditor extracts clinical information from medical records and assigns ... is looking is an experienced and well-grounded medical coding auditor to quality review the inpatient hospital claims for...**great attention to** **detail** **and have** **a passion for healthcare ? Do you have a solid background in medical… more
- Humana (Austin, TX)
- … auditing experience + Ability to analyze large data sets + Knowledge of healthcare compliance , mainly primary care and risk adjustment, pharmacy knowledge a ... conducts compliance related audits to assess internal controls, examining healthcare records and processes, and analyzing and reporting risks. + Influence… more
- Prime Therapeutics (Austin, TX)
- …fuels our passion and drives every decision we make. **Job Posting Title** Internal Auditor - Remote **Job Description** The staff Internal Auditor supports the ... business processes and internal audit methodologies. The staff Internal Auditor plays a key role in identifying control gaps,...not limited to Internal Controls, Audit, Risk Assessments or Compliance + Must be eligible to work in the… 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 ... recover, eliminate and prevent unnecessary medical-expense spending. The **Clinical Provider Auditor II** is responsible for identifying issues and/or entities that… more
- Molina Healthcare (San Antonio, TX)
- …Develop and implement processes and procedures to ensure accuracy, completeness, and compliance with Centers for Medicare and Medicaid Services (CMS) regulations and ... for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare … 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