- Datavant (Austin, TX)
- …vision for healthcare. **What We're Looking For:** As an HCC (Hierarchical Condition Category) Auditor you will review medical records that have been coded in a ... a diagnosis level + Answer rebuttals entered on the auditor by coders and or auditors + Participate in...by coders and or auditors + Participate in weekly coding project review meetings + Any other tasks asked… more
- WTW (Dallas, TX)
- **Description** As a Field Auditor , you will apply your medical claims audit, project management and claim processing and auditing experience to perform ... of professional and facility claims administration knowledge, including experience with medical , dental, mental health and Medicare + Must have detailed knowledge… more
- Texas Health Resources (Denton, TX)
- **Charge Auditor Specialist** _Bring your passion to THR so we are Better + Together!!_ Work location: Texas Health Denton: 3000 North I-35 Denton, Texas 76201 Work ... What You Will Do * Compare posted charges with charge sheets and patient medical records to ensure appropriate charging and identify missed charges to post. *… more
- Molina Healthcare (San Antonio, TX)
- …**Job Qualifications** **Required Education** Associates degree. **Required Experience** 3 Years in coding and medical record chart review and experience with ... Required Li **Required License, Certification, Association** Active and unrestricted Coding Certification, Active CCS, CCS-P, or CPC credential **Preferred… more
- University of Texas Rio Grande Valley (Mcallen, TX)
- …a related field from an accredited university. Licenses/Certifications Preferred:Certified Professional Medical Auditor ( CPMA ), Certified Professional Coder ( ... Description of Duties + Performs monitoring and compliance reviews of medical billing and coding compliance activities, associated risk assessments,… more
- Houston Methodist (Houston, TX)
- …Instructor (AAPC) -- (CBO Coders only) **OR** + CPMA - Certified Professional Medical Auditor (AAPC) -- (CBO Coders only) **KNOWLEDGE, SKILLS, AND ABILITIES** ... assignment systems + Official coding guidelines and coding compliance + Working knowledge of medical ...and coding compliance + Working knowledge of medical terminology, anatomy and physiology, disease processes and pharmacology… more
- HCA Healthcare (Brownsville, TX)
- …of our team. **Job Summary and Qualifications** As a work from home Inpatient Coding Auditor , you will be responsible for performing internal quality assessment ... guidelines and policy + Demonstrates and applies expert level knowledge of medical coding practices and concepts + Participates on special reviews or projects +… more
- Dallas Behavioral Healthcare Hospital (Desoto, TX)
- …service standards. Requirements + Education: Certificate or associate's degree in medical coding /CPC. These additional certifications are not required but ... CPC-Payer, Certified Interventional Radiology Cardiovascular Coder (CIRCC) and Certified Professional Medical Auditor (CPMA) + Experience: A minimum of 1… more
- University of Texas Rio Grande Valley (Harlingen, TX)
- …(RN) will be required after 6 months of employment. Preferred: Certified Professional Medical Auditor ( CPMA ) from American Academy Professional Coders ( ... provides supporting evidence and makes recommendations regarding identified documentation and coding deficiencies or gaps. Identifies trends and provides feedback to… more
- Elevance Health (Grand Prairie, TX)
- …verbal inquiries. **How you will make an impact:** + Assists higher level auditor /lead on field work as assigned, including performing special audits and targeted ... and post implementation audits of providers, claims processing and payment, benefit coding , member and provider inquiries, enrollment & billing transactions and the… more