- Humana (Austin, TX)
- …our caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ensure correct ... coding guidelines are met (eg, ICD-10-CM, CPT, HCPCS). The Medical Coding Auditor 's work assignments are varied and frequently require interpretation and independent… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- **42910BR** **Extended Job Title:** Medical Coding Auditor **Org Level 1:** Texas Tech Unv Hlth Sci Ctr El Paso **Position Description:** Responsible for auditing ... medical records to ensure accurate coding and compliance with regulatory requirements. This role ensures continuous quality improvement in coding practices while… more
- Humana (Austin, TX)
- …caring community and help us put health first** The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns ... codes (eg, ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis… more
- Humana (Austin, TX)
- …caring community and help us put health first** The Inpatient Medical Coding Auditor reviews a variety of medical records and to determine appropriate procedural ... terminology and medical codes (eg, ICD-10-CM, CPT.) The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the… more
- Centene Corporation (Austin, TX)
- …(GAAP) and Statutory Accounting Principles (SAP). Experience and knowledge of compliance requirements, including Medicare , Marketplace, Medicaid, and CMS ... internal audits, including the execution of strategic, operational, financial, IT, and compliance risk based audits for the entire company and its subsidiaries. +… more
- Texas Health Resources (Arlington, TX)
- …and establishing management correction plans when necessary. Additionally, the Compliance Auditor Manager effectively communicates audit findings through ... Manager Compliance Coding _Are you looking for a rewarding...Review - Conduct additional reviews to assist departments handling Medicare , OIG, or non- Medicare denials. Provide expert… more
- Humana (Austin, TX)
- …Accountant, Certified Information Systems Auditor , or Certified Internal Auditor , Project Management certification, Healthcare Compliance Certification, etc. ... and help us put health first** Humana Healthy Horizons is hiring a Compliance Professional who will support efforts for overall Medicaid business by joining the… more
- Molina Healthcare (TX)
- …+ Nursing License (RN may be preferred for specific roles) + Certified HEDIS Compliance Auditor (CHCA) To all current Molina employees: If you are interested ... quality member intervention initiatives including all lines of business ( Medicare , Marketplace, Medicaid). Executes health plan's member and community quality… more
- Humana (Austin, TX)
- …as programs and initiatives are executed upon. Leveraging risk management and compliance frameworks, they will identify and analyze potential risks and sources of ... Management lead position will be responsible for providing risk management and compliance oversight of Risk Adjustment Operations, including the areas of Provider… more
- Integrative Emergency Services (Dallas, TX)
- …with service line leadership and physicians to optimize reimbursement, ensure compliance , and support scalable revenue growth across specialty divisions. IES is ... and education related to specialty-specific documentation, coding accuracy, and compliance requirements. + Reviews, analyzes and interprets financial data to… more