- Houston Methodist (Houston, TX)
- …+ CPA - Certified Public Accountant - State Licensure **OR** + CIA - Certified Internal Auditor (IIA) **OR** + CFE - Certified Fraud Examiner (ACFE) ... **OR** + CHIAP - Certified Healthcare Internal Auditor (AIHC) **KNOWLEDGE, SKILLS, AND ABILITIES** + Demonstrates the skills and competencies necessary to safely… more
- Strata-G, LLC (San Antonio, TX)
- …analytical and problem-solving skills. Preferred Qualifications: + Certification such as Certified Energy Auditor (CEA) or Building Energy Assessment ... to please our customers and to exceed their expectations. Quality We maintain a culture of continuous improvement. Safety...with the community. Strata-G is seeking an experienced Energy Auditor / Senior Energy Auditor with the… more
- KPS Global, LLC (Fort Worth, TX)
- …knowledge helpful. + Experience in design and development of new product introduction. + Certified Quality Auditor / Engineer preferred. + Six Sigma (DMAIC) ... Global values its outstanding people who are deeply committed to providing innovative, high- quality service to clients from coast-to-coast. As a member of the KPS… more
- Elevance Health (Grand Prairie, TX)
- **Diagnosis Related Group Clinical Validation Auditor -RN** **Virtual:** This role enables associates to work virtually full-time, with the exception of required ... Friday 8AM -5PM (local time) The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure clinical… more
- Elevance Health (Houston, TX)
- **DRG CODING AUDITOR ** **_Virtual_** **_: _** _ _ __ This role enables associates to work virtually full-time, with the exception of required in-person training ... recover, eliminate and prevent unnecessary medical-expense spending. The **DRG CODING AUDITOR ** is responsible for auditing inpatient medical records and generating… more
- Datavant (Austin, TX)
- …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 ... You Will Do:** + Audit coded charts assigned by quality supervisor per the client guidelines + Ability to...a diagnosis level + Answer rebuttals entered on the auditor by coders and or auditors + Participate in… more
- Highmark Health (Austin, TX)
- … Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or ... and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs,… more
- CVS Health (Austin, TX)
- …each and every day. Aetna's Revenue Integrity team is hiring Senior Coding Data Quality Auditors to support our growing risk adjustment efforts. This role plays a ... a passion for continuous improvement. This position will sit within our Coding Quality Operations team and offers the flexibility of working from home. **Position… more
- Datavant (Austin, TX)
- …educational and life experiences to realize our bold vision for healthcare. As an Auditor , HCC Risk Adjustment Coder, you will review medical records to identify and ... of HCC Auditing experience + High school diploma or GED equivalent + AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified credentials (CPC, CPC-H,… more
- Humana (Austin, TX)
- …compliance, mainly primary care and risk adjustment, pharmacy knowledge a plus + Certified Coder (CPC, CRC, and/or CMC) + Experience with metrics and reporting ... need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel,… more