- Houston Methodist (Houston, TX)
- …remote must live in TX, LA, FL, TN, WA or GA** At Houston Methodist, the Coding Quality Auditor position is responsible for ensuring accuracy in code ... /SAFETY ESSENTIAL FUNCTIONS** + Maintains and achieves the highest standards of coding quality by assigning accurate ICD-9-CM/ICD-10-CM/ICD-10-PCS and CPT codes… more
- CVS Health (Austin, TX)
- …and Hierarchical Condition Categories CRC (HCC).** **CPMA Certified.** **Professional Medical Auditor ), CDEO (Certified Documentation Expert Outpatient) or ... all with heart, each and every day. **Position Summary** **Responsible for performing quality inter-rater review audits of medical records coded by internal team… more
- Elevance Health (Grand Prairie, TX)
- …formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **DRG CODING AUDITOR ** is responsible ... **DRG CODING AUDITOR ** **_Virtual_** **_: _** _...**DRG CODING AUDITOR ** **_Virtual_** **_: _** _ _ __ _This...auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company,… more
- Highmark Health (Austin, TX)
- …related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of ... (Outpatient): Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or… more
- Humana (Austin, TX)
- …of our caring community and help us put health first** The Senior Inpatient Medical Coding Professional extracts clinical information from a variety of ... an in-depth evaluation of variable factors. **Responsibilities** The Senior Inpatient Medical Coding Professional confirms appropriate diagnosis related group… more
- Elevance Health (Grand Prairie, TX)
- …- Friday 8AM -5PM (local time) The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure ... **Diagnosis Related Group Clinical Validation Auditor -RN** **Virtual:** This role enables associates to work...an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and… more
- Elara Caring (Fort Worth, TX)
- …the Right Place. **Job Description:** **REMOTE POSITION** The Billing Compliance Auditor performs comprehensive audits within the Skilled Home Health, Hospice, ... will include, but are not limited to eligibility, billing, coding , and clinical documentation. Duties of the Billing Compliance..., and clinical documentation. Duties of the Billing Compliance Auditor include but are not limited to: (1) conducting… more
- WTW (Dallas, TX)
- **Description** As a Lead Auditor you will apply your audit, project management and client management skills to lead client audits. You will serve as the team leader ... activities in an accurate and timely fashion + Write quality value-added draft report in a timely manner +...high level of claims administration knowledge, including experience with medical , dental, mental health and Medicare + Detailed knowledge… more
- HCA Healthcare (Brownsville, TX)
- …current Company policy + Reviews all official data quality standards, coding guidelines, Company policies and procedures, and clinical/ medical resources to ... join an organization that invests in you as a Coding Quality Audit Reviewer? At Parallon, you...Summary and Qualifications** As a work from home Inpatient Coding Auditor , you will be responsible for… more
- Houston Methodist (Houston, TX)
- …Instructor (AAPC) -- (CBO Coders only) **OR** + CPMA - Certified Professional Medical Auditor (AAPC) -- (CBO Coders only) **KNOWLEDGE, SKILLS, AND ABILITIES** ... coding program and monitor the success of the coding program including assisting with student recruitment. ** QUALITY...assignment systems + Official coding guidelines and coding compliance + Working knowledge of medical … more