- Elevance Health (Grand Prairie, TX)
- …state(s). + Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement , and a minimum of ... **Diagnosis Related Group Clinical Validation Auditor -RN** **Virtual:** This role...and Hospital-Acquired Conditions (HACs). + Suggests and develops high quality , high value, concept and or process improvement… more
- Humana (Austin, TX)
- …is a full-time, remote/work-from-home position. **Description** The Inpatient Medical Coding Auditor extracts clinical information from medical records and ... is looking is an experienced and well-grounded medical coding auditor to quality review the inpatient hospital...focus on DRG audits. You will also drive process improvement initiatives and develop educational materials. This is a… more
- Houston Methodist (Houston, TX)
- …live in TX, LA, FL, TN, WA or GA** At Houston Methodist, the Coding Quality Auditor position is responsible for ensuring accuracy in code assignment of diagnosis ... coding accuracy, and revenue preservation. Additional duties include participating in quality review and performance improvement projects throughout the… more
- Houston Methodist (Houston, TX)
- …variety of business functions that operate at the system level to help enable clinical departments to provide high quality patient care. Houston Methodist is an ... At Houston Methodist, the Sr. Internal Auditor is responsible for independently planning, coordinating, and executing reviews of processes or activities of Houston… more
- Elevance Health (Grand Prairie, TX)
- …as re-admissions, Inpatient to Outpatient, and HACs. + Suggests and develops high quality , high value concept and or process improvement and efficiency ... **DRG CODING AUDITOR ** **_Virtual_** **_: _** _ _ __ _This...Clinical Validation Audit setting or hospital coding or quality assurance environment preferred. + Broad knowledge of medical… 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 ... purposes. You will play a critical role in translating clinical documentation into precise codes that reflect the complexity...You Will Do:** + Audit coded charts assigned by quality supervisor per the client guidelines + Ability to… more
- Molina Healthcare (Houston, TX)
- **JOB DESCRIPTION** **Job Summary** Molina's Quality Improvement function oversees, plans, and implements new and existing healthcare quality improvement ... QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Program Director is a key Quality Improvement (QI) leader within the organization, empowered to… more
- University of Texas Rio Grande Valley (Harlingen, TX)
- …with coding conventions. * Works closely with Revenue Cycle coding staff on Clinical Documentation Improvement ( CDI ) activities, processes, and procedures. * ... and other times as necessary. * Presents recommendations for quality management and processes improvement opportunities regarding workflow… more
- Fujifilm (College Station, TX)
- …the effectiveness and efficiency of quality systems. + Participate in quality improvement initiatives, root cause analysis, and risk assessment activities. + ... + Work with Quality management to ensure quality systems support cGMP manufacturing of pre- clinical ...(3) years of auditing experience. **_Preferred Qualifications:_** + Certified Quality Auditor + Degree in Biology, Chemistry… more
- Biomat USA, Inc. (Odessa, TX)
- …Works toward certification from American Society for Quality to be a Certified Quality Auditor . + Works toward certification as a Designated Trainer for ... calibration of equipment and documentation of procedures. + Ensures that Clinical Laboratory Improvement Amendments (CLIA) proficiency test surveys, complaint… more