- Humana (Corpus Christi, TX)
- …develop targeted training and job aides. This proactive approach supports continuous quality improvement and enhances patient safety. **Scheduled Weekly Hours** ... caring community and help us put health first** The Quality Assurance, Clinical Professional 1 consults and...Medicare Conditions of Participation demand meticulous documentation. A QA Auditor will help ensure all records meet federal, state,… more
- Providence (Plainview, TX)
- …and reports issues related to clinical audits to determine potential areas for quality improvement within the HEDIS project + Collect data by way of chart ... empower them._** **Providence Health Plan is calling a Coding Quality Auditor , HEDIS who will:** + Be..., HEDIS who will:** + Be responsible for conducting clinical quality audits/overreads for the Quality… 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
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …coding and compliance with regulatory requirements. This role ensures continuous quality improvement in coding practices while maintaining compliance with ... **42594BR** **Extended Job Title:** Medical Coding Auditor **Org Level 1:** Texas Tech Unv Hlth...refining audit tools, policies, and procedures to support continuous improvement + Monitor and track corrective actions post-audit, ensuring… 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
- Texas Health Resources (Arlington, TX)
- …, documentation analysis and audit findings. Partner with Clinical Documentation Improvement teams to enhance documentation quality and ensure diagnoses are ... Senior Compliance Coding Auditor - System Compliance _Bring your passion to...the compliance coding audit team, fostering collaboration and ensuring high- quality audit outcomes. Oversee the creation, revision and distribution… 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 ... and reimbursement purposes. You will play a critical role in translating clinical documentation into precise codes that reflect the complexity and severity of… more
- Molina Healthcare (Houston, TX)
- …measurement. + Experience with clinical intervention concepts, design of quality improvement projects (QIPs), advanced QI concepts, identification of target ... report to Molina's Georgia Health Plan and requires residence in Georgia. Molina's Quality Improvement function oversees, plans, and implements new and existing… more
- Medtronic (Fort Worth, TX)
- …as the primary liaison with auditors and inspectors. + Apply a continuous improvement mindset to enhance quality tools, processes, and overall system ... degree required with a minimum of 4 years of Quality tools and Process Improvement experience +...planning, execution, and verification of effectiveness. + Experience in quality and compliance auditing; Auditor or Lead… more