- Texas Health Resources (Arlington, TX)
- Senior Compliance Coding Auditor - System Compliance _Bring your passion to Texas Health so we are Better + Together_ Work Location: Texas Health Corporate, ... Delivers clear and comprehensive audit results to auditees, providers and/or ancillary staff . Share actionable improvement strategies to enhance compliance and… more
- Humana (Corpus Christi, TX)
- …1 consults and collaborates with clinicians to ensure high accountability of compliance and quality. The Quality Assurance, Clinical Professional 1 work ... will also monitor QA dashboard metrics and provide actionable feedback to improve staff performance. The QA Auditor will identify trends in documentation errors… more
- Humana (Austin, TX)
- …our caring community and help us put health first** The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and ... 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
- HCA Healthcare (Houston, TX)
- …recognized. Submit your application for the opportunity below: Inpatient Coding Quality Auditor Parallon. **This is a fully work from home position.** **This ... by location._** We are seeking an Inpatient Coding Quality Auditor for our team to ensure that we continue...Health Information Management Service Center (HSC) coders to ensure compliance with national coding guidelines, the HSC coding policies… more
- CVS Health (Austin, TX)
- … clinical expertise in either written or verbal forms including communication with clinical or coding staff , federal regulators and vendor coding resources. + ... risk adjustment processes are appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal...+ Acts as mentor to provide education to internal staff based on audit findings; provides general education on… more
- Highmark Health (Austin, TX)
- …with coding principles and guidelines. Promotes cooperation with CDMP and compliance programs to improve documentation which supports compliant coding. Interacts ... works with external resources to present final audit findings to department staff , physicians and appropriate individuals. (20%) + Validates the ICD-CM, ICD-PCS, CPT… more
- Molina Healthcare (San Antonio, TX)
- …and cost-effective member care. Essential Job Duties * Performs audits of non- clinical staff in utilization management, care management, member assessment, ... address findings in audit results. * Meets minimum production standards related to non- clinical auditing. * May conduct staff trainings as needed. * Communicates… more
- MD Anderson Cancer Center (Houston, TX)
- …Regulatory - Leukemia Job Summary We are seeking a highly motivated Regulatory Compliance Specialist to support clinical trial operations. This key role is ... clinical trials. * Provide training and support to clinical research staff on regulatory requirements and...Master's Degree EXPERIENCE REQUIRED - 3 years experience in clinical research, regulatory compliance , or quality assurance… 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...Education - Inform and educate the audit team, coding staff , and other relevant departments on regulatory requirements (CMS/Medicaid)… more
- University of Texas Rio Grande Valley (Mcallen, TX)
- …+ Collaborates with the medical billing team to improve the quality of clinical documentation for compliance , billing, coding, and reimbursement processes. + ... of the President FTE1.0 FLSAExempt Scope of Job Responsible for performing compliance reviews of billing and coding compliance functions and activities,… more