- Elevance Health (Grand Prairie, TX)
- **DRG CODING AUDITOR ** **_Virtual_** **_: _** _ _ __ This role enables associates to work virtually full-time, with the exception of required in-person training ... to recover, eliminate and prevent unnecessary medical-expense spending. The **DRG CODING AUDITOR ** is responsible for auditing inpatient medical records… more
- Fresenius Medical Center (Plano, TX)
- …and or Eastern United States_ **Must Have Vascular Surgical and Intervential Coding Experience** PURPOSE AND SCOPE: Conducts data quality audits of outpatient ... encounters to validate coding assignment is in compliance with the official coding guidelines as supported by clinical documentation in health record. Validates… 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 (Grand Prairie, TX)
- **Clinical Provider Auditor II** This role requires associates to be in-office **1 - 2** days per week, fostering collaboration and connectivity, while providing ... recover, eliminate and prevent unnecessary medical-expense spending. The Clinical Provider Auditor II is responsible for identifying issues and/or entities that may… more
- Elevance Health (Grand Prairie, TX)
- **Clinical Provider Auditor II** **Supports the Payment Integrity line of business** **Hybrid 1** : This role requires associates to be in-office **1-2** days per ... recover, eliminate and prevent unnecessary medical-expense spending. The **Clinical Provider Auditor II** is responsible for identifying issues and/or entities that… more
- Methodist Health System (Dallas, TX)
- …Certified Professional Coder ( **CPC** ) certification from AAPC **or** Certified Coding Specialist - Physician-based ( **CCS-P** ) certification from AHIMA with the ... for auditing and abstracting. **_Preferred_** : Certified Professional Medical Auditor (CPMA) certification from AAPC **_Experience/Knowledge_** : 2+ years of… more
- Elevance Health (Grand Prairie, TX)
- **Claims Auditor Senior** **Location :** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... employment, unless an accommodation is granted as required by law._ The **Claims Auditor Senior** is responsible for auditing of high dollar claims across the stop… more
- Elevance Health (Grand Prairie, TX)
- **Claims Auditor I** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing ... employment, unless an accommodation is granted as required by law._ The **Claims Auditor ** **I** is responsible for pre and post payment and adjudication audits of… 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 ... mental health and Medicare + Detailed knowledge of ICD-10 and CPT codes and coding protocols + Excellent oral and written communications skills + Team player with… more
- Molina Healthcare (Dallas, TX)
- …payment in all markets * Performs monthly audit on internal Molina Coding Specialists * Audits external Molina Vendors. **Job Qualifications** **Required Education** ... Associates degree. **Required Experience** 3 Years in coding and medical record chart review and experience with risk adjustment data validation Required Li… more