- Elara Caring (Dallas, TX)
- …Right Care, at the Right Time, in the Right Place. **Job Description:** The Billing Compliance Auditor performs comprehensive audits within the Skilled Home ... to eligibility, billing , coding, and clinical documentation. Duties of the Billing Compliance Auditor include but are not limited to: (1) conducting… more
- Robert Half Management Resources (Dallas, TX)
- Description Management Resources is seeking a Medical Billing Auditor for a long term contract. The primary focus of this role is auditing surgical practice ... recommendations for addressing documentation deficiencies and missed opportunities. + Lead billing compliance training for newly onboarded providers, serving as… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …current knowledge of billing and coding requirements, risks and billing compliance requirements. Regularly reviews JH-MAC website and Texas Medicaid ... **41281BR** **Extended Job Title:** Documentation & Coding Auditor **Org Level 1:** Texas Tech Unv Hlth...necessary. Research payer policies to accurately and completely address billing compliance questions. Participate in coding/ billing… more
- Sedgwick (San Antonio, TX)
- …provided to insurance carriers, corporate legal departments and government entities. The auditor will apply client specified billing guidelines and/or Generally ... Fortune Best Workplaces in Financial Services & Insurance Attorney Auditor ** **This is a fully remote position, and...Ability to effectively communicate with law firms to discuss compliance with client's billing requirements. + Effectively… more
- HCA Healthcare (Dallas, TX)
- …Our services include scheduling, registration, insurance verification, hospital billing , revenue integrity, collections, payment compliance , credentialing, ... vary by location._** We are seeking an Inpatient Coding 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
- Humana (Austin, TX)
- …about 340+ senior focused primary care centers in 15 states. The Regulatory Compliance team that supports the PCO is responsibility to assess, investigate, audit and ... validate the mitigation of compliance risk across the organization. This team ensures that...federal and/or state requirements related to Provider Clinic operations, billing , investigations, and processes. Coordinates site visits for regulators,… more
- Highmark Health (Austin, TX)
- …activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code ... with coding principles and guidelines. Promotes cooperation with CDMP and compliance programs to improve documentation which supports compliant coding. Interacts… more
- Cognizant (Austin, TX)
- …3M encoder tools and provide ongoing education and mentoring to clients on coding, billing , and compliance best practices. - **Support Quality Assurance and Peer ... by playing a critical role in ensuring the accuracy, compliance , and quality of ICD-10-CM and ICD-10-PCS coding for...this role, you will:** - **Ensure Coding Accuracy and Compliance ** . Conduct thorough reviews of inpatient ICD-10 coded… more
- University of Texas Rio Grande Valley (Mcallen, TX)
- …all applicable laws, policies, and procedures. + Collects information and prepares billing compliance reports, provides supporting evidence, and conclusions, and ... makes recommendations for corrective measures on identified billing compliance . + Analyzes data reports to identify issues and risk areas and makes… more
- The Hartford (San Antonio, TX)
- …recertification of panel counsel by providing firm-levelbilling trend analysis, compliance information, and a firm'scooperation/communication on billing issues.* ... order to allow foroptimal efficiency and volume. This foundation will provide the auditor withthe background to understand and identify billing deficiencies at… more