• Clinical Quality Auditor

    Elara Caring (Dallas, TX)
    …Right Care, at the Right Time, in the Right Place. **Job Description:** The Clinical Quality Auditor performs comprehensive audits within the skilled home ... This means you have countless ways to make a difference as a Clinical Quality Auditor , by keeping a team of elite healthcare professionals operational.… more
    Elara Caring (05/20/25)
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  • Inpatient DRG Quality Auditor

    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 ... Team is looking is an experienced and well-grounded medical coding auditor to quality review the inpatient hospital claims for proper reimbursement, handle… more
    Humana (05/03/25)
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  • Quality Control Auditor - Spec,…

    L3Harris (Greenville, TX)
    …air, land, sea and cyber domains in the interest of national security. Job Title: Quality Control Auditor - Spec, Quality (Aircraft Maint. & Mod)Job ID: ... Must have an Active Secret Security Clearance Job Description: This Aircraft Maintenance Quality Control Auditor is responsible for the design, development and… more
    L3Harris (04/24/25)
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  • Coding Quality Auditor

    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 ... that operate at the system level to help enable clinical departments to provide high quality patient care. Houston Methodist is an Equal Opportunity Employer. more
    Houston Methodist (04/12/25)
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  • Inpatient Coding Auditor

    HCA Healthcare (Dallas, TX)
    …Coding Auditor , you will be responsible for performing internal quality assessment reviews on Health Information Management Service Center (HSC) coders to ... vary by location._** We are seeking an Inpatient Coding Auditor for our team to ensure that we continue...that we continue to provide all patients with high quality , efficient care. Did you get into our industry… more
    HCA Healthcare (04/17/25)
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  • Coding Auditor I - (Inpatient)

    Baylor Scott & White Health (Austin, TX)
    **JOB SUMMARY** The Coding Auditor 1 is proficient in various types of coding and is responsible for performing coding quality audits and providing feedback to ... coders. The Coding Auditor 1 utilizes the International Classification of Disease (ICD-10-CM/PCS),...experience. **ESSENTIAL FUNCTIONS OF THE ROLE** Performs routine coding quality reviews on all coders including third party suppliers… more
    Baylor Scott & White Health (05/07/25)
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  • Senior Internal Auditor - Hybrid

    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
    Houston Methodist (05/10/25)
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  • DRG Coding Auditor

    Elevance Health (Houston, TX)
    …/ Clinical Validation Audit setting or hospital coding or quality assurance environment preferred. + Broad knowledge of medical claims billing/payment systems ... **DRG CODING AUDITOR ** **Location** : _This position will work virtually._...responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company,… more
    Elevance Health (05/08/25)
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  • Coding Auditor Educator

    Highmark Health (Austin, TX)
    …terminology and disease processes as it relates to the DRG/APC and other clinical data quality management factors. With technical direction and assistance from ... and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs,… more
    Highmark Health (05/09/25)
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  • Manager, Clinical Quality

    Molina Healthcare (TX)
    …programs/processes and member/provider outreach initiatives. + Supports provision of high- quality clinical care and services by facilitating/building strategic ... objectives. + Preferred License, Certification, Association + Certified Professional in Health Quality (CPHQ) + Certified HEDIS Compliance Auditor (CHCA) To all… more
    Molina Healthcare (04/25/25)
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