- Baylor Scott & White Health (Temple, TX)
- **JOB SUMMARY** The Medical Claims Coding Auditor is responsible for the investigation of coding issues and recommendation for correction of the ... Responsible for reviewing and making payment determinations on provider medical claims for Claim Check and iHealth...gain knowledge and remain current in compliance, billing and medical coding regulations. Evaluate and identify patterns… more
- Humana (Austin, TX)
- …caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ... and receives guidance where needed. Follows established guidelines/procedures. The Medical Coding Auditor confirms correct...Home Health, and minor procedures + Experience with the Claims Life Cycle + Experience with coding /auditing… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- **42934BR** **Extended Job Title:** Medical Coding Auditor **Org Level 1:** Texas Tech Unv Hlth Sci Ctr El Paso **Position Description:** Responsible for ... practices while maintaining compliance with healthcare laws and organizational policies. The Medical Coding Auditor collaborates with practice, providers,… more
- Elevance Health (Grand Prairie, TX)
- …formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **DRG CODING AUDITOR ** is responsible ... **DRG CODING AUDITOR ** **_Virtual_** **_: _** _ _...you will make an impact:** + Analyzes and audits claims by integrating medical chart coding … more
- Elevance Health (Grand Prairie, TX)
- …related questions as necessary to aid in investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations. + ... Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Clinical Provider Auditor II**...+ Requires a AA/AS and minimum of 4 years medical coding /auditing experience, including minimum of 1… more
- Dallas Behavioral Healthcare Hospital (Desoto, TX)
- …service standards. Requirements + Education: Certificate or associate's degree in medical coding /CPC. These additional certifications are not required but ... CPC-Payer, Certified Interventional Radiology Cardiovascular Coder (CIRCC) and Certified Professional Medical Auditor (CPMA) + Experience: A minimum of 1… more
- Dallas Behavioral Healthcare Hospital (Desoto, TX)
- …service standards. Requirements + Education: Certificate or associate's degree in medical coding /CPC. These additional certifications are not required but ... CPC-Payer, Certified Interventional Radiology Cardiovascular Coder (CIRCC) and Certified Professional Medical Auditor (CPMA) + Experience: A minimum of 1… more
- Molina Healthcare (Fort Worth, TX)
- …combination of education and experience **PREFERRED EXPERIENCE:** 3+ years healthcare Medical claims auditing **PHYSICAL DEMANDS:** Working environment is ... including, but not limited to; vendor, focal, audit the auditor . Confirm that documentation is clear and concise to...to ensure accuracy in auditing of critical information on claims ensuring adherence to business and system requirements of… more