- Humana (Austin, TX)
- **Become a part of our caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical ... receives guidance where needed. Follows established guidelines/procedures. **Where you come in** The Medical Coding Auditor confirms correct CPT coding … 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_** **_: _** _...Specializes in review of DRG coding via medical record and attending physician 's statement sent… more
- Houston Methodist (Houston, TX)
- …must 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 ... Specialist (AHIMA) -- For inpatient/outpatient coding **OR** + CCS-P - Certified Coding Specialist Physician -based (AHIMA) -- For professional fee coding … more
- CVS Health (Austin, TX)
- …process and Hierarchical Condition Categories CRC (HCC). CPMA Certified. Professional Medical Auditor ), CDEO (Certified Documentation Expert Outpatient) or CPC-I ... required. Required Qualifications CPC (Certified Professional Coder) or CCS-P (Certified Coding Specialist- Physician ). CRC (Certified Risk Adjustment Coder) must… more
- Highmark Health (Austin, TX)
- …Professional Medical Auditor (CPMA) + 5 years with hospital or physician coding and/or auditing, as well as, education techniques and methods. (Internal ... **GENERAL OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data… more
- HCA Healthcare (Brownsville, TX)
- …ensure minimal variation in coding practices and to improve the quality of physician documentation within the body of the medical record to support code ... Summary and Qualifications** As a work from home Inpatient Coding Auditor , you will be responsible for...policy + Demonstrates and applies expert level knowledge of medical coding practices and concepts + Participates… more
- University of Texas Rio Grande Valley (Mcallen, TX)
- …a related field from an accredited university. Licenses/Certifications Preferred:Certified Professional Medical Auditor ( CPMA ), Certified Professional Coder ( ... Description of Duties + Performs monitoring and compliance reviews of medical billing and coding compliance activities, associated risk assessments,… more
- Houston Methodist (Houston, TX)
- …Instructor (AAPC) -- (CBO Coders only) **OR** + CPMA - Certified Professional Medical Auditor (AAPC) -- (CBO Coders only) **KNOWLEDGE, SKILLS, AND ABILITIES** ... APR DRG and APC assignment systems + Official coding guidelines and coding compliance + Working knowledge of medical terminology, anatomy and physiology,… more
- University of Texas Rio Grande Valley (Harlingen, TX)
- …(RN) will be required after 6 months of employment. Preferred: Certified Professional Medical Auditor ( CPMA ) from American Academy Professional Coders ( ... of service rendered to patients. * Conducts complex reviews of physician /provider billing compliance activities in accordance with applicable laws, regulations,… more
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