• Outpatient Audit Specialist

    Datavant (Austin, TX)
    …realize our bold vision for healthcare. **What We're Looking For:** As an Outpatient Auditing Specialist , you will be instrumental in addressing consulting and ... Observation and I&I** **What You Will Do:** + Performs Outpatient Facility coding audits of medical records and abstracts...SDS, ED, Observation and I&I** + 5+ years of outpatient facility coding experience and/or auditing + CCS (preferred),… more
    Datavant (09/13/25)
    - Related Jobs
  • Internal Audit Specialist - Hybrid

    Houston Methodist (Houston, TX)
    …and above strongly encouraged to apply.** At Houston Methodist, the Internal Audit Specialist is responsible for independently planning, coordinating, and ... to controls, manages and mitigates risks for presentation to department leadership. The Internal Audit Specialist is a role model to the audit team… more
    Houston Methodist (09/16/25)
    - Related Jobs
  • Referral Specialist III - Paragon…

    Elevance Health (Plano, TX)
    …pharmacies, our infusion centers, and the home setting. **Title** : Referral Specialist III - Paragon Healthcare **Location:** TX-PLANO, 3033 W PRESIDENT GEORGE BUSH ... unless an accommodation is granted as required by law._ The **Referral Specialist III** is responsible for issues involving the precertification and prior… more
    Elevance Health (10/01/25)
    - Related Jobs
  • Supply Chain Application Specialist - Buyer…

    Houston Methodist (Houston, TX)
    At Houston Methodist, the Supply Chain Applications Specialist position is responsible for tactical support for material management specific software packages and/or ... information technology (IT) and vendors. Systems the Supply Chain Applications Specialist position supports include the enterprise resource planning (ERP) system,… more
    Houston Methodist (08/30/25)
    - Related Jobs
  • Sr Utilization Review Specialist Nurse

    Houston Methodist (Houston, TX)
    At Houston Methodist, the Sr Utilization Review Specialist Nurse (URSN) position is a licensed registered nurse (RN) responsible for promoting the achievement of ... all objectives delineated in the Utilization Review Nurse and Utilization Review Specialist Nurse job roles and is responsible for facilitating appropriate length of… more
    Houston Methodist (08/26/25)
    - Related Jobs
  • Coding Auditor Educator-Inpatient

    Highmark Health (Austin, TX)
    Outpatient ): Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS) + AAPC Credentials ( Outpatient ): Certified Professional Coder ... OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and… more
    Highmark Health (09/20/25)
    - Related Jobs
  • DRG Coding Auditor

    Elevance Health (Houston, TX)
    …principles, clinical guidelines and objectivity in the performance of medical audit activities. + Draws on advanced ICD-10 coding expertise, clinical guidelines, ... and industry knowledge to substantiate conclusions. + Utilizes audit tools and auditing workflow systems and reference information to make audit determinations… more
    Elevance Health (10/03/25)
    - Related Jobs
  • HIM - Inpatient Coding Supervisor (remote)

    Guidehouse (Dallas, TX)
    …assignment. + Reviews medical records flagged through the SMART (Inpatient and Outpatient tools) software for patterns of coding errors and opportunities for coder ... Administrator (RHIA), Registered Health Information Technician (RHIT) or Certified Coding Specialist (CCS) + A inpatient coding background at a senior level… more
    Guidehouse (08/19/25)
    - Related Jobs
  • Supervisor, Coding

    Baylor Scott & White Health (Austin, TX)
    …include professional fee surgical procedures, day surgery, emergency department, outpatient visits, observation, or inpatient records. Reviews records to validate ... This is apart from those by the BSWH HIM Audit team. All coding must use official guidelines from...position requires one of the following: + Certified Coding Specialist (CCS), or + Certified Coding Specialist -Physician… more
    Baylor Scott & White Health (09/10/25)
    - Related Jobs