- Elara Caring (Fort Worth, TX)
- …the Right Time, in the Right Place. **Job Description:** **REMOTE POSITION** The Billing Compliance Auditor performs comprehensive audits within the Skilled ... to eligibility, billing , coding, and clinical documentation. Duties of the Billing Compliance Auditor include but are not limited to: (1) conducting… 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
- Elevance Health (Grand Prairie, TX)
- …and abuse. **How you will make an impact:** + Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities for ... **Clinical Provider Auditor II** **Supports the Payment Integrity line of...investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations. + Collaborates… 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
- Baylor Scott & White Health (Dallas, TX)
- …position type and/or level **Job Summary** In this job, as a Clinical Auditor RN, you'll perform charge capture accuracy audits by reviewing and analyzing clinical ... audit tasks in clinical departments/functions. + Evaluate clinical documentation for compliance , meeting all regulations stipulated by federal and state agencies as… 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
- Hoffman Construction Company (Amarillo, TX)
- …to owner representatives and auditors. + They also ensure that subcontractor billing is accurate and in compliance with contractual agreements. Development ... the client's direction, and that all subcontractors remain in compliance with local and project specific financial requirements. This...according to contract. + Work with client and third-party auditor to resolve any billing concerns. +… more
- Hoffman Construction Company (Amarillo, TX)
- …client timely and according to contract. + Work with client and third-party auditor to resolve any billing concerns. + Ensure that subcontractor/vendor payments ... Accounts Receivable procedures from subcontractor/vendor invoice/payment processing to client billing . Project Accounts Payable management includes staffing Accounts Payable… more
- University of Texas Rio Grande Valley (Harlingen, TX)
- …of service rendered to patients. * Conducts complex reviews of physician/provider billing compliance activities in accordance with applicable laws, regulations, ... policies. * Performs prospective and retrospective audits of documentation to confirm compliance with documentation and billing rules and government regulations.… more
- GE Aerospace (Fort Worth, TX)
- …role is responsible for providing leadership in the areas of maintaining compliance of the North American Cost Accounting Standards Board (CASB) Disclosure Statement ... be integrated into the business to detect and ensure compliance regarding future business changes. The Senior Government Accounting...review, and publish indirect overhead and direct labor pricing, billing , and final (ICS) rates + Support ICS and… more
- HCA Healthcare (Brownsville, TX)
- …Our services include scheduling, registration, insurance verification, hospital billing , revenue integrity, collections, payment compliance , credentialing, ... team. **Job Summary and Qualifications** As a work from home Inpatient Coding Auditor , you will be responsible for performing internal quality assessment reviews on… more
- HCA Healthcare (Houston, TX)
- …overrides, billing , etc.) as assigned. + Performs and monitors compliance for quality control and performance improvement functions as assigned + Accurately ... area inspections as assigned + Performs and supervises other technicians for administrative billing functions as assigned + Completes and monitors OR charges in a… more
- Houston Methodist (Houston, TX)
- …current staff to enhance coding skills as well as to ensure compliance with regulations/guidelines. This position deploys the education plans and training programs ... with pre-billed claim edits to ensure complaint coding, charting and billing . **GROWTH/INNOVATION ESSENTIAL FUNCTIONS** + Designs, implements, and monitors effective… more
- HCA Healthcare (San Antonio, TX)
- …discrepancy and complete incident reports as required. You will review RX Auditor report and generate investigation reports for nurse managers/directors to review. ... as assigned. You will perform and supervise other technicians for administrative billing functions as assigned. + You will identify critical issues, prioritize… more
- HCA Healthcare (San Antonio, TX)
- …discrepancy and complete incident reports as required. You will review RX Auditor report and generate investigation reports for nurse managers/directors to review. ... as assigned. You will perform and supervise other technicians for administrative billing functions as assigned. + You will identify critical issues, prioritize… more