- Houston Methodist (Houston, TX)
- …remote 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 ... /SAFETY ESSENTIAL FUNCTIONS** + Maintains and achieves the highest standards of coding quality by assigning accurate ICD-9-CM/ICD-10-CM/ICD-10-PCS and CPT codes… more
- HCA Healthcare (Houston, TX)
- …and you have the opportunity to make a difference. We are looking for a dedicated Inpatient Coding Quality Auditor like you to be a part of our team. **Job ... Do you want to join an organization that invests in you as a Coding Quality Audit Reviewer? At Work from Home, you come first. HCA Healthcare has committed… more
- Humana (Austin, TX)
- … Coding Quality Team is looking is an experienced and well-grounded medical coding auditor to quality review the inpatient hospital claims for proper ... This is a full-time, remote/work-from-home position. **Description** The Inpatient Medical Coding Auditor extracts clinical information from medical records and… more
- Humana (Austin, TX)
- …of our caring community and help us put health first The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and ... (eg, ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex...need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families,… more
- HCA Healthcare (Houston, TX)
- …**_Note: Eligibility for benefits may vary by location._** We are seeking an Inpatient Coding Auditor for our team to ensure that we continue to provide ... to apply! **Job Summary and Qualifications** As an Inpatient Coding Auditor , you will be responsible for...Auditor , you will be responsible for performing internal quality assessment reviews on Health Information Management Service Center… more
- Elevance Health (Grand Prairie, TX)
- **DRG CODING AUDITOR ** **Location** : _This position will work virtually._ _Alternate locations may be considered._ The **DRG CODING AUDITOR ** is ... Coding / Clinical Validation Audit setting or hospital coding or quality assurance environment preferred. + Broad knowledge of medical claims billing/payment… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- **40280BR** **Extended Job Title:** Documentation & Coding Auditor **Org Level 1:** Texas Tech Unv Hlth Sci Ctr El Paso **Position Description:** Performs ... coding and documentation quality audits; provides feedback...of which one (1) year may be as a coding auditor . + Additional job-specific education may… more
- Highmark Health (Austin, TX)
- …retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding , billing and documentation related to DRGs, ... Level II code and modifier assignments, ICD diagnosis and procedure coding , DRG/APC structure according to regulatory requirements. Reports findings both verbally… more
- Capital One (Plano, TX)
- Principal Auditor - Cyber, Risk & Analysis Technology Audit (Hybrid) **Capital One's Audit function is a dedicated group of professionals focused on delivering top- ... quality assurance services to the organization's Audit Committee. Audit...information, issues and audit progress to teammates, clients and auditor -in-charge.** **-Perform various aspects of engagement administration, including hours… more
- Texas Health Resources (Arlington, TX)
- **Nurse Auditor - Clinical Billing Edits** _Bring your passion to Texas Health so we are Better + Together_ **Work location:** Remote **Work hours:** Monday - Friday ... training and development including Medicare billing guidelines and select aspects of coding + Small team with strong, collaborative relationships **Here's What You… more
- USAA (Plano, TX)
- …**Audit Data Analyst** participates in the development of impactful and high- quality analytics including control testing, continuous monitoring and dashboarding / ... and makes recommendations in the ideation and development of impactful and high- quality analytic control tests. + Participates and makes recommendations in the… more
- University of Texas Rio Grande Valley (Mcallen, TX)
- …as needed. + Collaborates with the medical billing team to improve the quality of clinical documentation for compliance, billing, coding , and reimbursement ... be substituted with experience on a one-to-one basis Preferred Experience Coding , auditing or quality assurance review experience. Bilingual (English/Spanish)… more
- The Arora Group (Abilene, TX)
- …to identify inconsistencies, ambiguities, or discrepancies that could cause inaccurate coding , medico-legal re-percussions or impacts quality patient care. + ... Classification of Diseases, Clinical Modification (ICD-CM); Healthcare Common Procedure Coding System (HCPCS); and Current Procedural Terminology (CPT). + The… more
- University of Texas Rio Grande Valley (Harlingen, TX)
- …provides supporting evidence and makes recommendations regarding identified documentation and coding deficiencies or gaps. Identifies trends and provides feedback to ... Acts as a knowledge expert to service providers and coders through familiarity with coding conventions. * Works closely with Revenue Cycle coding staff on… more
- CVS Health (Austin, TX)
- …Coders (CPC). The Manager is responsible for overseeing and managing coding reviews for fraud detection, investigation, and prevention efforts to safeguard ... with regulatory requirements. The Manager develops strategies to manage workload, quality of reviews and process improvements. **Responsibilities:** Lead and mentor… more
- Textron (Fort Worth, TX)
- …conduct software certification SOI audits alongside military customers, Bell software quality , and other stakeholders\. With minimal supervision, produce SOI audit ... and communicate effectively with other teams including system safety, quality , configuration management, systems engineering, data management, program management,… more