- Humana (Austin, TX)
- **Become a part of our caring community and help us put health first** The Inpatient Medical Coding Auditor extracts clinical information from a variety of ... medical codes (eg, ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- **42594BR** **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
- Cognizant (Austin, TX)
- **About the role** As an Inpatient Medical Coding Auditor , you will make an impact by auditing consultant inpatient. You will be a valued member of the ... and ICD-10-PCS education and mentoring to Company's clients in coding , billing and compliance + Perform Peer Reviews of...Federal, state and payer regulations + Capable of interpreting medical records reports and chart entries + Able to… more
- Texas Health Resources (Arlington, TX)
- …identify solutions, drive improvements and ensure accuracy to complex tasks. Experienced medical coding auditor with advanced proficiency in ICD-10-CM/PCS, ... Senior Compliance Coding Auditor - System Compliance _Bring...Degree 6 Years Req Experience 6 Years Experience in medical coding (inpatient, outpatient and evaluation and… more
- Elevance Health (Houston, 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_** **_: _** _...**DRG CODING AUDITOR ** **_Virtual_** **_: _** _ _ __ This...and DRG assignment accuracy. Specializes in review of DRG coding via medical record and attending physician's… more
- HCA Healthcare (Houston, TX)
- …you to apply! **Job Summary and Qualifications** As a work from home Inpatient Coding Auditor , you will be responsible for performing internal quality assessment ... recognized. Submit your application for the opportunity below: Inpatient Coding Quality Auditor Parallon. **This is a...policy + Demonstrates and applies expert level knowledge of medical coding practices and concepts + Participates… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Coding Quality Auditor position is responsible for ensuring accuracy in code assignment of diagnosis and procedure to outpatient and/or ... inpatient encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory body… more
- Highmark Health (Austin, TX)
- …(Outpatient): Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or ... **GENERAL OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data… more
- WelbeHealth (Austin, TX)
- …is key to WelbeHealth values, team culture, and mission. At the direction of the Coding Supervisor, the Coding Auditor and Educator focuses on ensuring ... in their homes and in their communities. Our innovative and comprehensive range of medical services to participants is what ignites our passion to treat the whole… more
- Datavant (Austin, TX)
- …As an Auditor , HCC Risk Adjustment Coder, you will review medical records to identify and code diagnoses using a standardized system, ensuring accurate ... to the table:** + Minimum 3 years of HCC coding experience + Minimum 2 years of HCC Auditing...Medicare, commercial, and Medicaid sectors. + In-depth knowledge of medical terminology, abbreviations, pharmacology, and disease processes. + Ability… more
- Methodist Health System (Dallas, TX)
- …of experience for auditing and abstracting. **_Preferred_** : Certified Professional Medical Auditor (CPMA) certification from AAPC **_Experience/Knowledge_** : ... appropriate E&M level and CPT assignment **or** 4-5 years of multispecialty coding experience. Thorough knowledge of anatomy/ medical terminology. Proficient with… more
- Elevance Health (Houston, 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. + ... **Clinical Provider Auditor II** **Location:** _Hybrid1:_ This role requires associates...+ Requires a AA/AS and minimum of 3 years medical coding /auditing experience, including minimum of 1… more
- Humana (Corpus Christi, TX)
- …accuracy, and Medicare Conditions of Participation demand meticulous documentation. A QA Auditor will help ensure all records meet federal, state, and payer-specific ... standards, reducing audit risk and financial exposure. The QA Auditor will review Start of Care (SOC), Recertification, and Discharge documentation for completeness… more
- WTW (Dallas, TX)
- **Description** As a Lead Auditor you will apply your audit, project management and client management skills to lead client audits. You will serve as the team leader ... demonstrate a high level of claims administration knowledge, including experience with medical , dental, mental health and Medicare + Detailed knowledge of ICD-10 and… more
- University of Texas Rio Grande Valley (Mcallen, TX)
- …a related field from an accredited university. Licenses/Certifications Required: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
- HCA Healthcare (Pasadena, TX)
- …of our team. **Job Summary and Qualifications** As a work from home Inpatient Coding Auditor , you will be responsible for performing internal quality assessment ... guidelines and policy + Demonstrates and applies expert level knowledge of medical coding practices and concepts + Participates on special reviews or projects +… more
- Houston Methodist (Houston, TX)
- …Instructor (AAPC) -- (CBO Coders only) **OR** + CPMA - Certified Professional Medical Auditor (AAPC) -- (CBO Coders only) **KNOWLEDGE, SKILLS, AND ABILITIES** ... assignment systems + Official coding guidelines and coding compliance + Working knowledge of medical ...and coding compliance + Working knowledge of medical terminology, anatomy and physiology, disease processes and pharmacology… more
- Texas Health Resources (Arlington, TX)
- …APC, ICD-10-CM/PCS, CPT, HCPCS coding , modifiers, NCCI edits, and official coding guidelines. Strong understanding of medical terminology, human anatomy and ... Manager Compliance Coding _Are you looking for a rewarding career...establishing management correction plans when necessary. Additionally, the Compliance Auditor Manager effectively communicates audit findings through reports, presentations,… 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
- HCA Healthcare (Arlington, TX)
- … guidelines and policies + Demonstrates and applies expert level knowledge of medical coding practices and concepts; assists in ensuring vendor coders adherence ... work from home position.** **This position has a specialization in Inpatient Coding .** **Benefits** Parallon offers a total rewards package that supports the health,… more