- Baylor Scott & White Health (Dallas, TX)
- **JOB SUMMARY** The Coding Auditor 1 is proficient in various types of coding and is responsible for performing coding quality audits and providing ... feedback to coders. The Coding Auditor 1 utilizes the International Classification of Disease (ICD-10-CM/PCS), Healthcare Common Procedure Coding System… more
- Elevance Health (Grand Prairie, TX)
- **DRG CODING AUDITOR ** **_Virtual_** **_: _** _ _ __ This role enables associates to work virtually full-time, with the exception of required in-person training ... to recover, eliminate and prevent unnecessary medical-expense spending. The **DRG CODING AUDITOR ** is responsible for auditing inpatient medical records… more
- Elevance Health (Grand Prairie, TX)
- **Clinical Provider Auditor II** **Supports the Payment Integrity line of business** **Virtual:** This role enables associates to work virtually full-time, with the ... recover, eliminate and prevent unnecessary medical-expense spending. The **Clinical Provider Auditor II** is responsible for identifying issues and/or entities that… more
- Texas Health Resources (Arlington, TX)
- Manager Compliance Coding _Are you looking for a rewarding career with family-friendly hours and top-notch benefits? We're looking for qualified candidates like you ... + Core work hours: Monday - Friday; 8:00a-5:00p; Position Summary The Coding Compliance Manager oversees and manages auditing and monitoring activities related to… more
- Dallas Behavioral Healthcare Hospital (Desoto, TX)
- …professionals to resolve issues resulting from denied claims + Adhere to coding policies and procedures consistent with the industry standard guidelines for CPT, ... ICD-9 and ICD-10. + Answer coding questions + Review clinical documentation to ensure it...Interventional Radiology Cardiovascular Coder (CIRCC) and Certified Professional Medical Auditor (CPMA) + Experience: A minimum of 1 year… more
- Dallas Behavioral Healthcare Hospital (Desoto, TX)
- …professionals to resolve issues resulting from denied claims + Adhere to coding policies and procedures consistent with the industry-standard guidelines for CPT, ... ICD-9 and ICD-10. + Answer coding questions + Review clinical documentation to ensure it...Interventional Radiology Cardiovascular Coder (CIRCC) and Certified Professional Medical Auditor (CPMA) + Experience: A minimum of 1 year… more
- Elevance Health (Grand Prairie, TX)
- …written and verbal inquiries. **How you will make an impact:** + Assists higher level auditor /lead on field work as assigned and acts as auditor in charge on ... and post implementation audits of providers, claims processing and payment, benefit coding , member and provider inquiries, enrollment & billing transactions and the… more
- Molina Healthcare (Fort Worth, TX)
- …Healthcare claim audits including, but not limited to; vendor, focal, audit the auditor . Confirm that documentation is clear and concise to ensure accuracy in ... specific policies and regulations in order to identify incorrect coding , abuse and fraudulent billing practices, waste, overpayments, and...& ABILIITIES:** + Minimum 2 years as an operational auditor for at least one core operations function +… more
- Butler America (Fort Worth, TX)
- …* Experience in software requirements development. * Software design and coding (C/C++, Ada, or other embedded programming languages) * Embedded software/hardware ... skills. * Must quickly come up to speed with the software process auditor work scope, technical requirements, program risks, and delivery milestone schedule. *… more
- Textron (Fort Worth, TX)
- …with conducting software certification \(SOI\) reviews from the certification authority/ auditor perspective\. * Proficiency in Microsoft Office\. * Demonstrated ... 5 years' experience in a software engineering role, including requirements, design, coding , and testing per RTCA DO\-178B/C\. * Required Bachelor's Degree or… more