- 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
- Capital One (Plano, TX)
- Principal Auditor - Cyber, Risk and Analysis Technology Audit Capital One's Audit function is a dedicated group of professionals focused on delivering top-quality ... Capital One is seeking an energetic, self-motivated Principal Technology Auditor with experience evaluating and analyzing technology and cybersecurity risks… more
- Insight Global (Plano, TX)
- …DRG Auditors to join a remote healthcare organization. The DRG Revenue Integrity Auditor will perform Diagnostic Related Group (DRG) validation and quality audits on ... inpatient charts to ensure accurate coding and compliance with federal regulations. This is a...care setting or a third-party vendor as a DRG Auditor or Clinical Documentation Specialist (CDS). -CCS Certification RN… 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
- Capital One (Plano, TX)
- …information, issues and audit progress to teammates, clients and auditor -in-charge. + Perform various aspects of engagement administration, including hours ... innovation, and technology will only make you a better auditor . This will require leveraging the power of data...and anomalies, including 1 year experience in test scripting, coding (writing, reviewing, or assessing) or a combination +… more
- Capital One (Plano, TX)
- …information, issues and audit progress to teammates, clients and auditor -in-charge. + Perform various aspects of engagement administration, including hours ... innovation, and technology will only make you a better auditor . This will require leveraging the power of data...including 1 year of experience in test scripting or coding (writing, reviewing, or assessing) + At least 2… more
- Capital One (Plano, TX)
- …understanding of data, innovation, and technology will only make you a better auditor . This will require leveraging the power of data analytics and furthering your ... including 1 year of experience in test scripting or testing coding (writing, reviewing, or assessing) **Preferred Qualifications:** + Certifications related to… more
- Molina Healthcare (Dallas, 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
- 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
- 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