- WTW (Houston, TX)
- **Description** As a Medical Claim Lead Auditor , you will apply your audit, project management and client management skills to lead client audits. ... Develop working relationship with vendor counterparts + Distribute individual claim /work queues to team in a timely manner +...Managed Care + Must demonstrate a high level of claims administration knowledge, including experience with medical ,… more
- Elevance Health (Houston, TX)
- …spending. The **DRG Coding Auditor Principal** is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation Group (DRG) ... letter writing) on lower level auditors. + Identifies new claim types by identifying potential claims outside...environment preferred. + Broad, deep and niche knowledge of medical claims billing/payment systems provider billing guidelines,… more
- Elevance Health (Houston, TX)
- …an office.** The **DRG Coding Auditor ** is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit ... coding or quality assurance environment preferred. + Broad knowledge of medical claims billing/payment systems provider billing guidelines, payer reimbursement… more
- Elevance Health (Houston, TX)
- …experience preferred. + Broad knowledge of clinical documentation improvement guidelines, medical claims billing and payment systems, provider billing ... required by law. The **Diagnosis Related Group Clinical Validation Auditor -RN** is responsible for auditing inpatient medical ...you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles,… more