RADV Auditor: ICD-10-CM Data Validation & Compliance
University Health
University Health in San Antonio, TX seeks a RADV Auditor to validate ICD-10-CM coding accuracy and support CMS/RADV compliance. You will analyze data, prepare reports, and collaborate with providers to improve HCC ratios and risk adjustment initiatives. The role emphasizes cross-functional teamwork, data integrity, and the development of procedures to monitor and reconcile data for accuracy. #J-18808-Ljbffr University Health
Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the RADV Auditor: ICD-10-CM Data Validation & Compliance in San Antonio, TX vacancy
- POSITION SUMMARY/RESPONSIBILITIESThe Risk Adjustment Data Validation (RADV) Auditor is responsible for auditing medical records to validate ICD-10-CM coding accuracy and ensure compliance with Centers for Medicare and Medicaid (CMS) and RADV guidelines. This role focuses...CmsDataFull timeDay shift
- ...Surgical coding with Hospitalist encounters. You will extract data and apply ICD-10-CM and CPT/HCPCS codes per official guidelines, CMS rules,... ...work with IQC to ensure quality standards, maintain HIPAA compliance, and respond to billing questions within eight hours,...CmsData
- ...promptly. Qualifications include a Certified Professional Coding Certificate, an Associate’s degree preferred (or 5 years of coding experience), knowledge of medical terminology, anatomy, physiology, and ICD-10-CM coding. #J-18808-Ljbffr South Texas Spine & Surgical HospitalCms
- ...manner in a busy hospital setting. The role emphasizes accuracy, compliance, and proactive problem-solving across a multidisciplinary team... ...requires Certified Professional Coding (CPC) certification, ICD-10-CM knowledge, and strong written and verbal communication to...Cms
- ...Antonio, TX is seeking a Certified Professional Coder to join our billing team. The role focuses on accurate chart review, coding with ICD-10-CM and CPT-4, and timely submission of claims. Ideal candidates hold a Certified Professional Coding Certificate, an associate degree...Cms
- ...proactive problem solving to identify collection trends and improve processes. The ideal candidate holds a CPC certification, an associate’s degree or equivalent experience, and strong knowledge of ICD-10-CM coding and medical terminology. #J-18808-Ljbffr Surgery Partners, IncCms
- ...Medical Educator Coding and Auditor at University Health in... ...Health? Top 10% in the Nation for clinical... ...procedure coding using ICD-10-CM and CPT systems, and... ...relations policy and ensure compliance with regulations from... ...: Maintain a valid credential from one of...CmsWork at officeLocal area
University Health
San Antonio, TX6 days ago - Prosegur is seeking a detail-oriented Security Operations Auditor to join our San Antonio team. This role focuses on reviewing security records, validating data, and ensuring compliance with established procedures to drive operational excellence. Ideal candidates will have...Data
- Auditor, Risk Adjustment Data Validation Community First Health Plans University HealthData
- ...Security USA, Inc seeks a detail-oriented Security Operations Auditor to join our team in a full-time role. The position focuses on auditing security records, validating data quality, and ensuring compliance with established procedures and standards. You will work with...DataFull time
- ...surgery, Inpatient Admission. Utilizes the ICD-10-CM and CPT coding classification systems... ...promotes Healthcare Effectiveness Data and Information Set (HEDIS) metrics,... ...The Coding Educator & Auditor must maintain a valid credential offered by the accrediting...CmsDataWork at officeLocal area
University Health Careers
San Antonio, TX4 days ago - ...initiatives impacting member experience, compliance, and plan operations. Partner with... ...Document functional specifications, workflows, data mapping, and process diagrams to support... ...testing teams. Support QA and UAT by validating acceptance criteria, ensuring CMS‑...CmsData
- ...SUMMARY/RESPONSIBILITIES The Risk Adjustment Data Analyst supports Community First Health... ...medical record retrieval initiatives, data validation, provider performance analysis, and regulatory reporting to ensure compliance with CMS requirements and organizational goals...CmsDataSan Antonio, TX6 days ago
$93k - $160.3k
...Senior Financial Operations Auditor At MPC, we're committed to being... ...financial, operational, compliance, and special audits across Marathon... ...opportunities to leverage data analytics are in-line with audit... ...operations is preferred. ~ Up to 10% travel. Location:...DataFull timeLocal area- ...of various coding guidelines (ICD-10-CM, CPT, HCPCS) and federal and... ...regulations, as well as clinical validation of appropriate supporting... ...respect to any aspect of the data handled or services rendered.... ...Job Responsibilities Maintain compliance with Gonzaba Medical Group...CmsDataFull timeWork at office
- ..., etc. Ability to extract data and apply appropriate ICD-10 Diagnosis codes, along with... ...required, and regulatory compliance. Under the direction of... ...in accordance with ICD-10-CM Official Guidelines for Coding... ...If you want to check the validity of correspondence you have...CmsDataImmediate startFlexible hours
Guidehouse
San Antonio, TX2 days ago - ...detail-oriented and passionate about aviation compliance? Join STE San Antonio Aerospace, Inc. as a Quality Assurance Auditor , where you'll lead internal audits, monitor regulatory... .... Review historical non-conformities and data to identify recurring issues and opportunities...DataWork at office
ST Engineering
San Antonio, TX4 days ago - ...-oriented Senior Integrity Auditor to join our Compliance team. This pivotal role is... ...documentation, claims, and clinical data. - Routinely review... ...- Expert knowledge in: - ICD, CPT, HCPCS coding... ...Ability to perform claims validation reviews and apply regulatory...Data
University Health
San Antonio, TX6 days ago - University Health in San Antonio, TX seeks a data-driven operations support professional to participate in EOC rounding and analyze information gathered across facilities. You will generate monthly trend reports and share findings with departments to drive improvements...CmsData
- University Health is seeking a Risk Adjustment Data Analyst to support the risk adjustment program through data analysis, reporting, and medical record retrieval. You will coordinate with internal departments, provider networks, and external vendors to ensure accurate...CmsData
- ...Junior Compliance Officer/Auditor SGI Global is seeking qualified Junior Compliance Officer to support a federal law enforcement client with... ...following tasks: Responsible for inputting and evaluating data. Utilize DHS databases to run queries, prepare spreadsheets...DataContract workFor contractorsLocal areaRemote workWeekend work
SGI Global
San Antonio, TX3 days ago - ...skills are required. Significant experience in healthcare risk management/quality improvement is preferred. Knowledge and experience in data analysis is preferred. Completion of Certified Professional in Healthcare Risk Management (CPHRM) is preferred or must be obtained...CmsData
University Health
San Antonio, TX6 days ago - Community First Health Plans seeks a Risk Adjustment Data Analyst to support the risk adjustment program through data analysis, reporting... ...KPIs, assist with HCC capture, and ensure CMS regulatory compliance. Strong Excel skills and experience with EHR data are required....CmsData
- ...records to identify and compile patient data for use in cancer management program and... ...Cancer and Texas Cancer Registry · Validates data within medical record and within Cancer... ...is required. · Knowledge and use of ICD-9-CM coding principals is required; ICD-O...CmsData
University Health
San Antonio, TX6 days ago - Job Family:Data Science & AnalysisTravel Required:Up to 10%Clearance Required:Ability to Obtain Public TrustWhat You Will Do:Design, develop, configure,... ...data processing and analytics.Implement data quality, validation, metadata management, lineage, and governance practices...CmsDataFull timeFlexible hours
- ...Coordinator coordinates the process of providing accurate and timely data to the appropriate entities involved in the Prospective Payment... ...documentation, and provides staff education to ensure compliance with CMS guidelines. The Coordinator assumes the task of reviewing...CmsDataReliefImmediate start
- ...pipelines and routing. Ensure website and advertising leads are being captured and tracked correctly. Maintain CRM organization and data accuracy. Work closely with the sales team to understand lead quality and conversion. Continually look for opportunities to...CmsDataFull timeWork at officeLocal area
CKC Custom Homes
San Antonio, TX7 days ago - ...under capitated contracts. You will review medical records, apply ICD-10-CM, CPT, HCPCS guidelines, and ensure supporting documentation meets MA payor requirements. This role emphasizes accuracy, compliance, and collaboration with physicians and staff to meet deadlines....Cms
- ...a mission to redefine live for a new era. With a data-driven approach and the industry's largest network... ...locations. Audits focus on financial, operational, compliance, IT, and strategic risks. The Senior Staff Auditor leads and executes operational, financial, and compliance...DataFull timeWork at officeLocal area2 days per week3 days per week
Freeman
San Antonio, TX1 day ago - ...terminology, anatomy, and physiology. Prior experience coding with ICD-10-CM. Knowledge Knowledge of clinic policies and procedures.... ...ICD-9-CM and CPT-4 coding procedures as applicable. Completes data entry, claim, and report generation. Demonstrates a functional...CmsDataCasual workWork at officeAfternoon shift
HUMBLE VASCULAR SURGICAL CENTER INC
San Antonio, TX2 days ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to RADV Auditor: ICD-10-CM Data Validation & Compliance. Be the first to apply!
Related searches
- lease auditor San Antonio, TX
- field auditor San Antonio, TX
- auditor San Antonio, TX
- inventory auditor San Antonio, TX
- data auditor San Antonio, TX
- safety auditor San Antonio, TX
- medical records auditor San Antonio, TX
- sales auditor San Antonio, TX
- coding auditor San Antonio, TX
- remote nurse auditor San Antonio, TX