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- ...Coding Compliance Auditor Conducts coding compliance audits of inpatient and outpatient encounters to validate code assignment. Follows the official coding guidelines as supported by clinical documentation in health record. Validates abstracted data elements that are...SuggestedWork experience placement
Hendrick Medical Center
Abilene, TX4 days ago - ...Role type: Risk Adjustment Coding Auditor Quantity of resources: 2 Duration: 6 months JD: This role will be occupied by a certified risk adjustment coder to support first and second pass auditing for CMS RADV's. Required skillset: MS Suite CPC certified CRC certified...Suggested
Vytwo
Prosper, TX2 days ago $32 - $37 per hour
...Description Risk Adjustment Coding Auditor The Risk Adjustment Coding Auditor ensures the accuracy and completeness of coded clinical data to support compliant reporting and appropriate reimbursement across risk adjustment programs. The role strengthens organizational...SuggestedContract workTemporary workRemote workTEKsystems
Dallas, TX1 day ago$71.1k - $97.8k
...Become a part of our caring community The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Inpatient Medical...SuggestedBi-weekly payFull timeContract workTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeMonday to FridayHumana
Austin, TX1 day ago- ...to one of the eligible states (including Texas). ** Position responsible for ensuring the accuracy and completeness of clinical coding resulting in the appropriate reimbursement and data integrity and validation of the coded information for external and internal affairs...SuggestedRemote workRelocation
Memorial Hermann Health System
Houston, TX5 days ago $90k - $110k
...DRG Revenue Integrity Auditor Remote CareNational is looking for an experienced DRG Revenue Integrity Auditor ! Ideal candidates... ...Work-From-Home Job Responsibilities: Adherence to all coding guidelines and CDI best practices, as endorsed by ACDIS and...SuggestedImmediate startRemote workWork from homeCareNational
Plano, TX4 days ago- ...Claim Auditor I Location: Calmont Operations Building Department: Reimbursement Analysis Shift: First Shift (United States of... ...timelines, business policy, provider and HHSC contracts, appropriate coding and system configuration. Audit reports may include UB-1450 and...SuggestedWork at officeShift workDay shift
- Reporting to the Director of Healthcare Compliance, the Senior Compliance Coding Auditor is responsible for conducting independent coding, billing, documentation, and regulatory compliance audits across ambulatory and specialty care practices. The position supports the...SuggestedRemote jobFor contractorsWork experience placementWork at office
$119.4k - $136.2k
...One is seeking an energetic, self‑motivated Principal Technology Auditor with experience evaluating and analyzing technology and... ...anomalies, including 1 year of experience in test scripting or coding (writing, reviewing, assessing) Preferred Qualifications Certifications...SuggestedLocal area3 days per week- The Diagnostic Related Groups (DRG) Clinical Auditor will be responsible for performing DRG validation (clinical/coding) reviews of medical records and/or other documentation. This role will determine correct DRG/coding as defined by review methodologies specific to the...SuggestedMinimum wageFull timeWork at officeLocal areaFlexible hours
- Baylor Scott & White Health is seeking a Provider Coding Compliance Consultant to support the Coding Compliance Manager and VP/Director. You will help develop, implement, and maintain BSWH policies ensuring adherence to laws and regulations across the system. Responsibilities...Suggested
- Central Health in Austin, Texas seeks a Senior Compliance Coding Auditor to conduct independent coding, billing, documentation, and regulatory audits across ambulatory and specialty care practices. The position supports the organization's compliance program through risk...Suggested
- CERIS, a division of CorVel Corporation, is seeking a DRG Clinical Auditor in Fort Worth, TX to perform DRG validation and coding reviews of medical records. You will determine correct DRG/coding per review methodologies and support clinical/policy/regulatory decisions...Suggested
- ...equivalent and at least four years of relevant experience. Certified Coding Specialist (CCS) by the American Health Information Management... ...billed. Performs Quality Assurance (QA) reviews of other auditors within the Office of Institutional Compliance as required. Assists...SuggestedFor contractorsWork at officeLocal areaMonday to FridayShift workDay shift
- ...into clear, actionable insights to meet the analytical requirements of business stakeholders Ability to read, write, or interpret coding languages like SQL, VB.Net or C# for business rule development and trouble shooting At Koch companies, we are entrepreneurs. This means...SuggestedFlexible hours
Koch
Plano, TX4 days ago $82.72k - $108.57k
...Description Hi, we're Oscar. We're hiring a Associate, Risk Adjustment Auditor to join our Risk Adjustment team. Oscar is the first health... ...external quality audits. Quality audits are specific to ICD-10 code abstraction relative to accuracy, completeness, and identified...Full timeWork experience placementRemote workWork from homeHome officeOscar Health
Dallas, TX1 day ago- The University of Texas Medical Branch in Texas seeks an experienced Healthcare Auditor to verify documentation, coding, and reimbursement across professional and inpatient/outpatient services. You will apply CPT/ ICD-10 guidelines and support education for auditing staff...
- Vytwo in Dallas, TX seeks a Risk Adjustment Coding Auditor for a 6-month engagement to support CMS RADV audit passes. The role requires a CPC and CRC certification and 5+ years of risk adjustment experience, with proficiency in MS Office. The team will run first and second...
- ...SR Internal Auditor (IT) The SR Internal Auditor (IT) is responsible for executing and, at times, leading assigned information technology... ...incident response. Application security, including secure coding practices, segregation of duties and least privileged access concepts...Local areaFlexible hours
Tyler Technologies
Plano, TX4 days ago - ...(5) years of experience in internal auditing, medical billing/coding, or clinical experience in a healthcare setting. Data analytics... ...Certification/Registration/Licensure ~ Certified Internal Auditor (CIA), Certified Public Accountant (CPA), Registered Health Information...Full timeWork at officeMonday to Friday
Parkland Health and Hospital System (PHHS)
Dallas, TX2 days ago $99.5k - $119.5k
...personally. WHERE YOU’LL FIT WITHIN THE TEAM As a Manager, IT Auditor, you will hold a senior individual contributor role within the... ...software development lifecycle, including design approval, secure coding, testing and UAT, release management, segregation of duties,...Full timeWork at officeLocal area1 day per week$85.04k - $162.55k
...The Opportunity As a dedicated Audit Data Analyst- Senior Auditor you will independently develop and execute advanced audit analytics... ...and/or experience. ~4 years experience with analytic coding techniques and visualization tools. ~2 years experience in SAS...Full timeH1bWork at officeRemote workFlexible hours- ...or an alternative application process. Senior Claims Processor/Auditor Full Time Clerical Austin, TX, US 8 days ago Requisition ID: 13... ...including patient demographics, diagnoses, procedures, and billing codes when available. Ensure compliance with insurance policies and...Full timeLive outWork at officeRemote work
- ...Job Description Job Description Job Summary (Par time-Potential for Fulltime) The Certified ER Medical Coding Auditor is responsible for auditing emergency department medical records to ensure accurate coding, compliance, and optimal reimbursement. This role also...Full time
Exceptional Healthcare Inc.
Dallas, TXa month ago $55.48k - $100.74k
...accommodation is granted as required by law. The Clinical Provider Auditor II is responsible for identifying issues and/or entities that... ...to aid in investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations....Full timeTemporary workWork experience placementWork at officeLocal area1 day per week- ...of our 12th Annual Quality Summit . POSITION SUMMARY Integrative Emergency Services, LLC (“IES”) is seeking a Medical Coding Auditor with emphasis on surgical services. Although a surgical related coding certification is preferred, a related certification from...Full timeWork at officeLocal areaRemote workFlexible hoursNight shift
Integrative Emergency Services
Dallas, TX6 days ago - ...Job Description Job Description Job Title: Medical Auditor Job Type: Contractor Location: Remote Job Overview We are seeking... ...AI systems by reviewing, evaluating, and refining medical coding and audit-related content. This opportunity is ideal for professionals...Remote jobFor contractors
- ...Job Description Job Description Medical Auditor Job Type: Contractor Location: Remote Job Overview We are seeking experienced... ...with strong expertise in outpatient professional fee coding and coding audits , preferably within academic medical centers...Remote jobFor contractors
$70.14k - $107.25k
...Job Description Job Description The Diagnostic Related Groups (DRG) Clinical Auditor will be responsible for performing DRG validation (clinical/coding) reviews of medical records and/or other documentation. This role will determine correct DRG/coding as defined by...Minimum wageFull timeWork at officeLocal areaRemote workFlexible hours- ...Health is seeking a dedicated and detail-oriented Senior Integrity Auditor to join our Compliance team. This pivotal role is responsible... ...: - Perform audits and reviews in areas such as coding, billing, medical record documentation, claims, and clinical data...
