MEDICAL CODING AND BILLING AUDITOR

Texas Mutual is the largest workers’ compensation provider in Texas, dedicated to building a stronger, safer Texas by helping injured workers return to productive lives and giving businesses the tools to thrive.

Our Medical Audit department supports that mission by delivering quality medical bill reviews and collaborating with stakeholders to achieve cost savings for Texas Mutual, policyholders, and injured workers.

As a Medical Bill Auditor, you will work directly with Texas healthcare providers who treat injured workers. Your expertise will be instrumental in reviewing and analyzing medical bills, ensuring accuracy, completeness, and compliance with relevant regulations and payer policies.

Responsibilities Review and analyze medical bills to ensure they are accurate, complete, and compliant with relevant regulations and payer policies.

Work with key stakeholders to detect and investigate discrepancies or inconsistencies in billing practices, including potential fraud or abuse.

Provide education and training to stakeholders on accurate coding practices and compliance matters through the audit processes.

Contribute to the development and implementation of best practices and process improvements within the billing and auditing functions.

Required Qualifications A high school diploma or GED.

At least two years of experience with medical billing or coding, or equivalent education, training, or experience.

Knowledge of medical terminology.

Preferred Qualifications Knowledge of Workers' Compensation and/or Medicare medical billing.

Experience working in a healthcare provider’s office.

Pay Transparency Base Pay Range: $27.81 - $34.36 per Hour

Flex-Hybrid Work Environment: Texas Mutual’s flex-hybrid schedule allows remote and office work based on business needs. All employees are required to have Texas residency and travel to their designated office as needed.

Benefits Annual performance bonus and merit-based pay increase

Lifestyle Savings Account ($1,000 per year)

Automatic 4% employer contribution to retirement plan

Nine paid holidays and two personal days each year

Day one health, Rx, vision and dental insurance

Life and disability insurance

Flexible spending account

Free on-site gym, fitness classes, and health and wellness resources

Professional development and tuition reimbursement

All qualified applicants will receive consideration for employment without regard to age, race, color, national origin, religion, sex, gender identity, sexual orientation, genetic information, veteran status, or any other basis protected by local, state, or federal law.

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