Top 22 Coding quality auditor Jobs in Irving Tx

Auditor, Risk Adjustment
Oscar Health —Dallas, TX
- $82,717 - $108,566 a year
- Remote
- Mid-level
- Bachelor's degree
- Travel
- Paid parental leave
- Paid holidays
Quick Apply
Inpatient Coding Specialist - Pediatrics | Remote Texas | $10,000 Sign-On Bonus
Cook Children's Health Care System —Fort Worth, TX
- Full-time
- Surgery
- Mid-level
- High school diploma or GED
Quick Apply
Medical Coding Auditor
Exceptional Healthcare Inc. —Dallas, TX
- Full-time
- Computer literacy
- Mid-level
- Microsoft Office
Quick Apply
Senior Coding Auditor
Calpion —Dallas, TX
- 8 hour shift
- 11+ years
- Senior level
Premium Auditor
Berkley —Irving, TX
- Full-time
- Hybrid work
- Microsoft Excel
- Microsoft Outlook
- Office
Senior ER Coding Auditor
Exceptional Healthcare Inc. —Dallas, TX
- Part-time
- HIPAA
- Mid-level
- Mentoring
Quick Apply
Coding Specialist III
UT Southwestern —Dallas, TX
- 8 hour shift
- Remote
- Anatomy knowledge
- Surgery
- High school diploma or GED
- Paid parental leave
- Paid holidays
Compliance Analyst III, Hospital Billing Auditor
UT Southwestern —Dallas, TX
- Full-time
- 5 years
- Mid-level
- Bachelor's degree
- Paid parental leave
- Paid holidays
7d
Auditor, Clinical Services
Concentra —Dallas, TX
- Full-time
- Microsoft Word
- Customer service
- HIPAA
- Commuter assistance
- Disability insurance
19h
Compliance Specialist
Lifecare Home Health Family —Irving, TX
- Full-time
- RN License
- Mid-level
- Analysis skills
Quick Apply
Revenue Integrity Educator III
UT Southwestern —Dallas, TX
- Full-time
- Remote
- 6 years
- RN License
- Internal Medicine
- Paid parental leave
- Paid holidays
QA Manager/QA Supervisor
VA Coaching & Consulting – Talent & HR Solutions —Dallas, TX
- $65 - $85 an hour
- Full-time
- Spanish
- Ability to walk for extended periods
- English
Quick Apply
DRG Manager
Machinify —Dallas, TX
- $125,000 - $140,000 a year
- Remote
- Nursing
- Research
- 3 years
- Health savings account
- Health insurance
Quick Apply
Medical Bill Auditor
Injury Management Organization —Plano, TX
- $19 - $20 an hour
- Full-time
- Mid-level
- High school diploma or GED
- Typing
- Health savings account
- Paid holidays
Quick Apply
1d
Director of State Reporting
Uplift Education —Dallas, TX
- $90,000 a year
- Online Application
- School experience
- 5 years
- Office
Senior Accounts Payable Analyst
SOUTHWEST TRANSPLANT ALLIANCE —Dallas, TX
- Hybrid work
- Clean driving record
- Oracle
- HIPAA
Quick Apply
Senior Accountant
Pavlov Media Inc —Dallas, TX
- $74,000 - $111,000 a year
- Full-time
- Remote
- CPA
- 5 years
- Finance
- AD&D insurance
- Paid holidays
7d
Senior Staff Accountant
AIT —Plano, TX
- Overtime
- CPA
- Customer service
- Office
- Health insurance
Quick Apply
Sr Staff Engineer Backend
Lendistry —Dallas, TX
- $99,100 - $185,000 a year
- Overtime
- Computer science
- Computer Science
- Bachelor of Science
- Health savings account
- Paid holidays
Quick Apply

More jobs to discover

Find similar jobs that you might be interested in.

Inpatient Coding Specialist - Pediatrics | Remote Texas | $10,000 Sign-On Bonus
Cook Children's Health Care System —Fort Worth, TX
Do you currently hold a valid RHIA, RHIT, or CCS certification? Required to provide current American Health Information Management Association (AHIMA)…
Quick Apply

Explore jobs in cities nearby

Check out jobs in cities near your current location, Columbus

Full-Time Home Health OASIS Auditor (HCS-O or COS-C )
National Church Residences —Dublin, OH
Quality Improvement: Identify trends, gaps, and risks in care delivery; collaborate with leadership to develop and implement corrective action plans.
Quick Apply
Credit Administrator
Peoples Bank —Worthington, OH
Independently manages the loan modification review process, exercising sound judgment to interpret credit approvals and supporting documentation, assess…

Show more jobs in cities nearby

I want to receive the latest job alert for coding quality auditor in irving tx

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

coding quality auditor jobs near irving tx

Auditor, Risk Adjustment

Oscar Health -
Dallas, TX

Quick Apply

Job Details

$82,717 - $108,566 a year

Benefits

Paid parental leave
Paid holidays
Disability insurance
Health insurance
Dental insurance
Parental leave
Vision insurance
Paid sick time

Qualifications

Certified Professional Coder

Full Job Description

Hi, we're Oscar. We're hiring a Associate, Risk Adjustment Auditor to join our Risk Adjustment team.

Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family.

About the role:

The Associate, Risk Adjustment Auditor conducts internal and external quality audits. Quality audits are specific to ICD-10 code abstraction relative to accuracy, completeness, and identified clinical documentation improvement opportunities. You will work with management to implement benchmarks, establish acceptable thresholds, and quality assurance programs.

You will report into the Manager, Risk Adjustment.

Work Location: This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; or Texas. While your daily work will be completed from your home office, occasional travel may be required for team meetings and company events. #LI-Remote

Pay Transparency: The base pay for this role is: $82,717 - $108,566 per year You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.

Responsibilities:

Responsible for daily operations pertaining to Risk Adjustment including but not limited to: medical record reviews to report ICD-10-CM diagnosis codes for ACA and MA lines of business, potential Centers of Medicare & Medicaid Services (CMS), Health and Human Services (HHS) audits and medical record retrieval efforts.
Mitigate risk by validating Encounter Data Gathering Environment Server (EDGE) data is supported within provider encounter documentation
Review the performance of the Risk Adjustment Coding team and report audit trends to Leadership in a timely, consistent and effective manner to ensure the appropriate changes and education are implemented.
Maintain compliance with national standards and coding practices set by the ICD-10-CM coding guidelines for accuracy, as well as compliance with Risk adjustment production standards.
Conduct CMS audits of Risk Adjustment activities, including but not limited to Risk Adjustment Data Validation audits.
Develop relationships with key individuals to foster an increased understanding of the Risk Adjustment process.
Identify and execute on the creation of clinical document improvement resources for provider education in both MA and ACA line of business.
Manage the implementation process improvements that will maximize risk adjustment factor increases.
Compliance with all applicable laws and regulations
Other duties as assigned

Requirements:

Bachelor's degree in a relevant field of study or commensurate work experience.
Certified professional coder (CPC)
3+ year(s) retrospective risk adjustment coding experience.
1+ year(s) experience Quality Auditing and/or Risk Adjustment Data Validation Audit (RADV) experience

Bonus points:

Certified Risk Adjustment Coder (CRC) or similar certification
Experience coding in a variety of different Electronic Medical Record (EMR) systems.

This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here.

At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care - an experience made whole by our unique backgrounds and perspectives.

Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.

Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.

Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team ([email protected]) to make the need for an accommodation known.

California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Privacy Policy.

Quick Apply

Refine Your Search

coding quality auditor jobs in irving tx

Auditor, Risk Adjustment

Inpatient Coding Specialist - Pediatrics | Remote Texas | $10,000 Sign-On Bonus

Medical Coding Auditor

Senior Coding Auditor

Premium Auditor

Senior ER Coding Auditor

Coding Specialist III

Compliance Analyst III, Hospital Billing Auditor

Auditor, Clinical Services

Compliance Specialist

Revenue Integrity Educator III

QA Manager/QA Supervisor

DRG Manager

Medical Bill Auditor

Director of State Reporting

Senior Accounts Payable Analyst

Senior Accountant

Senior Staff Accountant

Sr Staff Engineer Backend

More jobs to discover

Explore jobs in cities nearby

I want to receive the latest job alert for coding quality auditor in irving tx

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected