Top 18 Coding quality auditor Jobs in Richardson Tx

HCC Coding Auditor Senior - Health Plan Network
Christus Health —Irving, TX
- 8 hour shift
- High school diploma or GED
- Continuous improvement
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Senior ER Coding Auditor
Exceptional Healthcare Inc. —Dallas, TX
- Part-time
- HIPAA
- Mid-level
- Mentoring
Quick Apply
Compliance Auditor II - Compliance
Christus Health —Irving, TX
- Full-time
- Mid-level
- Epic
- Associate's degree
2d
HCC Coding Auditor - Health Plan Network
Christus Health —Irving, TX
- 8 hour shift
- Hybrid work
- Mid-level
- High school diploma or GED
- Continuous improvement
2d
Senior Underwriting Assistant
Risk Specialists Companies Insurance Agency, Inc. —Dallas, TX
- $59,000 - $68,500 a year
- Email
- Microsoft Excel
- Computer literacy
- Writing skills
- Health insurance
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Compliance Analyst III, Hospital Billing Auditor
UT Southwestern —Dallas, TX
- Full-time
- 5 years
- Mid-level
- Bachelor's degree
- Paid parental leave
- Paid holidays
Coding Specialist III
UT Southwestern —Dallas, TX
- 8 hour shift
- Remote
- Anatomy knowledge
- Surgery
- High school diploma or GED
- Paid parental leave
- Paid holidays
Revenue Integrity Educator III
UT Southwestern —Dallas, TX
- Full-time
- Remote
- 6 years
- RN License
- Internal Medicine
- Paid parental leave
- Paid holidays
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
Sr. Manager, Revenue Cycle
Texas Oncology —Richardson, TX
- Monday to Friday
- Microsoft Excel
- Microsoft Outlook
- Surgery
- Wellness program
- Disability insurance
3d
Senior Coding Auditor
Calpion —Dallas, TX
- Part-time
- 11+ years
- Senior level
Senior Accountant
Quality Custom Distribution —Frisco, TX
- Online Application
- CPA
- Customer service
- Research
- AD&D insurance
- Paid holidays
Quick Apply
Senior Staff Accountant
AIT —Plano, TX
- Overtime
- CPA
- Customer service
- Office
- Health insurance
Quick Apply

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coding quality auditor jobs near richardson tx

HCC Coding Auditor Senior - Health Plan Network

Christus Health -
Irving, TX

Apply Now

Job Details

Full-time
2 days ago

Qualifications

Health education for healthcare providers
High school diploma or GED
Driving
Teaching

Full Job Description

Description

Summary:

HCC Coding Auditor Senior will perform code audits and abstraction using the Official Coding Guidelines for ICD-10-CM, AHA Coding Clinic Guidance, and in accordance with all state regulations, federal regulations, internal policies, and internal procedures. The HCC Coding Auditor Senior will be involved with activities of quality assurance auditing and risk adjustment code abstraction for the following programs: including but not limited to, Commercial Risk Adjustment, Medicare Advantage Risk Adjustment, and HHS and Medicare RADV (Risk Adjustment Data Validation). This is an onsite position with a remote option.

Responsibilities:

Perform Medical Record reviews and audits based on organizational priorities. These can include both prospective and concurrent Clinical Documentation Improvement (CDI) workflows as well as retrospective auditing. Review and audits may lead to the addition, deletion, adjustment, or confirmation of diagnoses for risk adjustment.
Perform code abstraction and/or coding quality audits of medical records to ensure ICD-10-CM codes are accurately assigned and supported by clinical documentation to ensure adherence with CMS (HCC) Risk Adjustment guidelines.
Perform coding quality audits within multiple EMRs, databases, and/or vendor platforms to support both employed and independent clinic risk adjustment strategies.
Identifies revenue, reimbursement, and provider educational opportunities while remaining compliant with state and federal regulations.
Prepare and/or perform auditing analysis and provide feedback on noncompliance issues detected through auditing.
Complies with all aspects of coding, abides by all ethical standards, and adheres to official coding guidelines.
Conduct provider education and training regarding risk adjustment to help ensure accurate CMS payment and to improve the quality of care. This includes training venues such as provider offices, hospitals, webinars, conference calls, email correspondence, etc.
Provides measurable, actionable solutions to providers that will result in improved accuracy for documentation and coding practices to ensure chronic conditions are recaptured annually
Ensures that rendered physician services for claim submission and any subsequent payments are as accurate as possible while complying with regulatory guidelines including CMS, DHS, and OIG
Assist coding leadership by making recommendations for process improvements to further enhance coding quality goals and outcomes
Provides measurable, actionable solutions to providers that will result in improved accuracy for documentation and coding practices to ensure chronic conditions are recaptured annually Responsible for maintaining current knowledge of coding guidelines and relevant federal regulations through the use of current ICD-10-CM manual and other relevant material

Requirements:

Education/Skills

High School Diploma required or equivalent
Excellent written and verbal communication skills.
Ability to drive within assigned areas or overnight travel for internal or external meetings.
Capacity to attend remote provider meetings day/evening/weekends as needed within assigned regions as defined by manager/leadership.

Experience

At least three (3) years of hospital inpatient/outpatient or medical office coding experience, preferably three (3) years risk adjustment coding experience.
Prior experience teaching/training others on correct coding guidelines and have the ability to present to large groups of Physicians/Providers.

Licenses, Registrations, or Certifications

Coding certification required through AHIMA or AAPC (at least two of the below):
- Certified Professional Coder (CPC) required
- Certified Risk Adjustment Coder (CRC) preferred
- Certified Coding Specialist for Providers (CCS-P) preferred
- Registered Health Information Management Technician (RHIT) preferred
- Certified Coding Specialist for Providers (CPMA) preferred Certified Coding Specialist for Providers (CDEO) preferred

Work Schedule:

5 Days - 8 Hours

Work Type:

Full Time

Apply Now

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coding quality auditor jobs in richardson tx

HCC Coding Auditor Senior - Health Plan Network

Senior ER Coding Auditor

Compliance Auditor II - Compliance

HCC Coding Auditor - Health Plan Network

Senior Underwriting Assistant

Compliance Analyst III, Hospital Billing Auditor

Coding Specialist III

Revenue Integrity Educator III

Sr Staff Engineer Backend

Sr. Manager, Revenue Cycle

Senior Coding Auditor

Senior Accountant

Senior Staff Accountant

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