Top 30 Coding compliance Jobs in Dallas, 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
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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
Compliance Officer
Doctors of Internal Medicine —Plano, TX
- $75,000 - $120,000 a year
- Full-time
- Background check
- 3 years
- Master's degree
- Health insurance
- Dental insurance
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14d
Auditor, Clinical Services
Concentra —Dallas, TX
- Full-time
- Microsoft Word
- Customer service
- HIPAA
- Commuter assistance
- Disability insurance
10d
Payer Compliance Specialist I - Remote
US Anesthesia Partners, Inc. —Dallas, TX
- $16.49 - $26.39 an hour
- Full-time
- Microsoft Word
- Writing skills
- Basic math
Lead Analyst, Cyber Security Compliance
Vistra Corporate Services Company —Irving, TX
- Online Application
- 7 years
- Research
- Office
11d
Compliance Manager
Dozee —Dallas, TX
- Hybrid work
- HIPAA
- Bachelor's degree
- Continuous improvement
Security & Compliance Engineer II, AWS Security Assurance Services, LLC
AWS Security Assurance Services LLC —Dallas, TX
- $137,600 - $202,400 a year
- Full-time
- System design
- HIPAA
- Java
- AD&D insurance
- Health insurance
Security & Compliance Engineer, AWS Security Assurance Services, LLC
AWS Security Assurance Services LLC —Dallas, TX
- $137,600 - $202,400 a year
- Full-time
- System design
- HIPAA
- Java
- AD&D insurance
- Health insurance
Premium Auditor
Berkley —Irving, TX
- Full-time
- Hybrid work
- Microsoft Excel
- Microsoft Outlook
- Office
Compliance Engineering, Software Engineer, Associate, Dallas
Goldman Sachs —Dallas, TX
- Computer Science
- Mid-level
- Office
- Disability insurance
- Health insurance
11d
Compliance, Surveillance & Models-Software Engineering, Vice President, Dallas
Goldman Sachs —Dallas, TX
- Computer Science
- 5 years
- Office
- Disability insurance
- Health insurance
Assistant General Counsel - Clinical
Health Care Service Corporation —Richardson, TX
- $121,200 - $225,200 a year
- Full-time
- Hybrid work
- Writing skills
- HIPAA
- 3 years
- Health insurance
Compliance Specialist
Lifecare Home Health Family —Irving, TX
- Full-time
- RN License
- Mid-level
- Analysis skills
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Senior ER Coding Auditor
Exceptional Healthcare Inc. —Dallas, TX
- Part-time
- HIPAA
- Mid-level
- Mentoring
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Security & Compliance Engineer II, AWS Security Assurance Services, LLC
Amazon Web Services, Inc. —Dallas, TX
- $137,600 - $202,400 a year
- Full-time
- System design
- HIPAA
- Java
- AD&D insurance
- Health insurance
NSA & State Arbitration Pathway Compliance Specialist
OMS MEDICAL BILLING LLC —Addison, TX
- Bachelor's degree
- Senior level
- Negotiation
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Sr. Security & Compliance Engineer, AWS Security Assurance Services, LLC
AWS Security Assurance Services LLC —Dallas, TX
- $151,200 - $226,700 a year
- Full-time
- Writing skills
- Java
- Machine learning
- AD&D insurance
- Health insurance
Financial Crimes - Transaction Monitoring Specialist, Vice President
MUFG —Irving, TX
- $122,000 - $153,000 a year
- Full-time
- Hybrid work
- Background check
- Computer Science
- Office
- Paid parental leave
- Paid holidays
Compliance, Machine Learning Engineer, Dallas, Vice President
Goldman Sachs —Dallas, TX
- Computer science
- Computer Science
- System design
- Disability insurance
- Health insurance

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coding compliance jobs near dallas, tx

Auditor, Risk Adjustment

Oscar Health -
Dallas, TX

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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.

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Refine Your Search

coding compliance jobs in dallas, tx

Auditor, Risk Adjustment

Compliance Analyst III, Hospital Billing Auditor

Compliance Officer

Auditor, Clinical Services

Payer Compliance Specialist I - Remote

Lead Analyst, Cyber Security Compliance

Compliance Manager

Security & Compliance Engineer II, AWS Security Assurance Services, LLC

Security & Compliance Engineer, AWS Security Assurance Services, LLC

Premium Auditor

Compliance Engineering, Software Engineer, Associate, Dallas

Compliance, Surveillance & Models-Software Engineering, Vice President, Dallas

Assistant General Counsel - Clinical

Compliance Specialist

Senior ER Coding Auditor

Security & Compliance Engineer II, AWS Security Assurance Services, LLC

NSA & State Arbitration Pathway Compliance Specialist

Sr. Security & Compliance Engineer, AWS Security Assurance Services, LLC

Financial Crimes - Transaction Monitoring Specialist, Vice President

Compliance, Machine Learning Engineer, Dallas, Vice President

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