Top 26 Coding compliance auditor 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
Quick Apply
Compliance Analyst III, Hospital Billing Auditor
UT Southwestern —Dallas, TX
- Full-time
- 5 years
- Mid-level
- Bachelor's degree
- Paid parental leave
- Paid holidays
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
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
Risk Adjustment Coding Auditor
Vytwo —Dallas, TX
- Full-time
- 5 years
- Senior level
Quick Apply
Auditor, Clinical Services
Concentra —Dallas, TX
- Full-time
- Microsoft Word
- Customer service
- HIPAA
- Commuter assistance
- Disability insurance
9d
Lead Analyst, Cyber Security Compliance
Vistra Corporate Services Company —Irving, TX
- Online Application
- 7 years
- Research
- Office
9d
Senior ER Coding Auditor
Exceptional Healthcare Inc. —Dallas, TX
- Part-time
- HIPAA
- Mid-level
- Mentoring
Quick Apply
Sr. Quality Assurance Analyst
Tyler Technologies —Plano, TX
- $78,000 - $96,000 a year
- Hybrid work
- Computer science
- Computer Science
- 5 years
Quick Apply
Senior Quality Engineer- Dallas, TX
Photon —Dallas, TX
- $34,000 - $120,000 a year
- Full-time
- Computer science
- Computer Science
- 5 years
- Paid holidays
- Health insurance
Senior Quality Engineer, Cybersecurity
Verily —Dallas, TX
- $113,000 - $170,000 a year
- Full-time
- Google Workspace
- Computer Science
- 5 years
- Health insurance
12d
Compliance Specialist
Lifecare Home Health Family —Irving, TX
- Full-time
- RN License
- Mid-level
- Analysis skills
Quick Apply
NSA & State Arbitration Pathway Compliance Specialist
OMS MEDICAL BILLING LLC —Addison, TX
- Bachelor's degree
- Senior level
- Negotiation
Quick Apply
Sr. Informatica Data Quality Analyst
ISHIR —Euless, TX
- Full-time
- Mid-level
- Office
- SQL
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
9d

Discover related jobs

Based on your search for coding compliance auditor jobs.

Hybrid/Remote Medical Billing and Coding Specialist
Claros Solutions LLC. —Plano, TX
CPC, and/ or CCS or equivalent certification - but not required. A minimum of 3 years of proven experience in medical billing, coding, preferability in a…
$19.03 - $23.58 an hour
Quick Apply
MEDICAL RECORDS CODER 2- PRN
Methodist Health System —Dallas, TX
In this highly technical, fast-paced, and challenging position, you'll collaborate with multidisciplinary team members to provide the very best care for our…

Show more related jobs

Explore jobs in cities nearby

Check out jobs in cities near your current location, Columbus

Sr. Quality Assurance Engineer - Automation
Corporate One FCU —Columbus, OH
Bachelor’s degree in Computer Science or related field (or equivalent combination of education and experience). Familiarity with coding and debugging.
$108,000 - $116,000 a year
Quick Apply
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

Show more jobs in cities nearby

I want to receive the latest job alert for coding compliance auditor in dallas, 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 compliance auditor jobs near dallas, tx

Compliance Officer jobs in Dallas, TX

Auditor jobs in Irving, TX

Adjuster jobs in Dallas, TX

Compliance Officer jobs in Irving, TX

Senior Auditor jobs in Dallas, TX

Senior Quality Engineer jobs in Dallas, TX

Auditor jobs in Dallas, TX

Amada Senior Care jobs in Texas

Senior Compliance Officer jobs in Washington, DC

Security Officer jobs in Albuquerque, NM

Senior Compliance Officer jobs in Morrisville, NC

Senior Compliance Officer jobs in Remote

Senior Compliance Officer jobs in Tustin, CA

School Security Officer jobs in Pennsylvania

Senior Quality Assurance Analyst jobs in Miami, FL

Senior Quality Assurance Analyst jobs in Richmond, VA

Senior Community Care Of Kentucky Pace jobs in Louisville, KY

Senior Quality Assurance Analyst jobs in Phoenix, AZ

Senior Quality Assurance Analyst jobs in New York, NY

Supply Chain Analyst jobs in Minneapolis, MN

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 compliance auditor jobs in dallas, tx

Auditor, Risk Adjustment

Compliance Analyst III, Hospital Billing Auditor

Senior Coding Auditor

Premium Auditor

Payer Compliance Specialist I - Remote

Risk Adjustment Coding Auditor

Auditor, Clinical Services

Lead Analyst, Cyber Security Compliance

Senior ER Coding Auditor

Sr. Quality Assurance Analyst

Senior Quality Engineer- Dallas, TX

Senior Quality Engineer, Cybersecurity

Compliance Specialist

NSA & State Arbitration Pathway Compliance Specialist

Sr. Informatica Data Quality Analyst

Medical Bill Auditor

Discover related jobs

Explore jobs in cities nearby

I want to receive the latest job alert for coding compliance auditor in dallas, tx

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected