Claims Quality Auditor jobs in Texas

Claims Quality Auditor audits claims for coding accuracy, benefit payment, contract interpretation, and compliance with policies and procedures. Selects claims through random processes and/or other criteria. Being a Claims Quality Auditor makes recommendations to improve quality, workflow processes, policies and procedures. Typically requires an associate degree. Additionally, Claims Quality Auditor typically reports to a supervisor or a manager. The Claims Quality Auditor gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Claims Quality Auditor typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)

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Quality Assurance Auditor
  • Med Claims Compliance Corporation
  • Austin, TX OTHER,FULL_TIME
  • Job Title: Quality Assurance Auditor

    Job Summary: We are seeking a seasoned healthcare documentation and coding Quality Assurance Auditor. The ideal candidate will have extensive experience in healthcare documentation and coding. In this role, you will be responsible for documenting patient visit chart notes, auditing completed chart notes for accuracy and thoroughness, and verifying the appropriate ICD-10, CPT, and HCPCS codes are assigned to each chart note.

    Responsibilities:

    · Listening to and documenting patient visits in the electronic health record

    · Auditing chart notes within the electronic health record that have been created by our technology for accuracy and completeness.

    · Assigning all appropriate ICD-10, CPT, and HCPCS codes to chart notes

    · Auditing ICD-10, CPT, and HCPCS codes that have been applied to chart notes by our technology.

    · Working closely with the Quality Assurance Team Lead and/or Director of Quality Assurance to create workflow policies and procedures for the department

    · Communicating with the Quality Assurance Team Lead, Training and Implementation Department and/or providers to ensure satisfaction of newly onboarded practices and providers

    Requirements:

    · 5 years of experience in healthcare documentation and coding

    · One of the following credentials: CPC, COC, CPMA, CPPM, CDEO, CPMS

    · Strong knowledge of claims adjudication processes and regulatory requirements

    · Strong knowledge of documentation and coding processes and regulatory requirements

    · Experience with EHR/EMR technology

    · Strong analytical and problem-solving skills, with the ability to use data to drive decision-making and process improvement

    · Excellent communication and interpersonal skills, with the ability to build relationships and collaborate effectively with cross-functional teams and external partners

    · Ability to work independently and manage multiple priorities in a fast-paced, dynamic environment

    · Experience working in a healthcare technology company or similar environment is a plus

    We offer a competitive salary, comprehensive benefits package, and a dynamic work environment that fosters creativity, innovation, and growth. If you are a strategic thinker, a strong leader, and passionate about healthcare and operational excellence, we encourage you to apply for this exciting opportunity.

    Job Types: Full-time, Permanent

    Pay: $19.00 - $25.00 per hour

    Expected hours: 40 – 60 per week

    Benefits:

    • Dental insurance
    • Health insurance
    • Life insurance
    • Paid time off
    • Vision insurance

    Experience level:

    • 5 years

    Schedule:

    • 10 hour shift
    • 12 hour shift
    • 8 hour shift
    • Day shift
    • Holidays
    • Monday to Friday
    • Night shift
    • Overtime
    • Weekends as needed

    Work setting:

    • In-person
    • Office

    Ability to Relocate:

    • Austin, TX 78730: Relocate before starting work (Required)

    Work Location: In person

  • 10 Days Ago

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Claims Auditor
  • Community First Health Plans
  • San Antonio, TX OTHER
  • POSITION SUMMARY/RESPONSIBILITIES Responsible for development and maintenance of claims auditing program for all lines of business to improve claims processing standards and to monitor the quality of ...
  • 15 Days Ago

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Claims Auditor
  • University Health System- San Antonio
  • San Antonio, TX FULL_TIME
  • POSITION SUMMARY/RESPONSIBILITIES Responsible for development and maintenance of claims auditing program for all lines of business to improve claims processing standards and to monitor the quality of ...
  • 17 Days Ago

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Night Auditor
  • Quality Inn Midland
  • Midland, TX FULL_TIME
  • Job Summary The Night Auditor is responsible for the preparation and disposition of all Night Audit work. Responsible for the front desk operation during the overnight shift (Typically 11pm-7am). Prim...
  • 16 Days Ago

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Night Auditor
  • Quality Inn and Suites
  • Lampasas, TX PART_TIME,FULL_TIME
  • Job Overview:Must have minimum 1 year recent hotel fornt desk experience. We are seeking a detail-oriented and customer-focused individual to join our team as a Night Auditor. As a Night Auditor, you ...
  • 26 Days Ago

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Quality Auditor
  • Tyndale USA
  • Houston, TX FULL_TIME
  • Tyndale is a three-time consecutive Houston Top Workplace winner; come join our winning team! We are in search of an experienced and versatile Warehouse Associate focused on quality to join the 1st Sh...
  • 15 Days Ago

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Quality Auditor
  • ResourceMFG
  • Columbus, GA
  • summary ResourceMFG is now hiring Quality Auditors in Lafayette! Pay and Hours: 1st Shift: 4am-12:30pm-$20/hr 2nd Shift:...
  • 4/23/2024 12:00:00 AM

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Quality Auditor
  • THE CARLSTAR GROUP LLC
  • Slinger, WI
  • Job Details Job Location Slinger WI - Slinger, WI Position Type Full Time Education Level High School Diploma or Equival...
  • 4/23/2024 12:00:00 AM

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Quality Auditor
  • Mitchell Martin Inc.
  • Job Summary: The Customer Solution Center Appeals and Grievances Quality Auditing (QA) Specialist II is responsible for ...
  • 4/23/2024 12:00:00 AM

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Quality Auditor
  • Manpower
  • Hayward, CA
  • Our client, an automotive manufacturing company, is seeking a Quality Auditor to join their team. As a Quality Auditor, ...
  • 4/22/2024 12:00:00 AM

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Quality Auditor
  • SeAH Steel USA
  • Houston, TX
  • Job Description Job Description Job Purpose The Quality Assurance/Quality Control Auditor will audit the processes to en...
  • 4/22/2024 12:00:00 AM

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Quality Auditor
  • H&H
  • Annapolis, MD
  • Description We are offering an exciting opportunity for a Quality Auditor in our Annapolis, MD office. The Quality Audit...
  • 4/21/2024 12:00:00 AM

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Quality Auditors
  • ResourceMFG
  • Columbus, GA
  • summary Looking for 1st shifters. Starting pay at $18 could change with more experience. Weekly pay/health benefits. CNC...
  • 4/20/2024 12:00:00 AM

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Quality Auditor
  • Plastipak Holdings
  • Jackson Center, OH
  • As a Plastipak Quality Auditor, you audit systems and processes as they relate to our Quality program. You play a key ro...
  • 4/19/2024 12:00:00 AM

Texas (/ˈtɛksəs/, locally /ˈtɛksɪz/; Spanish: Texas or Tejas Spanish pronunciation: [ˈtexas] (listen)) is the second largest state in the United States by both area and population. Geographically located in the South Central region of the country, Texas shares borders with the U.S. states of Louisiana to the east, Arkansas to the northeast, Oklahoma to the north, New Mexico to the west, and the Mexican states of Chihuahua, Coahuila, Nuevo León, and Tamaulipas to the southwest, while the Gulf of Mexico is to the southeast. Houston is the most populous city in Texas and the fourth largest in the...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Quality Auditor jobs
$45,013 to $55,172

Claims Quality Auditor in Bloomington, IN
Evaluates claims activities of other departments and / or companies.
December 05, 2019