4 jobs found in Galveston

UTMB Health in Galveston, TX seeks a Faculty Coding, Billing & Reimbursement Compliance Auditor to audit documentation, coding, and reimbursement for professional and hospital services. You will ensure documentation supports billed services and that coding aligns with regulations. The role requires a Bachelor's or equivalent, four years of relevant experience, and AHIMA CCS certification. You will collaborate with Billing Compliance and deliver education on audit findings to improve processes. #J-18808-Ljbffr

Minimum Qualifications:Bachelor's degree or equivalent and at least four years of relevant experience. Certified Coding Specialist (CCS) by the American Health Information Management Association (AHIMA) required. Job Summary:Utilize advanced skills necessary to audit documentation, coding, and reimbursement of professional, hospital/facility inpatient and outpatient billing. Ensure that documentation is complete and accurately reflects/supports the coded level of service. Audits will determine if the billed services are consistent with medical record documentation and in accordance with the appropriate third-party billing regulations and/or standards. Assist with the development and implementation of pre- and post-audit education as needed. Job Duties:Utilizes auditing software to select and conduct random or focused audits of professional and hospital/facility inpatient and outpatient billing based on determined criteria.Conducts prospective and retrospective professional and...

UTMB Health is seeking a Senior Compliance Analyst to audit and review complex systems within the Office of Institutional Compliance. The role focuses on evaluating controls, reporting on compliance matters, and ensuring adherence to federal and state laws and regulations. The position is remote within Texas with occasional onsite presence. The ideal candidate has a bachelor’s degree and at least four years in audit or investigations, with strong analytical skills and experience in HIPAA/privacy #J-18808-Ljbffr

The University of Texas Medical Branch in Texas seeks an experienced Healthcare Auditor to verify documentation, coding, and reimbursement across professional and inpatient/outpatient services. You will apply CPT/ ICD-10 guidelines and support education for auditing staff. Responsibilities include selecting audits with auditing software, ensuring CMS/compliance standards are met, and presenting findings to leadership while staying current with regulatory updates. #J-18808-Ljbffr