3 jobs found in Southlake

GI Alliance is seeking a Compliance Auditor to research and analyze medical records, validate coding, and prepare reports with recommendations for corrective actions. The role requires auditing physician charts, examining claims for billing compliance, and identifying opportunities to prevent fraud and abuse. The ideal candidate has 3+ years in health care operations and coding, CPC certification, and strong knowledge of ICD-10, CPT, and HCPCS II. This full-time position is based in Texas. #J-18808-Ljbffr

Spine Team Texas is seeking a Medical Billing Clerk to ensure timely submission of medical claims and accurate processing within the Revenue Cycle team. The role supports the billing workflow from claim generation to payment posting, resolving edits and rejections, and coordinating secondary billing. A High School diploma with 2–3 years of billing experience is required, with preferred CPT/ICD-10/HCPCS knowledge and strong MS Office skills. #J-18808-Ljbffr

Duties of this position include, but are not limited to, the following: Position purpose The Compliance Auditor will be responsible for researching and analyzing the medical records where there is a discrepancy in coding, validating the coding, and preparing reports that summarize audit findings and provide recommendations for corrective actions, if warranted. Responsibilities/Duties/Functions/Tasks Conducts physician chart audits to identify incorrect coding, prepares reports of findings and any compliance issues. Examine claims for compliance with relevant billing and processing guidelines and identify opportunities for fraud and abuse prevention and control. Reports coding patterns identified within the audit process to the Manager and identifies corrective measures for compliance problems. Responsible for researching errors or missing documentation from medical records to provide accurate coding processes. Provides second-level review of billing performance to ensure...