Hcc coding auditor senior jobs in Irving, TX

HCC Coding Auditor Senior - Health Plan Admin

TieTalent Irving, TX, USA

Join to apply for the HCC Coding Auditor Senior - Health Plan Admin role at TieTalent . Get AI-powered advice on this job and more exclusive features. Summary The HCC Coding Auditor Senior will perform code audits and abstraction using the Official Coding Guidelines for ICD-10-CM, AHA Coding Clinic Guidance, and in accordance with all state regulations, federal regulations, internal policies, and procedures. Responsibilities include quality assurance auditing and risk adjustment code abstraction for programs such as Commercial Risk Adjustment, Medicare Advantage Risk Adjustment, and HHS and Medicare RADV (Risk Adjustment Data Validation). This position offers onsite work with a remote option. Responsibilities Perform medical record reviews and audits, including prospective, concurrent, and retrospective workflows, to ensure accurate diagnoses for risk adjustment. Conduct code abstraction and coding quality audits to support compliance with CMS (HCC) guidelines. Review...

DV

HCC Coding Auditor Senior - Health Plan Admin

DaVita Inc. Irving, TX, USA

Description Summary: HCC Coding Auditor Senior will perform code audits and abstraction using the Official Coding Guidelines for ICD-10-CM, AHA Coding Clinic Guidance, and in accordance with all state regulations, federal regulations, internal policies, and internal procedures. The HCC Coding Auditor Senior will be involved with activities of quality assurance auditing and risk adjustment code abstraction for the following programs: including but not limited to, Commercial Risk Adjustment, Medicare Advantage Risk Adjustment, and HHS and Medicare RADV (Risk Adjustment Data Validation). This is an onsite position with a remote option. Responsibilities: Perform Medical Record reviews and audits based on organizational priorities. These can include both prospective and concurrent Clinical Documentation Improvement (CDI) workflows as well as retrospective auditing. Review and audits may lead to the addition, deletion, adjustment, or confirmation of diagnoses for risk...

CH

HCC Coding Auditor Senior - Health Plan Admin

Christus Health Irving, TX, USA

Summary:HCC Coding Auditor Senior will perform code audits and abstraction using the Official Coding Guidelines for ICD-10-CM, AHA Coding Clinic Guidance, and in accordance with all state regulations, federal regulations, internal policies, and internal procedures. The HCC Coding Auditor Senior will be involved with activities of quality assurance auditing and risk adjustment code abstraction for the following programs: including but not limited to, Commercial Risk Adjustment, Medicare Advantage Risk Adjustment, and HHS and Medicare RADV (Risk Adjustment Data Validation). This is an onsite position with a remote option.Responsibilities:Perform Medical Record reviews and audits based on organizational priorities. These can include both prospective and concurrent Clinical Documentation Improvement (CDI) workflows as well as retrospective auditing. Review and audits may lead to the addition, deletion, adjustment, or confirmation of diagnoses for risk adjustment.Perform code...

LH

CODING AUDITOR

Legent Health Plano, TX, USA

About Legent Health At Legent Health, our mission is simple yet profound: To provide first-class health care that puts YOU first. Our vision reflects our commitment to excellence: Through robust physician partnerships, become a nationwide leader in compassionate, quality healthcare focused on the patient and available to everyone. Our values, also known as our brand pillars, define how we stay true to our identity in the healthcare industry and the communities we serve. These values are central to everything we do: Respect: We honor the time and trust of both patients and physicians by delivering organized, efficient services that ensure a seamless healthcare experience. Service: We are committed to highly personalized care for patients, their families, and the physicians who serve them, driving optimal outcomes for all. Leadership: We strive to be a trusted leader through innovation, clear communication, and unwavering dedication to excellence across our employees and...

CH

Full Time

Sr Billing Compliance Analyst

Children's Health Hybrid (Dallas, TX, USA)

Summary: The Senior Billing Compliance Analyst is responsible for ensuring compliance with applicable internal policies and procedures as well as State and Federal regulations specific to documentation, charging, coding, and billing for multiple product lines (Medicaid, Medicare and Commercial). Position will coordinate compliance activities, including but not limited to: conducting retrospective coding and billing compliance audits, ensuring contractual and regulatory requirements are met, preparing documents for program integrity and payor audit responses, prepare and provide internal education and training on billing compliance requirements, provide research and investigation support for billing compliance consults, and contribute to regulatory change management process. Responsibilities: * Maintains knowledge of system policies and organizational processes that support the seven (7) elements of an effective compliance program as defined by the Office of the Inspector General...

5 hcc coding auditor senior jobs found in Irving, TX