Located in Arlington Texas, Texas Health Resources is a nonprofit, faith-based healthcare provider that has been providing a wide range of healthcare services to the communities th
Clinical Coding Auditor
Location
Virginia
Posted
33 days ago
Salary
0
Seniority
Senior
No structured requirement data.
Job Description
Clinical Coding Auditor
Texas Health Resources
Title: Clinical Coding Auditor - FT Location: Arlington Department: Health Information Management Job Description: Here’s What you Need Education Bachelor's Degree Health Information or related field preferred or Associate's Degree Health Information or related field REQUIRED or H.S. Diploma or Equivalent 5 Years Years of acute care and/or relevant experience may be substituted in lieu of degree REQUIRED Experience 5 Years Acute care inpatient or CPT surgical level coding REQUIRED and 1 Year Performing coding and documentation audits preferred Licenses and Certifications RHIA - Registered Health Information Administrator 12 Months REQUIRED or RHIT - Registered Health Information Technician 12 Months REQUIRED or CCS - Certified Coding Specialist 12 Months REQUIRED or COC - Certified Outpatient Coder 12 Months REQUIRED Skills Thorough knowledge of ICD 10-CM, PCS and CPT. Expert in coding convention/automated encoder (knowledge management of NCCI/OCE billing edits). Practiced in APC and DRG methodologies and regulatory/payer requirements associated with coding. Ability to interpret and apply coding and regulatory policy to coding practice and record review process. Must demonstrate efficient time management and organizational skills; clear and concise oral and written communication skills, strong decision making and problem-solving skills are required. Proficiency in software applications (Excel, Word, PPT, SharePoint, Optum CAC, EPIC) and strong data analysis capability and report composition skills is preferred. What you will do ·Medical Records Auditing According to the Audit Scope and Focus ·Data Capture and Reporting ·Fiscal Management of Coding Resources and Processes ·Professional Accountability Additional perks of being a Texas Health Clinical Coding Auditor ·Benefits include 401k, PTO, medical, dental, Paid Parental Leave, flex spending, tuition reimbursement, Student Loan Repayment Program as well as several other benefits. ·A supportive, team environment with outstanding opportunities for growth. ·Explore ourTexas Health careers site for info likeBenefits,Job Listings by Category, recentAwards we’ve won and more. #LI-JT1 Clinical Coding Auditor Are you looking for a rewarding career with an award-winning company? We’re looking for a qualified Clinical Coding Auditor like you to join our Texas Health family. Work location\: Remote Work hours\: Monday through Friday (full time hours) HIMS/CCDI Department Highlights: - 100% remote work - Flexible hours/scheduling - Terrific work/life balance
Related Guides
Related Categories
Related Job Pages
More Auditor Jobs
Associate ISO 27001 Lead Implementer and Lead Auditor
IntelanceEnterprise Architecture. Cybersecurity. AI Operating Models. We build strategic systems for the future of business.
Role Description We are building a selective associate panel of senior ISO 27001 practitioners. This is a long-term associate relationship, not an employment role. We want a small group of serious operators who can take a client from kick-off to certification without hand-holding, and who treat an Information Security Management System as a business instrument, not a paperwork exercise. - Lead ISO 27001:2022 implementation engagements end-to-end: scoping, gap analysis, risk assessment and treatment, Statement of Applicability, policy architecture, control design, internal audit, management review, and support through Stage 1 and Stage 2 external audits. - Design ISMS scopes that are commercially sensible and defensible, not bloated. - Build risk registers and Statements of Applicability that hold up under scrutiny from UKAS-accredited certification bodies. - Author and tailor policies, procedures, and records aligned to Annex A 2022 controls. No generic templates dropped on clients. - Run internal audits and management reviews that generate real findings, not theatre. - Coach client ISMS owners and control owners so the system survives after handover. - Support clients through external audit, including responding to non-conformities and observations. - Where capacity and interest align, extend into IASME Cyber Assurance, NIST CSF, SOC 2 readiness, and supplier assurance work. - Contribute to Intelance delivery standards, templates, and calibration sessions. Qualifications - ISO 27001 Lead Implementer and Lead Auditor certifications, both preferred. One is the minimum bar. - Minimum five years hands-on ISO 27001 delivery in the UK or European market. - Personally led at least five ISO 27001 implementations to first certification, or conducted at least twenty ISO 27001 audits. - Fluent in the 2022 transition, Annex A control set, and the practical differences from the 2013 version. - Confident authoring a defensible Statement of Applicability in under a week for a typical mid-market client. - Strong commercial judgement on scope, control proportionality, and residual risk. - Excellent written English. Documents must be board-ready and auditor-ready without heavy editing. - Confident operating with CISOs, CTOs, COOs, and private equity sponsors. - Based in the UK with the right to work in the UK. - Able to operate outside IR35 via a limited company, or on a compliant basis. - Willing to be listed publicly as an Associate of Intelance, including on LinkedIn, while on the panel. Requirements - IASME Cyber Assurance, Cyber Essentials Plus, NIST CSF, or SOC 2 experience. - CISSP, CISM, or ISO 22301 credentials. - Sector depth in regulated industries: financial services, healthcare, legal, defence supply chain, SaaS. - Experience inside private equity portfolio environments and 100-day security plans. Benefits - Competitive day rate, paid on 14-day terms. - Right of first refusal on engagements matched to your sector and availability. - Named inclusion on the Intelance Cyber Assurance panel page and on proposal credentials. - Referral fee of up to 10 percent of net first-year fees for associate-originated client work. - Direct access to delivery leadership. No layers, no sub-sub-contracting. - Mature templates, tooling, and a quality framework so your time goes into judgement, not formatting. - Quarterly calibration workshops and co-branded continuing professional development. - A professional home for senior practitioners who want steady, well-run work without the politics of a consultancy payroll.
Claims Auditor
WM MICHAEL STEMLER INCDelta Health Systems is an equal-opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
Role Description - Audits work of self-funded Claims and Customer Service department for accuracy according to established procedure guidelines. - Reviews and identifies technical and system quality issues for all aspects of claim processing, corr/recon, and customer service. - Documents, maintains and reports audit statistics. - Accurately interprets claim policy, procedures and standard group benefit provisions. - Provides feedback to management and reviewed employees regarding quality of work. - Maintains confidentiality of employee audits. - Adheres to company rules and regulations. - Maintains a professional relationship and interacts with peers, subordinates, superiors in an efficient and productive manner. - Performs other duties as assigned. Qualifications - One year certificate from college or technical school; or one to three years related experience; and/or equivalent combination of education/experience. - Successful candidate will have medical, dental and hospital claims processing experience. - Strong understanding of computerized claims payment systems, preferably at Delta Health Systems. - Excellent organizational skills. - Thorough understanding of technical claims issues and system edits. - Working knowledge of Microsoft Word and Excel. - Exceptional analytical skills. Company Description Delta Health Systems is an equal-opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
Claims Auditor
DELTA HEALTH SYSTEMS MCCDelta Health Systems is an equal-opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
Role Description - Audits work of self-funded Claims and Customer Service department for accuracy according to established procedure guidelines. - Reviews and identifies technical and system quality issues for all aspects of claim processing, corr/recon, and customer service. - Documents, maintains and reports audit statistics. - Accurately interprets claim policy, procedures and standard group benefit provisions. - Provides feedback to management and reviewed employees regarding quality of work. - Maintains confidentiality of employee audits. - Adheres to company rules and regulations. - Maintains a professional relationship and interacts with peers, subordinates, superiors in an efficient and productive manner. - Performs other duties as assigned. Qualifications - One year certificate from college or technical school; or one to three years related experience; and/or equivalent combination of education/experience. - Successful candidate will have medical, dental and hospital claims processing experience. - Strong understanding of computerized claims payment systems, preferably at Delta Health Systems. - Excellent organizational skills. - Thorough understanding of technical claims issues and system edits. - Working knowledge of Microsoft Word and Excel. - Exceptional analytical skills. Company Description Delta Health Systems is an equal-opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
Senior Operational Auditor
ExolSymbotic is an automation technology leader reimagining the supply chain with its end-to-end, AI-powered robotic and software platform. Symbotic reinvents the warehouse as a strategic asset for the world’s largest retail, wholesale, and food & beverage companies Applying next-gen technology, high-density storage and machine learning to solve today's complex distribution challenges Transforms the flow of goods and the economics of supply chain for its customers
Role Description As our Senior Operational Auditor, you will lead operational audits focused on large capital construction projects, supply chain operations, and inventory management to assess operational effectiveness and internal controls. You will partner with cross-functional stakeholders to identify risks, provide actionable recommendations, and support continuous process improvement. This is a hands-on position in a fast-growing, dynamic environment and the ability to make a meaningful impact. This role reports to the Director, Internal Audit. What you'll do - Perform audits over project execution and monitoring functions for large capital projects, supply chain, and inventory management. - Analyze data sets, identify insights, and develop dashboards or presentations using analytics tools. - Collaborate with cross-functional teams during fieldwork and develop recommendations for compliance, cost control, and improvements in operational efficiency. - Prepare clear audit reports, presentations, and recommendations for management. - Collaborate with stakeholders and work cross-functionally within the organization. Qualifications - Bachelor’s degree in Accounting, Finance, Business, Engineering, Construction Management, or related field. - Experience with ERP or project systems (e.g., SAP, Oracle, JD Edwards, Procore) preferred. - Minimum 5 years of relevant experience in capital projects, supply chain, or inventory management. - Professional certifications e.g. Lean Six Sigma, ISO or PMP a plus. - Excellent analytical, communication, and report-writing skills. Requirements - Up to 30% of travel may be required. - Employees must have a valid driver’s license and the ability to drive and/or fly to client and other customer locations. - The employee is responsible for managing their company credit card and submitting expenses to be reimbursed on a bi-weekly basis. Benefits - Medical, dental, vision, and disability insurance. - 401K. - PTO and/or other benefits.

