Claims Quality Audit Director jobs in Austin, TX

Claims Quality Audit Director directs and oversees the operations of the claims quality audit department to follow the audit policies, procedures and regulation. Provides professional knowledge and guidance on technical or procedural problems. Being a Claims Quality Audit Director creates claims audit policies and procedures. May recommend changes in claims processing procedures. Additionally, Claims Quality Audit Director typically Requires a bachelor's degree. Typically reports to top management. The Claims Quality Audit Director manages a departmental sub-function within a broader departmental function. Creates functional strategies and specific objectives for the sub-function and develops budgets/policies/procedures to support the functional infrastructure. To be a Claims Quality Audit Director typically requires 5+ years of managerial experience. Deep knowledge of the managed sub-function and solid knowledge of the overall departmental function. (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

  • 12 Days Ago

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Workers Compensation Claims Adjuster
  • TheBest Claims Solutions
  • Austin, TX FULL_TIME
  • Workers Compensation Claims Adjuster AUSTIN, TX 78701 | DIRECT HIRE $75,000 TO $83,000 ANNUALLY, DEPENDING ON EXPERIENCE Job Description Our client, a leading insurance company, is currently seeking a...
  • 19 Days Ago

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Director Internal Audit
  • AVIAT US INC
  • Austin, TX FULL_TIME
  • Are you looking for an exciting opportunity working for a Global Technology Leader? At Aviat Networks, we take great pride in hiring a workforce that is committed to supporting and strengthening our v...
  • 1 Month Ago

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Internal Audit Director
  • Oracle
  • Austin, TX FULL_TIME
  • Role: Internal Audit DirectorLocation: Austin, TX Note: This position requires U.S. Citizenship and the ability to obtain and maintain US federal government security clearance (secret level or higher)...
  • 1 Month Ago

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Field Auto Physical Damage Appraiser – Austin, TX
  • Brezina Claims
  • Austin, TX FULL_TIME
  • Field Auto Physical Damage Appraiser - Austin, TX 3/5/2024 As an Appraiser for Brezina Claim Associates, Inc., you will serve as a field auto damage appraiser knowledgeable of auto body mechanics. You...
  • 1 Month Ago

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Director PEIMS and Data Quality
  • Austin Independent School District
  • Austin, TX FULL_TIME
  • JobID: 52290 Position Type: 05 - Administration: Central Office/Director Date Posted: 8/10/2023 Location: Information Technology Pay Grade: AP11 Duty Days: 226 COMPENSATION: Duty Days: 226 Salary Rang...
  • 21 Days Ago

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0 Claims Quality Audit Director jobs found in Austin, TX area

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Clinical Compliance Specialist
  • WOMENS HEALTH AND FAMILY PLANNING
  • Austin, TX
  • Job Description Job Description As the Title X (ten) family planning program grantee in Texas, the Women’s Health and Fa...
  • 4/24/2024 12:00:00 AM

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Vehicle Patrol Armed Supervisor
  • INTER-CON SECURITY SYSTEMS INC
  • Austin, TX
  • Job Details Job Location Austin (10232) - Austin, TX Salary Range $22.00 - $23.00 Hourly Description Overview Founded in...
  • 4/24/2024 12:00:00 AM

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Quality Control Inspector - Clean Room 3rd Shift
  • Enovis
  • Austin, TX
  • Who We Are ABOUT ENOVIS™ Enovis Corporation (NYSE: ENOV) is an innovation-driven medical technology growth company dedic...
  • 4/24/2024 12:00:00 AM

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Quality Improvement Coordinator, Health Transformation & Design Program, Texas Center for Pediatric and Congenital Heart Disease Program (TCPCHD), Dell Medical School
  • University of Texas at Austin
  • Austin, TX
  • Job Posting Title: Quality Improvement Coordinator, Health Transformation & Design Program, Texas Center for Pediatric a...
  • 4/23/2024 12:00:00 AM

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Director of Quality Assurance
  • Serenity Kids
  • Austin, TX
  • SERENITY KIDS: Serenity Kids is cultivating health, equality, and sustainability through baby food high in healthy fat a...
  • 4/22/2024 12:00:00 AM

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Director of Quality Assurance
  • Serenity Kids
  • Austin, TX
  • SERENITY KIDS: Serenity Kids is cultivating health, equality, and sustainability through baby food high in healthy fat a...
  • 4/22/2024 12:00:00 AM

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Quality Technician
  • Enovis
  • Austin, TX
  • Job Description: At Enovis™ we sweat the little things. We embrace collaboration with our partners and patients, and we ...
  • 4/22/2024 12:00:00 AM

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North American Quality Director
  • Fagron Sterile Services
  • Austin, TX
  • About the job With the exciting stage of its growth, Fagron is now looking to recruit a highly experienced leader to the...
  • 4/20/2024 12:00:00 AM

Austin is the capital of the U.S. state of Texas and the seat of Travis County, with portions extending into Hays and Williamson counties. It is the 11th-most populous city in the United States and the 4th-most populous city in Texas. It is also the fastest growing large city in the United States, the second most populous state capital after Phoenix, Arizona, and the southernmost state capital in the contiguous United States. As of the U.S. Census Bureau's July 1, 2017 estimate, Austin had a population of 950,715 up from 790,491 at the 2010 census. The city is the cultural and economic center ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Quality Audit Director jobs
$150,090 to $214,499
Austin, Texas area prices
were up 1.2% from a year ago

Claims Quality Audit Director in Olympia, WA
Based on our compensation data, the estimated salary potential for Claims Quality Audit Director will increase 16 % over 5 years.
December 23, 2019