Premium Audit Jobs in River Oaks, TX
DRG Coding Auditor (ICD-9/10CM, MS-DRG, AP-DRG, APR-DRG)
- Elevance Health
- Grand Prairie, TX (23 miles from River Oaks, TX)
- 6 days ago
- Grand Prairie, TX (23 miles from River Oaks, TX)
- 6 days ago
Be Part of an Extraordinary Team Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover,...
In Person- Arlington, TX (17 miles from River Oaks, TX)
- 12 days ago
- Arlington, TX (17 miles from River Oaks, TX)
- 12 days ago
D.R. Horton, Inc., the largest homebuilder in the U.S., was founded in 1978 and is a publicly traded company on the New York Stock Exchange. It is engaged in the construction and sale of high...
In PersonPayment Integrity Analyst II - DRG Auditor
- CorVel
- Benbrook, TX (5 miles from River Oaks, TX)
- 16 days ago
- Benbrook, TX (5 miles from River Oaks, TX)
- 16 days ago
The Payment Integrity Analyst is responsible for accurately reviewing pre and post pay claim audits based on client, policy, industry standards and/or CMS guidelines. This is a remote position....
Remote- Elevance Health
- Grand Prairie, TX (23 miles from River Oaks, TX)
- 18 days ago
- Grand Prairie, TX (23 miles from River Oaks, TX)
- 18 days ago
Anticipated End Date: 2026-01-06 Position Title: DRG Coding Auditor Job Description: Be Part of an Extraordinary Team Carelon Payment Integrity is a proud member of the Elevance Health family of...
In Person- Elevance Health
- Grand Prairie, TX (23 miles from River Oaks, TX)
- 21 days ago
- Grand Prairie, TX (23 miles from River Oaks, TX)
- 21 days ago
Anticipated End Date: 2026-01-05 Position Title: DRG Coding Auditor Principal Job Description: DRG Coding Auditor Principal Virtual: This role enables associates to work virtually full-time, with...
In Person- Corvel
- Fort Worth, TX (5 miles from River Oaks, TX)
- 45+ days ago
- Fort Worth, TX (5 miles from River Oaks, TX)
- 45+ days ago
CERiS in Fort Worth, Texas is seeking a DRG Quality Control/Clinical Auditor. The Diagnostic Related Groups (DRG) QC Clinical Auditor will be responsible for performing quality control DRG...
Remote- CorVel
- Fort Worth, TX (5 miles from River Oaks, TX)
- 60+ days ago
- Fort Worth, TX (5 miles from River Oaks, TX)
- 60+ days ago
The Diagnostic Related Groups (DRG) Clinical Auditor will be responsible for performing DRG validation (clinical/coding) reviews of medical records and/or other documentation. This role will...
Remote- Cook Children's Health Care System
- Fort Worth, TX (5 miles from River Oaks, TX)
- 90+ days ago
- Fort Worth, TX (5 miles from River Oaks, TX)
- 90+ days ago
Location: Calmont Operations Building Department: Reimbursement Analysis Shift: First Shift (United States of America) Standard Weekly Hours: 40 Summary: The individual in this position performs...
In PersonDemographic Data for River Oaks, TX
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Premium Audits in River Oaks, TX offer the following education backgroundQualifications / Skill Sets
The following top skills are often required or desired to land a Premium Audit position
- Premium Audit
- Public Accounting
- General Liability
- Bodily Injury
- Internal Audits
- Management Accounting
- Financial Audits
- Generally Accepted Auditing Standards
- IT Audit
- COSO
- Loss Control
- Medical Claims
- SAP ERP
- Property and Casualty Insurance
- Financial Statements
- Sarbanes-Oxley Compliance
- Internal Control
- ICD-9 Coding
- Underwriting
- Claims Processing
- Validation
- Fraud Investigation
- Workers' Compensation
- ICD-10 Coding
- Claims
- Reimbursement
- Finance
- High School Diploma
- Auditing
- Written Communication
- Billing
- Payroll
- Process Improvement
- Documentation
- Accounting
- Reporting
- Quality Assurance
- Writing Skills
- Policy Development
- Flexibility
- Education Experience
- Bachelor's Degree
- Filing
- Regulations
- Research Skills
- Microsoft Office
- Time Management
- Computer Skills
- Staff Supervision
- Microsoft Excel
- Customer Service
- Problem Solving
- Scheduling
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