2710 Quality Control Auditor jobs in Dallas,TX

Data Governance & Quality Specialist

YMCA

Dallas, TX 75201

$80,000-$90,000/yr

New, Posted 7 hours ago

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Claims Quality Auditor

Parkland Health Hospital System

Dallas, TX 75235

Onsite

Bachelor's degree in health or finance-related field is required.
Must have five years of experience in accounting, business office, or medical insurance claims environment, in a large volume environment.
Must have experience with Medicare billing/reimbursement rules and regulations.
Must have experience in large data management.
Must have experience with Texas Medicaid program eligibility guidelines.
Must have knowledge of ICD10, CPT physician coding/billing operations, and medical terminology.
Must understand managed care and government payers' reimbursement principles, billing and claim adjudication processes.
Must be able to observe emerging trends and track them using analytics and critical thinking methods.
Must have a demonstrated ability to develop clean, insightful, and easily digestible potential financial impact and claims data.
Must be able to conduct financial reconciliation projects using logic, revenue cycle and professional billing/claim adjudication knowledge with criteria and data elements provided.
Must be able to demonstrate expertise with SQL reporting (example: Crystal Reports). Must be able to prepare detailed and summary reports and charts.
Must have expert level skills in Microsoft software, including Word, Excel, Access, PowerPoint, Outlook, and Visio.
Skilled with the ability to receive strategic direction and execute with minimal supervision
Must be detail oriented, organized, and possess strong analytical and mathematical skills to ensure accurate and timely processing of accounting records and resolve complex accounting issues.
Must demonstrate ability to meet deadlines while balancing competing demands.
Must demonstrate ability to identify and research data irregularities.
Must be able to solve problems within the guidelines of established policies and procedures.
Must be able to communicate effectively with internal and external customers. Must be customer service oriented.
Must have experience with project management methodology.

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Telephone Screener (Remote)

Serur Organization

Dallas, TX

Remote

Customer Service Rep Work From Home
Benefits Representative
Remote work

SmartExplore AI is experimental.

New, Posted 3 hours ago

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Clinical Quality Analyst

UnitedHealth Group

Dallas, TX 75221

$29-$52/hr

New, Posted 1 day ago

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Part Time/Full Time Remote Data Entry Specialist

Apex Focus Group

Garland, TX 75049

$750/wk

Remote

New, Posted 10 hours ago

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Quality Manager I

MasTec Industrial

Dallas, TX 75215

New, Posted 3 hours ago

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Amazon Customer Service - Work From Home $16-$24/hr

Amazon

Sachse, TX 75048

$16-$24/hr

RemoteNo Experience

New, Posted 1 day ago

Production Specialist

Canon U.S.A.

Dallas, TX 75368

$54,460-$81,550/yr

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Physician Coding Auditor

Ensemble Health Partners

Dallas, TX 75215

$57,400-$99,000/yr

RemoteEducation AssistanceHealth Insurance

Associates Degree or Equivalent Experience
CPC (Certified Professional Coder)
CCS-P (Certified Coding Specialist-Phys Based)
CCS (Certified Coding Specialist)
CMPA (Certified Professional Medical Auditor)
RHIA (Registered Health Information Administrator)
RHIT (Registered Health Information Technician)
Educated in HIPAA regulations; must maintain strict confidentiality of patient and client information.
Ability to read, write and effectively communicate in English.
Ability to understand medical/surgical terminology.
Position may require 20-40% travel to client sites.
This is a remote position; however, candidates must be willing and able to travel to and work onsite at client, temporary, or corporate office locations as business needs require.

SmartExplore AI is experimental.

New, Posted 3 hours ago

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