• Coding Quality Auditor

    Houston Methodist (GA)
    …remote must live in TX, LA, FL, TN, WA or GA** At Houston Methodist, the Coding Quality Auditor position is responsible for ensuring accuracy in code ... and procedures, and coding and documentation training. + Assists with quality assurance (peer) reviews to ensure data integrity and accuracy of coding ,… more
    Houston Methodist (04/12/25)
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  • DRG Coding Auditor

    Elevance Health (St. Louis, MO)
    …with vendor based DRG Coding / Clinical Validation Audit setting or hospital coding or quality assurance environment preferred. + Broad knowledge of ... **DRG CODING AUDITOR ** **Location** : _This position...minimum of 5 years of experience in claims auditing, quality assurance , or recovery auditing. + Requires… more
    Elevance Health (06/10/25)
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  • DRG Coding Auditor Principal

    Elevance Health (Norfolk, VA)
    …with vendor based DRG Coding / Clinical Validation Audit setting or hospital coding or quality assurance environment preferred. + Broad, deep and niche ... **DRG Coding Auditor Principal** _Virtual: This role...minimum of 15 years of experience in claims auditing, quality assurance , or recovery auditing. + Requires… more
    Elevance Health (06/05/25)
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  • Inpatient Medical Coding Auditor

    Cognizant (Jefferson City, MO)
    …mentoring to clients on coding , billing, and compliance best practices. - **Support Quality Assurance and Peer Review** . Perform peer reviews of coding ... a critical role in ensuring the accuracy, compliance, and quality of ICD-10-CM and ICD-10-PCS coding for...staff to maintain high standards of coding quality and consistency, ensuring a minimum accuracy rate of… more
    Cognizant (06/03/25)
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  • Coding Auditor Professional - Remote…

    McLaren Health Care (Shelby Township, MI)
    …**Essential Functions and Responsibilities As Assigned** **:** 1. Responsible for completing quality assurance audits on professional coding specialists, ... onboarding audits and training of newly hired coding specialists, validating the coding specialist is accurately abstracting data into medical record systems,… more
    McLaren Health Care (06/04/25)
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  • Compliance Auditor

    Addiction Recovery Care (Lexington, KY)
    …conditions. + Follows policies and procedures, performance improvement objectives, quality assurance initiatives, and safety and environmental standards. ... care, proper documentation of services, and the billing and coding of claims. The Compliance Auditor assists...+ Supports and maintains a culture of safety and quality . + Performs additional duties as assigned. Key Experience… more
    Addiction Recovery Care (05/15/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Costa Mesa, CA)
    …state(s). + Requires a minimum of 10 years of experience in claims auditing, quality assurance , or clinical documentation improvement, and a minimum of 5 years ... **Diagnosis Related Group Clinical Validation Auditor -RN** **Virtual:** This role enables associates to work...+ Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance… more
    Elevance Health (06/10/25)
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  • CDI III Educator Auditor - Full Time - Days

    Mohawk Valley Health System (Utica, NY)
    coding education initiatives. + Trains and precepts new CDI team members. Quality Assurance and Compliance + Ensures compliance with regulations, denial ... CDI III Educator Auditor - Full Time - Days Department: CLINICAL...processes and responses, maintaining compliance with regulatory guidelines and coding conventions. This role emphasizes denial management, educational program… more
    Mohawk Valley Health System (04/23/25)
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  • Claims and Call Auditor (Call Center QC)

    CHS (Clearwater, FL)
    …diploma or equivalent is required + Experience in medical customer service, quality assurance , or insurance training is preferred. **Certificates, Licenses, ... **Overview** ** ** **Claims and Call Auditor (Call Center QC) - Clearwater, FL** **...Reviews Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) to determine proper category for benefit… more
    CHS (06/14/25)
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  • Compliance Coding And Billing Analyst

    University of Texas Rio Grande Valley (Mcallen, TX)
    …Education may be substituted with experience on a one-to-one basis Preferred Experience Coding , auditing or quality assurance review experience. Bilingual ... as needed. + Collaborates with the medical billing team to improve the quality of clinical documentation for compliance, billing, coding , and reimbursement… more
    University of Texas Rio Grande Valley (06/06/25)
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  • Mgr CDI

    Covenant Health Inc. (Knoxville, TN)
    …and maintain business objectives. + Develops departmental policies and procedures, objectives, quality assurance programs and safety standards. + Oversees the ... affect the area. Maintains optimal communication links with Integrity Office, Coding /Transcription, Quality Management and CBO (Centralized Billing Office).… more
    Covenant Health Inc. (06/09/25)
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  • Principal Associate - Cyber, Risk & Analysis…

    Capital One (Mclean, VA)
    …Audit function is a dedicated group of professionals focused on delivering top- quality assurance services to the organization's Audit Committee. Audit ... activities managing multiple priorities and tasks across the team to deliver quality results.** **-Coordinate with others and proactively take on additional work.**… more
    Capital One (05/30/25)
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  • Senior Audit Manager - Cyber Technical, Technology…

    Capital One (Mclean, VA)
    …Audit function is a dedicated group of professionals focused on delivering top- quality assurance services to the organization's Audit Committee. Audit ... different perspectives into deliverables.** + **Manage timely and high quality delivery of multiple tasks, including audits, projects, special assignments,… more
    Capital One (05/30/25)
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  • Senior Associate - Cyber, Risk, & Analysis…

    Capital One (Mclean, VA)
    …Audit function is a dedicated group of professionals focused on delivering top- quality assurance services to the organization's Audit Committee. Audit ... independently and ensure work is completed to schedule and meets our high- quality standards. -Prepare clear, organized and complete documentation to support work… more
    Capital One (05/29/25)
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  • Audit Analytics

    American Express (Sandy, UT)
    …enable IAG to utilize advanced data analysis capabilities, provide greater and continuous assurance , and help ensure quality products and services are provided ... to protect and enhance organizational value by providing independent, objective, risk-based assurance , advisory services and to influence the way the company manages… more
    American Express (06/13/25)
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  • Cybersecurity & Application Specialist

    Carrier (Beverly, MA)
    …prioritize, and address security-related issues. Additionally, the specialist provides assurance , both internally and externally, to demonstrate the robustness of ... security measures in place. This position also interfaces directly with the Quality department, serving as the primary administrator for system access and… more
    Carrier (05/22/25)
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