• Inpatient DRG Quality

    Humana (Santa Fe, NM)
    …Coding Quality Team is looking is an experienced and well-grounded medical coding auditor to quality review the inpatient hospital claims for proper ... materials. This is a full-time, remote/work-from-home position. **Description** The Inpatient Medical Coding Auditor extracts clinical information from… more
    Humana (06/17/25)
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  • Inpatient DRG Coding Auditor

    Emory Healthcare/Emory University (Atlanta, GA)
    …mentorship, development, leadership programs and more! **Description** We are seeking an experienced ** Inpatient DRG Coding Auditor ** to extract data from ... encounters ensuring the accuracy of DRGs. This individual will: + Reviews inpatient medical records for select payer populations post-discharge and pre-bill; audits… more
    Emory Healthcare/Emory University (06/06/25)
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  • DRG Coding Auditor Principal

    Elevance Health (Norfolk, VA)
    …skill development. Alternate locations may be considered._ The DRG Coding Auditor Principal is responsible for auditing inpatient medical records on claims ... ** DRG Coding Auditor Principal** _Virtual: This...and generate audit findings letters. + Validates accuracy and quality standards as set by audit management for the… more
    Elevance Health (06/05/25)
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  • DRG Coding Auditor

    Elevance Health (St. Louis, MO)
    …work virtually._ _Alternate locations may be considered._ The ** DRG CODING AUDITOR ** is responsible for auditing inpatient medical records and generating ... ** DRG CODING AUDITOR ** **Location** : _This...and generate audit findings letters. + Maintains accuracy and quality standards as set by audit management for the… more
    Elevance Health (06/10/25)
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  • Inpatient Coding Auditor Virtual

    AdventHealth (Tampa, FL)
    …Stroke Association as a Primary Stroke Center. **The ro** **le you'll contribute:** The Inpatient Coding Quality Auditor , under general supervision of the ... is responsible for the daily auditing of records. The Inpatient Coding Quality Auditor works...Reviews and addresses all third party/Regulatory Agencies requests for DRG changes or quality studies. . Reviews… more
    AdventHealth (05/09/25)
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  • Inpatient Coding Auditor

    UCLA Health (Los Angeles, CA)
    Description As an Inpatient Coding Auditor with a specialization in DRG payment reviews, you will conduct thorough audits of inpatient coding to ensure ... Additional responsibilities include: + Conducting quality and DRG payment reviews for inpatient services to...quality and DRG payment reviews for inpatient services to ensure accurate coding and reimbursement +… more
    UCLA Health (06/14/25)
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  • Inpatient Coding Auditor

    HCA Healthcare (Portsmouth, NH)
    …**_Note: Eligibility for benefits may vary by location._** We are seeking an Inpatient Coding Auditor for our team to ensure that we continue ... you to apply! **Job Summary and Qualifications** As an Inpatient Coding Auditor , you will be responsible...Auditor , you will be responsible for performing internal quality assessment reviews on Health Information Management Service Center… more
    HCA Healthcare (04/17/25)
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  • Inpatient Coder III - Educator…

    Mohawk Valley Health System (Utica, NY)
    Inpatient Coder III - Educator Auditor - Full Time - Days Department: CODING Job Summary The Inpatient Coding III Educator- Auditor will provide high ... serve as a subject matter expert, resource, educator and auditor to help coding and CDI team members throughout...as an educational liaison and subject matter expert on inpatient hospital based coding. Develop training initiatives, tools and… more
    Mohawk Valley Health System (05/31/25)
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  • Health Information Management Educator…

    Catholic Health (Kenmore, NY)
    …JOB SUMMARY: The Catholic Health (CH) Health Information Management (HIM) Educator/ Auditor will work cooperatively with CH coding associates, physicians, ... Inpatient and Outpatient Coding Managers, CDEI Education Manager and...Outpatient Coding Managers, CDEI Education Manager and Documentation Specialists, Quality and Patient Safety, Corporate Compliance, and Ancillary departments… more
    Catholic Health (04/05/25)
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  • Senior Inpatient Medical Coding…

    Humana (Providence, RI)
    …of our caring community and help us put health first** The Senior Inpatient Medical Coding Professional extracts clinical information from a variety of medical ... an in-depth evaluation of variable factors. **Responsibilities** The Senior Inpatient Medical Coding Professional confirms appropriate diagnosis related group (… more
    Humana (06/11/25)
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  • Coding Quality Auditor

    Houston Methodist (GA)
    …live in TX, LA, FL, TN, WA or GA** At Houston Methodist, the Coding Quality Auditor position is responsible for ensuring accuracy in code assignment of diagnosis ... co-morbid conditions and complications, secondary conditions and procedures. + Assists with quality reviews of outpatient or inpatient accounts and/or training… more
    Houston Methodist (04/12/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Costa Mesa, CA)
    …onboarding and skill development. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ... **Diagnosis Related Group Clinical Validation Auditor -RN** **Virtual:** This role enables associates to work...and reimbursed. Specializes in review of Diagnosis Related Group ( DRG ) paid claims. **How you will make an impact:**… more
    Elevance Health (06/10/25)
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  • Compliance Auditor , Associate

    UPMC (Pittsburgh, PA)
    …CPT, Modifiers, etc.). + Knowledge of coding/classification systems appropriate for inpatient /outpatient, DRG prospective payment system or office setting ... **Join UPMC Corporate Finance as a Compliance Auditor , Associate!** Are you detail-oriented and passionate about...and HCPCS codes or CPT and HCPCS ICD-10-CM-PCD and DRG assignment appropriateness to ensure consistency and efficiency in… more
    UPMC (04/24/25)
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  • Compliance Auditor , Intermediate (Cemc,…

    UPMC (Pittsburgh, PA)
    …CPT, Modifiers, etc.). + Knowledge of coding/classification systems appropriate for inpatient /outpatient, DRG prospective payment system or office setting ... **Join UPMC Corporate Compliance as an Intermediate Compliance Auditor !** Are you passionate about ensuring accuracy and compliance in healthcare documentation and… more
    UPMC (06/06/25)
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  • Coding Auditor Educator

    Highmark Health (Oklahoma City, OK)
    …techniques, medical terminology and disease processes as it relates to the DRG /APC and other clinical data quality management factors. With technical ... and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs,… more
    Highmark Health (05/09/25)
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  • Coding Auditor I

    Baylor Scott & White Health (Hartford, CT)
    **JOB SUMMARY** The Coding Auditor 1 is proficient in various types of coding and is responsible for performing coding quality audits and providing feedback to ... coders. The Coding Auditor 1 utilizes the International Classification of Disease (ICD-10-CM/PCS),...ensure accurate coding and grouping of classification assignment (eg, MS- DRG , APR- DRG , APC etc.) **ESSENTIAL FUNCTIONS OF… more
    Baylor Scott & White Health (06/07/25)
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  • Clinical Documentation Specialist Auditor

    UNC Health Care (Chapel Hill, NC)
    …the unique communities we serve. Summary: This positon trains and audits Inpatient and Outpatient Clinical Documentation Specialists (CDS) across all HCS entities ... position reports to the HCS Supervisor Coding and CDI Quality and Training. This position may travel from entity...and shadow round with Clinical Documentation Specialists. The CDS auditor provides elbow to elbow support during training and… more
    UNC Health Care (04/29/25)
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  • Medical Records Technician (Coder) Auditor

    Veterans Affairs, Veterans Health Administration (Indianapolis, IN)
    …codes, MS- DRG , POA status, and discharge disposition values for inpatient health records. Audit accurate and complete assignment of ICD-10-CM, CPT, and ... and procedure. Responsibilities The duties of the Medical Records Technician (Coder) Auditor include, but are not limited to: Applies comprehensive knowledge of… more
    Veterans Affairs, Veterans Health Administration (06/13/25)
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  • Medical Records Technician (Coder) Auditor

    Veterans Affairs, Veterans Health Administration (Boise, ID)
    …codes, MS- DRG , POA status, and discharge disposition values for inpatient health records. Audit accurate and complete assignment of ICD-10-CM, CPT, and ... and regulations; initiates various reports and analyze data. Facilitates improved overall quality , completeness and accuracy of coded data. Ensures the accuracy and… more
    Veterans Affairs, Veterans Health Administration (06/13/25)
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  • Coding Quality Audit Reviewer

    HCA Healthcare (Savannah, GA)
    …fully remote/work from home!** **Schedule: Monday-Friday Day Shift** **Must have DRG Validation experience and Inpatient Coding experience** **Benefits** ... **Job Summary and Qualifications** As a work from home Inpatient Coding Auditor , you will be responsible...Auditor , you will be responsible for performing internal quality assessment reviews on Health Information Management Service Center… more
    HCA Healthcare (06/07/25)
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