• Inpatient DRG Quality

    Humana (Atlanta, GA)
    …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 (07/25/25)
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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

    Elevance Health (Atlanta, GA)
    …eliminate and prevent unnecessary medical-expense spending. The ** DRG CODING AUDITOR ** is responsible for auditing inpatient medical records and generating ... ** DRG CODING AUDITOR ** **_Virtual_** **_: _**...and generate audit findings letters. + Maintains accuracy and quality standards as set by audit management for the… more
    Elevance Health (07/22/25)
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  • Senior Inpatient Medical Coding…

    Humana (Atlanta, GA)
    …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 (06/26/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Atlanta, GA)
    …- Friday 8AM -5PM (local time) The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure ... **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 (07/17/25)
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  • Coding Auditor Educator

    Highmark Health (Atlanta, GA)
    …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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