• DRG Coding Auditor

    Elevance Health (Nashville, TN)
    ** DRG CODING AUDITOR ** **_Virtual_** **_: _** _ _ _​_ This role enables associates to work virtually full-time, with the exception of required in-person ... determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** DRG CODING AUDITOR ** is responsible for auditing inpatient medical… more
    Elevance Health (10/13/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Nashville, TN)
    … Credential such as CCS or CIC. + Experience with third party DRG Coding and/or Clinical Validation Audits or hospital clinical documentation improvement ... **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS- DRG , AP- DRG ...+ Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance… more
    Elevance Health (09/23/25)
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  • DRG Denials Auditor

    Community Health Systems (Franklin, TN)
    **Job Summary** The DRG Denials Auditor conducts hospital inpatient DRG denial audits for both RAC and non-RAC accounts, reviewing patient records for ... accuracy in ICD-10-CM/PCS coding , DRG assignments, and supporting clinical documentation....discharge disposition, and any other relevant data to ensure coding accuracy. The auditor is also responsible… more
    Community Health Systems (09/09/25)
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  • DRG Validation Auditor

    HCA Healthcare (Nashville, TN)
    …Apply Today! **Job Summary and Qualifications** As a work from home Inpatient Coding Auditor , you will be responsible for performing internal quality assessment ... patients with purpose and integrity. We care like family! Jump-start your career as a DRG Validation Auditor today with Parallon. **This position is a fully work… more
    HCA Healthcare (10/15/25)
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  • Inpatient Medical Coding Auditor

    Humana (Nashville, TN)
    …of our caring community and help us put health first** The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and ... (eg, ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex...least one of these qualifications for 4 years) * MS- DRG coding /auditing experience * Experience reading and… more
    Humana (09/24/25)
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  • Inpatient Coding Quality Auditor

    HCA Healthcare (Nashville, TN)
    …you to apply! **Job Summary and Qualifications** As a work from home Inpatient Coding Auditor , you will be responsible for performing internal quality assessment ... fully work from home position.** **This position requires Inpatient Coding and DRG Validation Experience.** **Schedule: Monday-Friday...may vary by location._** We are seeking an Inpatient Coding Quality Auditor for our team to… more
    HCA Healthcare (08/28/25)
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  • Inpatient Medical Coding Auditor

    Cognizant (Nashville, TN)
    **About the role** As an Inpatient Medical Coding Auditor , you will make an impact by auditing consultant inpatient. You will be a valued member of the Cognizant ... and ICD-10-PCS education and mentoring to Company's clients in coding , billing and compliance + Perform Peer Reviews of...+ CCS, RHIT or RHIA (AHIMA) certification + APR DRG experience + Minimum of five years of facility-based… more
    Cognizant (10/14/25)
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  • Coding Quality Audit Reviewer

    HCA Healthcare (Nashville, TN)
    …of our team. **Job Summary and Qualifications** As a work from home Inpatient Coding Auditor , you will be responsible for performing internal quality assessment ... is fully work from home!** **Schedule: Monday-Friday Day Shift** **Must have DRG Validation experience and Inpatient Coding experience** **Benefits** Parallon,… more
    HCA Healthcare (09/27/25)
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  • Inpatient Audit Specialist

    Datavant (Nashville, TN)
    coding audits on medical records, utilizing ICD-10-CM, CPT, and appropriate coding references for accurate DRG and APC assignment. + Review non-CC/MCC ... will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education,… more
    Datavant (10/09/25)
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  • Inpatient Audit Specialist

    Datavant (Nashville, TN)
    …Level Agreements or Other Types of reviews, using appropriate assignment of codes and other coding -related elements using MS DRG or APR DRGs. + Provides rich and ... will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education,… more
    Datavant (10/21/25)
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