• Internal Coding Auditor

    Dayton Children's Hospital (Dayton, OH)
    Facility:Work From Home - OhioDepartment:Payer Enrollment AdministrationSchedule:Full timeHours:40Job Details:The Internal Coding Auditor plays a pivotal ... involved in coding processes for facility and professional services. The Internal Coding Auditor regularly conducts detailed coding audits and… more
    Dayton Children's Hospital (04/28/25)
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  • Coding Auditor I - (Inpatient)

    Baylor Scott & White Health (Columbus, OH)
    **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...coding quality reviews in collaboration with or for internal customers of the organization. Provides feedback as appropriate… more
    Baylor Scott & White Health (05/07/25)
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  • Coding Auditor Educator

    Highmark Health (Columbus, OH)
    …Health Network **Job Description :** **GENERAL OVERVIEW:** Performs all related internal , concurrent, prospective and retrospective coding audit activities. ... Reviews medical records to determine data quality and accuracy of coding , billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code and modifier… more
    Highmark Health (05/09/25)
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  • Business Analyst II- Pharmacy Benefit…

    Elevance Health (Mason, OH)
    …Possibilities. Make an Extraordinary Impact.** The **Business Analyst II- Pharmacy Benefit Auditor ** is responsible for analyzing pharmacy benefit coding systems ... member-centered, lasting pharmacy care._ **Title** : **Business Analyst II- Pharmacy Benefit Auditor ** **Hybrid** - This role requires associates to be in-office 1 -… more
    Elevance Health (05/16/25)
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  • Compliance Auditor - Enterprise Risk

    Bon Secours Mercy Health (Cincinnati, OH)
    …Job Functions** + Assists in the review of Bon Secours Mercy Health coding , billing and claims processing policies and procedures for the development of compliance ... internal monitors and audit protocols and the prevention of...Health's public status. + Develops educational content on documentation, coding , and trending of non-compliant activities to enhance compliance… more
    Bon Secours Mercy Health (05/07/25)
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  • External Audit Facilitator

    Elevance Health (Mason, OH)
    …audit schedule. + Reviews, negotiates, and approves scope presented by external auditor . + For implementation audits, ensures the claims system is coded accurately ... test claims, analyzing results, identifying and resolving client intent or benefit coding issues, proposing solutions and directing the implementation of changes. +… more
    Elevance Health (05/06/25)
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