• Inpatient Medical Coding

    Cognizant (Boston, MA)
    …a critical role in ensuring the accuracy, compliance, and quality of ICD-10-CM and ICD-10-PCS coding for inpatient records. You will be a valued member of the ... **Experience:** Minimum 5 years of related experience (facility-based auditing and coding experience). **Travel:** None required **About the role:** As an ICD-10… more
    Cognizant (06/03/25)
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  • Inpatient DRG Quality Auditor

    Humana (Boston, MA)
    …develop educational materials. This is a full-time, remote/work-from-home position. **Description** The Inpatient Medical Coding Auditor extracts ... Coding Quality Team is looking is an experienced and well-grounded medical coding auditor to quality review the inpatient hospital claims for proper… more
    Humana (05/30/25)
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  • Coding Auditor I

    Baylor Scott & White Health (Boston, MA)
    **JOB SUMMARY** The Coding Auditor 1 is proficient in...- & Cert Coding Specialist (CCS), Cert Coding Spec Physician Bas (CCS-P), Cert Inpatient ... performing coding quality audits and providing feedback to coders. The Coding Auditor 1 utilizes the International Classification of Disease (ICD-10-CM/PCS),… more
    Baylor Scott & White Health (06/07/25)
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  • DRG Coding Auditor

    Elevance Health (Woburn, MA)
    …considered._ The **DRG CODING AUDITOR ** is responsible for auditing inpatient medical records and generating high quality recoverable claims for the ... **DRG CODING AUDITOR ** **Location** : _This position...and DRG assignment accuracy. Specializes in review of DRG coding via medical record and attending physician's… more
    Elevance Health (05/29/25)
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  • DRG Coding Auditor Principal

    Elevance Health (Woburn, MA)
    …and skill development. Alternate locations may be considered._ The DRG Coding Auditor Principal is responsible for auditing inpatient medical records on ... **DRG Coding Auditor Principal** _Virtual: This role...business, and its clients. Specializes in review of DRG coding via medical record and attending physician's… more
    Elevance Health (06/05/25)
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  • Coding Auditor Educator

    Highmark Health (Boston, MA)
    …(Outpatient): Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or ... **GENERAL OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data… more
    Highmark Health (05/09/25)
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  • Medicare/Medicaid Claims Editing Specialist

    Commonwealth Care Alliance (Boston, MA)
    …Coder (CPC) + Certified Inpatient Coder (CIC) + Certified Professional Medical Auditor (CPMA) **Desired Education (nice to have):** + Masters Degree ... public health care programs and reimbursement methodologies (Medicaid and Medicare) + Medical Coding , Compliance, Payment Integrity and Analytics + Direct and… more
    Commonwealth Care Alliance (05/28/25)
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