• DRG Coding Auditor

    Elevance Health (Houston, TX)
    ** 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 (10/03/25)
    - Save Job - Related Jobs - Block Source
  • Inpatient Medical Coding Auditor

    Humana (Austin, TX)
    …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)
    - Save Job - Related Jobs - Block Source
  • Coding Auditor Educator-Inpatient

    Highmark Health (Austin, TX)
    …HCPCS Level II code and modifier assignments, ICD diagnosis and procedure coding , DRG /APC structure according to regulatory requirements. Reports findings both ... Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or physician...In-depth knowledge of ICD CM, ICD PCS and CPT/HCPCS coding systems. Must be proficient in DRG /APC… more
    Highmark Health (09/20/25)
    - Save Job - Related Jobs - Block Source
  • Coding Quality Auditor

    Houston Methodist (Houston, TX)
    At Houston Methodist, the Coding Quality Auditor position is responsible for ensuring accuracy in code assignment of diagnosis and procedure to outpatient and/or ... **SERVICE ESSENTIAL FUNCTIONS** + Responds promptly to internal and external customer coding / DRG requests. Responds promptly to Business Office requests to code… more
    Houston Methodist (09/30/25)
    - Save Job - Related Jobs - Block Source
  • Inpatient Coding Quality Auditor

    HCA Healthcare (Houston, TX)
    …you to apply! **Job Summary and Qualifications** As a work from home Inpatient Coding Auditor , you will be responsible for performing internal quality assessment ... of each individual is recognized. Submit your application for the opportunity below: Inpatient Coding Quality Auditor Parallon. **This is a fully work from home… more
    HCA Healthcare (09/27/25)
    - Save Job - Related Jobs - Block Source
  • Inpatient Medical Coding Auditor

    Cognizant (Austin, TX)
    **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 (09/23/25)
    - Save Job - Related Jobs - Block Source
  • Analyst, Configuration Oversight (Claims…

    Molina Healthcare (Fort Worth, TX)
    …and services billed under Institutional and non-institutional claims. * Validates coding , updating and maintaining benefit plans, provider contracts, fee schedules ... principles and state specific policies and regulations to identify incorrect coding , abuse and fraudulent billing practices, waste, overpayments, and processing… more
    Molina Healthcare (09/17/25)
    - Save Job - Related Jobs - Block Source
  • Coding Educator FT-Katy CC (Hybrid)

    Houston Methodist (Houston, TX)
    …(for inpatient/outpatient coding ) coding classification systems + For inpatient/outpatient coding : MS- DRG , APR DRG and APC assignment systems + ... At Houston Methodist, the Coding Educator position is responsible for developing ...Coders only) **OR** + CPMA - Certified Professional Medical Auditor (AAPC) -- (CBO Coders only) **KNOWLEDGE, SKILLS, AND… more
    Houston Methodist (07/23/25)
    - Save Job - Related Jobs - Block Source
  • Manager Compliance Coding

    Texas Health Resources (Arlington, TX)
    …to analyze data, identify trends, and recommend solutions for complex compliance and coding challenges. Extensive knowledge of MS DRG , APC, ICD-10-CM/PCS, CPT, ... Manager Compliance Coding _Are you looking for a rewarding career...establishing management correction plans when necessary. Additionally, the Compliance Auditor Manager effectively communicates audit findings through reports, presentations,… more
    Texas Health Resources (10/08/25)
    - Save Job - Related Jobs - Block Source
  • Compliance Coding And Billing Analyst

    University of Texas Rio Grande Valley (Mcallen, TX)
    …Knowledge of Current Procedural Terminology ( CPT ) and Diagnosis Related Group ( DRG ) coding . Knowledge of medical, billing and coding terminology ... Position Information Posting NumberSRGV8219 Working TitleCOMPLIANCE CODING AND BILLING ANALYST Number of Vacancies1 LocationMcAllen, Texas DepartmentOffice of the… more
    University of Texas Rio Grande Valley (10/07/25)
    - Save Job - Related Jobs - Block Source
  • Vendor Resource Management Coding Lead

    HCA Healthcare (Arlington, TX)
    …work from home position.** **This position has a specialization in Inpatient Coding .** **Benefits** Parallon offers a total rewards package that supports the health, ... Apply Today! **Job Summary and Qualifications** As a Vendor Resource Management Coding Lead, you will be responsible for performing concurrent and retrospective… more
    HCA Healthcare (09/27/25)
    - Save Job - Related Jobs - Block Source
  • Coding Quality Audit Reviewer

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

    Datavant (Austin, TX)
    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)
    - Save Job - Related Jobs - Block Source