• Inpatient Coding Quality

    HCA Healthcare (Caldwell, ID)
    …worth of each individual is recognized. Submit your application for the opportunity below: Inpatient Coding Quality Auditor Parallon. **This is a ... **_Note: Eligibility for benefits may vary by location._** We are seeking an Inpatient Coding Quality Auditor for our team to ensure that… more
    HCA Healthcare (09/27/25)
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  • Divisional Coding Quality

    AdventHealth (Altamonte Springs, FL)
    …Required **Preferred Qualifications:** 5 of inpatient or outpatient coding or Coding Quality Auditor experience Preferred This facility is an equal ... **The role you will contribute:** The inpatient or outpatient coding team Corporate Quality Auditor (QA)/Educator supports the operations of the … more
    AdventHealth (09/17/25)
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  • Quality Auditor & Educator

    AdventHealth (Daytona Beach, FL)
    …Beach, FL 32117 **The role you'll contribute:** The inpatient or outpatient coding team Quality Auditor (QA)/Educator supports the operations of the ... completing both overall and account-level quality reviews of inpatient and outpatient coding functions. Quality audits are inclusive of assessing staff… more
    AdventHealth (08/07/25)
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  • Inpatient Medical Coding

    Humana (Boise, ID)
    …of their consumers and staff, and rewards performance, then you should strongly consider the Inpatient Coding Auditor (MSDRG). The Inpatient Medical ... caring community and help us put health first** The Inpatient Medical Coding Auditor extracts...need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families,… more
    Humana (09/24/25)
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  • Coding Auditor Educator-…

    Highmark Health (Nashville, TN)
    …retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding , billing and documentation related to DRGs, ... :** Allegheny Health Network **Job Description :** **_*This role will cover Inpatient Auditors and will require Inpatient (AHIMA) credentials._** **GENERAL… more
    Highmark Health (09/20/25)
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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 ... the accuracy of DRGs. This individual will: + Reviews inpatient medical records for select payer populations post-discharge and...+ Coordinates remediation when required. + Coordinates with the Coding leadership, Quality nurses and the CDS… more
    Emory Healthcare/Emory University (09/05/25)
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  • Coding Auditor Inpatient

    AdventHealth (Orlando, FL)
    … Manager, the Data Quality Reviewer is responsible for validating the coding performed by inpatient or outpatient coders. Random and/or target samples are ... terminology, anatomy and physiology, and pathophysiology coursework. + 5 of inpatient hospital coding and/or auditing experience, including cases requiring… more
    AdventHealth (09/11/25)
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  • 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 ... /SAFETY ESSENTIAL FUNCTIONS** + Maintains and achieves the highest standards of coding quality by assigning accurate ICD-9-CM/ICD-10-CM/ICD-10-PCS and CPT codes… more
    Houston Methodist (09/30/25)
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  • DRG Coding Auditor

    Elevance Health (Chicago, IL)
    …spending. The **DRG CODING AUDITOR ** is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit ... **DRG CODING AUDITOR ** **_Virtual_** **_: _** _...Registered Health Information Technician and/or CCS as a Certified Coding Specialist and/or CIC as a Certified Inpatient more
    Elevance Health (10/03/25)
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  • Clinical Documentation Specialist Auditor

    UNC Health Care (Chapel Hill, NC)
    …that have opted into shared services. This position reports to the HCS Supervisor Coding and CDI Quality and Training. This position may travel from entity ... making. **Job Details** Legal Employer: NCHEALTH Entity: Shared Services Organization Unit: HIM Coding & CDI Quality Work Type: Full Time Standard Hours Per… more
    UNC Health Care (07/29/25)
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  • Senior Coding and Reimbursement…

    Avera (Sioux Falls, SD)
    …and our patients. Work where you matter.** **A Brief Overview** The Senior Coding Auditor is responsible for auditing technical and professional services. The ... gaps. + Provides education to clinic/hospital coders based on findings from quality coding audits. Collaborates with departments and physician specialties as… more
    Avera (09/23/25)
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  • Profee Clinical Data Quality Admin (CDQA)…

    Virtua Health (Mount Laurel, NJ)
    …depending on meetings with clinicians. Job Summary: Responsible for professional fee (pro-fee) coding quality and audits, education and training, etc. for CPT, ... by US News and World Report, we've received multiple awards for quality , safety, and outstanding work environment.In addition to five hospitals, seven emergency… more
    Virtua Health (07/28/25)
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  • Coding and Compliance Internal…

    Atlantic Health System (Morristown, NJ)
    Responsible for coding quality audits of all records (outpatient, inpatient , procedures, testing) to assure appropriateness and accurate code assignments in ... Accountabilities: Coordinates, schedules, performs the professional services documentation and coding audits of outpatient, inpatient , procedures and testing… more
    Atlantic Health System (10/01/25)
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  • Clinical Coding Auditor & Trainer

    Centene Corporation (New York, NY)
    …Related Group (DRG) and Medical Record Audit Programs for Fidelis Care. The Clinical Coding Auditor & Trainer position is primarily remote with a small travel ... assigned + Complies with all policies and standards **Highly Preferred Skills:** + Inpatient Coding Experience + At least 1 year of clinical experience in a… more
    Centene Corporation (09/27/25)
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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 ... admission (POA) indicators, discharge disposition, and any other relevant data to ensure coding accuracy. The auditor is also responsible for writing and… more
    Community Health Systems (09/09/25)
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  • Compliance Auditor , Intermediate (Cemc,…

    UPMC (Pittsburgh, PA)
    …APC, APG or ICD10-CM, HCPCS, CPT, Modifiers, etc.). + Knowledge of coding /classification systems appropriate for inpatient /outpatient, DRG prospective payment ... **Join UPMC Corporate Compliance as an Intermediate Compliance Auditor !** Are you passionate about ensuring accuracy and...Clearances:** One of the following is required: + Certified Coding Specialist (CCS) + Certified Inpatient Coder… more
    UPMC (09/04/25)
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  • Clinical Revenue Auditor -CDM Patient…

    Mount Sinai Health System (New York, NY)
    …Certifications such as Certified Professional Medical Auditor (CPMA), Certified Inpatient Coder (CIC), Certified Coding Specialist (CCS), or Certified ... **Job Description** **Clinical Revenue Auditor -CDM Patient Financial Services-Corporate-Full-Time-Days-Option to work remote or hybrid.** The Clinical Revenue … more
    Mount Sinai Health System (09/24/25)
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  • Compliance Auditor , Associate

    UPMC (Pittsburgh, PA)
    …APC, APG or ICD10-CM, HCPCS, CPT, Modifiers, etc.). + Knowledge of coding /classification systems appropriate for inpatient /outpatient, DRG prospective payment ... and with other departments. **Licensure, Certifications, and Clearances:** (Preferred) + Certified Coding Specialist (CCS) + Certified Inpatient Coder (CIC) +… more
    UPMC (07/24/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Los Angeles, CA)
    …(CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or CIC. + ... is granted as required by law. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure… more
    Elevance Health (09/30/25)
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  • Risk Adjustment Clinical Auditor /Analyst

    UPMC (Pittsburgh, PA)
    …rules. Accurately review the assigned HCC diagnosis codes and apply the appropriate inpatient or outpatient coding guidelines, AHA coding clinics, ICD-10-CM ... has an exciting opportunity for a Risk Adjustment Clinical Auditor /Analyst position in the Medicare department. This is a...are supported within the audit year, and utilize AHA Coding clinics, ICD-10-CM Coding Guidelines, CPT … more
    UPMC (09/30/25)
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