• Coding Auditor I

    Baylor Scott & White Health (Raleigh, NC)
    **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 of Disease (ICD-10-CM/PCS), Healthcare Common Procedure Coding System… more
    Baylor Scott & White Health (06/07/25)
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  • Inpatient Coding Auditor

    BayCare Health System (Raleigh, NC)
    …**Shift:** 7:00 AM to 3:30 PM + **Days:** Monday - Friday The Inpatient Coding Auditor is a full-time remote position. _Sign on bonuses available!_ ... Responsibilities + The Inpatient Coding Auditor performs inpatient encounter audits and evaluates compliance related activities and services provided by the… more
    BayCare Health System (05/29/25)
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  • Coding Auditor Educator

    Highmark Health (Raleigh, NC)
    …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...Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or physician… more
    Highmark Health (05/09/25)
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  • Senior Inpatient Medical Coding

    Humana (Raleigh, NC)
    …caring community and help us put health first** The Senior Inpatient Medical Coding Professional extracts clinical information from a variety of medical records and ... evaluation of variable factors. **Responsibilities** The Senior Inpatient Medical Coding Professional confirms appropriate diagnosis related group (DRG) assignments.… more
    Humana (06/26/25)
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  • Sr Compliance RCM & Coding Auditor

    Humana (Raleigh, NC)
    …years of healthcare experience in revenue cycle management (related to billing, coding , collections for Medicare and Medicaid claims) + Experience with Auditing and ... monitoring of healthcare records + Must be able to work core business hours on EST time between (9am-5pm). + Willingness to travel up to 10% to conduct audits at site locations. + Ability to manage multiple or competing priorities and meet deadlines + Must be… more
    Humana (07/03/25)
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  • Inpatient DRG Quality Auditor

    Humana (Raleigh, NC)
    …This is a full-time, remote/work-from-home position. **Description** The Inpatient Medical Coding Auditor extracts clinical information from medical records and ... Quality Team is looking is an experienced and well-grounded medical coding auditor to quality review the inpatient hospital claims for proper reimbursement,… more
    Humana (06/17/25)
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  • Nurse Auditor

    Humana (Raleigh, NC)
    …of our caring community and help us put health first** The Nurse Auditor 2 will perform acute inpatient Short Stay Reviews/clinical audits considering complex ... factors and MCG, to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support optimal… more
    Humana (07/01/25)
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