• DRG Coding Auditor

    Elevance Health (Wallingford, CT)
    ** 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 (10/13/25)
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  • Clinical Coding Auditor & Trainer

    Centene Corporation (New York, NY)
    …Group ( DRG ) and Medical Record Audit Programs for Fidelis Care. The Clinical Coding Auditor & Trainer position is primarily remote with a small travel ... analysis to determine specific training needs for clinical and coding staff + Identifies, selects, or develops appropriate training...degree in Nursing or equivalent experience. 4+ years of DRG and/or Medical Record Audit experience. One year of… more
    Centene Corporation (09/27/25)
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  • (RN) Registered Nurse Coding Auditor

    Northwell Health (Westbury, NY)
    …6.Reviews codes on Medicare/non-Medicare charts for compliance to rules and conventions. 7.Communicates DRG changes and rationale to the coding and CDI staff. ... BSN or MSN candidates with a HCS-D - Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist-Clinical. Job Responsibility 1.Leverages clinical… more
    Northwell Health (10/03/25)
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  • Analyst, Configuration Oversight (Claims…

    Molina Healthcare (Yonkers, NY)
    …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)
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