• Inpatient DRG Coding

    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 ... the accuracy of DRGs. This individual will: + Reviews inpatient medical records for select payer populations post-discharge and...an acute care setting. + Previous experience in performing DRG coding audits. + Possesses knowledge of… more
    Emory Healthcare/Emory University (06/06/25)
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  • DRG Coding Auditor Principal

    Elevance Health (Norfolk, VA)
    ** DRG Coding Auditor Principal** _Virtual:...be considered._ The DRG Coding Auditor Principal is responsible for auditing inpatient medical ... of business, and its clients. Specializes in review of DRG coding via medical record and attending...a Registered Health Information Technician, CCS as a Certified Coding Specialist, CIC as a Certified Inpatient more
    Elevance Health (06/05/25)
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  • DRG Coding Auditor

    Elevance Health (Chicago, IL)
    ** DRG CODING AUDITOR ** **Location** :...be considered._ The ** DRG CODING AUDITOR ** is responsible for auditing inpatient medical records ... DRG assignment accuracy. Specializes in review of DRG coding via medical record and attending...Registered Health Information Technician and/or CCS as a Certified Coding Specialist and/or CIC as a Certified Inpatient more
    Elevance Health (06/24/25)
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  • Inpatient DRG Quality Auditor

    Humana (Santa Fe, NM)
    …consumers and staff, and rewards performance, then you should strongly consider the Inpatient Coding Auditor (MSDRG) **So,** **do you** **love** **work** ... educational materials. This is a full-time, remote/work-from-home position. **Description** The Inpatient Medical Coding Auditor extracts clinical… more
    Humana (06/17/25)
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  • Inpatient Coding Auditor

    UCLA Health (Los Angeles, CA)
    Description As an Inpatient Coding Auditor with a specialization in DRG payment reviews, you will conduct thorough audits of inpatient coding to ... Conducting quality and DRG payment reviews for inpatient services to ensure accurate coding and...charge capture issues + Providing feedback and training to inpatient coding staff on best practices +… more
    UCLA Health (06/14/25)
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  • Inpatient Coding Auditor

    AdventHealth (Tampa, FL)
    …Stroke Association as a Primary Stroke Center. **The ro** **le you'll contribute:** The Inpatient Coding Quality Auditor , under general supervision of the ... is responsible for the daily auditing of records. The Inpatient Coding Quality Auditor works...you'll bring to the team:** . Reviews records for DRG and overall coding accuracy retrospectively and… more
    AdventHealth (05/09/25)
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  • Inpatient Coding Auditor

    HCA Healthcare (Richmond, VA)
    …**_Note: Eligibility for benefits may vary by location._** We are seeking an Inpatient Coding Auditor for our team to ensure that ... Hour Work Week!** **Must have experience in auditing the DRG .** Experience the HCA Healthcare difference where colleagues are...you to apply! **Job Summary and Qualifications** As an Inpatient Coding Auditor , you will… more
    HCA Healthcare (06/21/25)
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  • Senior Inpatient Medical Coding

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

    Houston Methodist (GA)
    …must live in TX, LA, FL, TN, WA or GA** At Houston Methodist, the Coding Quality Auditor position is responsible for ensuring accuracy in code assignment of ... **SERVICE ESSENTIAL FUNCTIONS** + Responds promptly to internal and external customer coding / DRG requests. Responds promptly to Business Office requests to code… more
    Houston Methodist (04/12/25)
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  • Coding Auditor Educator

    Highmark Health (Oklahoma City, OK)
    …HCPCS Level II code and modifier assignments, ICD diagnosis and procedure coding , DRG /APC structure according to regulatory requirements. Reports findings both ... or works with external resources to create and monitor inpatient case mix reports and the top 25 assigned...In-depth knowledge of ICD CM, ICD PCS and CPT/HCPCS coding systems. Must be proficient in DRG /APC… more
    Highmark Health (05/09/25)
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  • Coding Auditor I

    Baylor Scott & White Health (Hartford, CT)
    **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...Coding references will be used to ensure accurate coding and grouping of classification assignment (eg, MS- DRG more
    Baylor Scott & White Health (06/07/25)
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  • Health Information Management Educator…

    Catholic Health (Kenmore, NY)
    …Information Management (HIM) Educator/ Auditor will work cooperatively with CH coding associates, physicians, Inpatient and Outpatient Coding Managers, ... well as updates to the Medicare, New York and APR- DRG grouper logic. The Educator will provide mentoring for...grouper logic. The Educator will provide mentoring for new coding staff. The Educator/ Auditor will also assist… more
    Catholic Health (04/05/25)
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  • Clinical Documentation Specialist Auditor

    UNC Health Care (Chapel Hill, NC)
    …Abilities Requirements:** * Strong knowledge of ICD-10-CM, ICD-10-PCS, and CPT coding , MS DRG , hierarchical condition categories (HCC), and CDI ... the unique communities we serve. Summary: This positon trains and audits Inpatient and Outpatient Clinical Documentation Specialists (CDS) across all HCS entities… more
    UNC Health Care (04/29/25)
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  • (RN) Registered Nurse Coding Auditor

    Northwell Health (Garden City, 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. ... **Req Number** 160650 Job Description Validates Acute Inpatient coded charts to ensure the diagnostic information leading to the assignment can be substantiated by… more
    Northwell Health (06/13/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Costa Mesa, CA)
    …(CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or CIC. + ... and skill development. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical...Experience with third party DRG Coding and/or Clinical Validation Audits or… more
    Elevance Health (06/10/25)
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  • Compliance Auditor , Associate

    UPMC (Pittsburgh, PA)
    …Modifiers, etc.). + Knowledge of coding /classification systems appropriate for inpatient /outpatient, DRG prospective payment system or office setting E/M ... auditing, billing and compliance. + Knowledge of CMS and third-party payer coding , billing, and documentation compliance regulations preferred (MS- DRG , APR-… more
    UPMC (04/24/25)
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  • Compliance Auditor , Intermediate (Cemc,…

    UPMC (Pittsburgh, PA)
    …Modifiers, etc.). + Knowledge of coding /classification systems appropriate for inpatient /outpatient, DRG prospective payment system or office setting E/M ... auditing and compliance. + Extensive knowledge of CMS, and third-party payer coding , billing, and documentation compliance regulations required (MS- DRG , APR-… more
    UPMC (06/06/25)
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  • Medical Records Technician (Coder) Auditor

    Veterans Affairs, Veterans Health Administration (Indianapolis, IN)
    …codes, MS- DRG , POA status, and discharge disposition values for inpatient health records. Audit accurate and complete assignment of ICD-10-CM, CPT, and ... offices, group practices, multi-specialty clinics, and specialty centers. These coding practitioners analyze and abstract patients' health records and assign… more
    Veterans Affairs, Veterans Health Administration (06/13/25)
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  • DRGV Auditor II

    R1 RCM (Boise, ID)
    …As our DRGV Auditor II, your primary role will be auditing inpatient cases for DRG validation and/or documentation improvement. This consists of reviewing ... accounts. Opportunity for growth includes a client facing Lead Auditor role and an internally facing Mentor role. **Every...**Every day in this role you will:** + Review inpatient medical records for validation of DRG more
    R1 RCM (04/03/25)
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  • Coder Auditor Trainee

    Prime Healthcare (Ontario, CA)
    …Documentation Specialists (CDS) or Computer Assisted Coding (CAC) software. The Inpatient Coder Auditor Trainee finalizes the coding and abstracting ... Privacy Notice for California Applicants: https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf Responsibilities The Inpatient Coder Auditor Trainee reviews and… more
    Prime Healthcare (06/26/25)
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