- 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 of Disease (ICD-10-CM/PCS), Healthcare Common Procedure Coding System… more
- Elevance Health (Wallingford, CT)
- **DRG Coding Auditor Principal** _Virtual: This role enables associates to work virtually full-time, providing maximum flexibility and autonomy. This approach ... and skill development. Alternate locations may be considered._ The DRG Coding Auditor Principal is responsible for auditing inpatient medical records on claims… more
- Highmark Health (Hartford, CT)
- …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
- Cognizant (Hartford, CT)
- …**Experience:** Minimum 5 years of related experience (facility-based auditing and coding experience). **Travel:** None required **About the role:** As an ICD-10 ... the accuracy, compliance, and quality of ICD-10-CM and ICD-10-PCS coding for inpatient records. You will be a valued...and team. **In this role, you will:** - **Ensure Coding Accuracy and Compliance** . Conduct thorough reviews of… more
- The Cigna Group (Bloomfield, CT)
- **Summary:** **The Quality Auditor performs internal audits for E/M Coding and validates Scoring Tool's accuracy. The auditor records and reports result, ... preferred or equivalent work experience required.** + **3+ years of medical coding experience required.** + **One or more certifications required: Certified … more
- Elevance Health (Wallingford, CT)
- **Diagnosis Related Group Clinical Validation Auditor -RN** **Virtual:** This role enables associates to work virtually full-time, with the exception of required ... onboarding and skill development. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure… more
- Elevance Health (Wallingford, CT)
- …audit schedule. + Reviews, negotiates, and approves scope presented by external auditor . + For implementation audits, ensures the claims system is coded accurately ... test claims, analyzing results, identifying and resolving client intent or benefit coding issues, proposing solutions and directing the implementation of changes. +… more