• Coding Auditor Educator-Inpatient

    Highmark Health (Columbus, OH)
    … audit activities. Reviews medical records to determine data quality and accuracy of coding , billing and documentation related to DRGs, APCs, CPTs and HCPCS ... with CDMP and compliance programs to improve documentation which supports compliant coding . Interacts with external consultants regarding billing , coding … more
    Highmark Health (09/20/25)
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  • Medical Coding Auditor

    Robert Half Accountemps (Cincinnati, OH)
    Description We are looking for a detail-oriented Medical Coding Auditor to join our team in Cincinnati, Ohio. In this Contract-to-Permanent position, you will ... with coding standards and regulatory requirements to support accurate billing and reimbursement. * Collaborate with healthcare providers and other team members… more
    Robert Half Accountemps (09/17/25)
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  • Inpatient Medical Coding Auditor

    Cognizant (Columbus, OH)
    **About the role** As an Inpatient Medical Coding Auditor , you will make an impact by auditing consultant inpatient. You will be a valued member of the Cognizant ... ICD-10-CM and ICD-10-PCS education and mentoring to Company's clients in coding , billing and compliance + Perform Peer Reviews of Company Health Information… more
    Cognizant (09/23/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Mason, OH)
    …Identifies potential documentation and coding errors by recognizing aberrant coding and documentation patterns such as inappropriate billing for ... **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS-DRG, AP-DRG and APR-DRG)** **Virtual:** This...medical claims billing and payment systems, provider billing guidelines, payer reimbursement policies, and coding … more
    Elevance Health (09/23/25)
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  • Clinical Provider Auditor II

    Elevance Health (Mason, OH)
    …as necessary to aid in investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations. + Collaborates ... **Clinical Provider Auditor II** **Location:** _Hybrid1:_ This role requires associates...an Impact:** + Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities for fraud… more
    Elevance Health (09/26/25)
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  • Clinical Provider Auditor II

    Elevance Health (Columbus, OH)
    …as necessary to aid in investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations. + Collaborates ... **Clinical Provider Auditor II** **Supports the Payment Integrity line of...an impact:** + Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities for fraud… more
    Elevance Health (09/06/25)
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  • Provider Auditor (Certified Medical Coder)

    Elevance Health (Independence, OH)
    **Provider Auditor ** _This position will work a hybrid model (remote and office), 1 time per week. The Ideal candidate will live within 50 miles of one of our ... to recover, eliminate and prevent unnecessary medical-expense spending. The **Provider Auditor ** conducts on-site reviews of medical charts, medical notes, itemized… more
    Elevance Health (09/24/25)
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  • Compliance Auditor -Ethics & Compliance

    MetroHealth (Cleveland, OH)
    …Bachelor's Degree in Health Care Administration, Business or related field and experience in coding , billing , and/or reimbursement. + In lieu of degree, three to ... **:** **Under the direction of the Compliance Supervisor - Audit (Doc and Coding ) Services, conducts coding and documentation audits of MetroHealth (MHS) medical… more
    MetroHealth (08/08/25)
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  • Analyst, Configuration Oversight (Claims…

    Molina Healthcare (Akron, OH)
    …standard principles and state specific policies and regulations to identify incorrect coding , abuse and fraudulent billing practices, waste, overpayments, and ... and services billed under Institutional and non-institutional claims. * Validates coding , updating and maintaining benefit plans, provider contracts, fee schedules… more
    Molina Healthcare (09/17/25)
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  • Specialist, Config Oversight (healthcare Medical…

    Molina Healthcare (Columbus, OH)
    …and state specific policies and regulations in order to identify incorrect coding , abuse and fraudulent billing practices, waste, overpayments, and processing ... including, but not limited to; vendor, focal, audit the auditor . Confirm that documentation is clear and concise to...& ABILIITIES:** + Minimum 2 years as an operational auditor for at least one core operations function +… more
    Molina Healthcare (09/24/25)
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