- Highmark Health (Columbus, OH)
- … Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or ... and ensures compliance with DRG/APC structure and regulatory requirements. Performs periodic claim form reviews to check code transfer accuracy from the abstracting… more
- Elevance Health (Mason, OH)
- …claim identification, and documentation purposes (eg, letter writing). + Identifies new claim types by identifying potential claims outside of the concept ... **DRG CODING AUDITOR ** **_Virtual_** **_: _** _ _ __ This...auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all… more
- Sedgwick (Cleveland, OH)
- …achieve. Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work(R) Fortune Best Workplaces in ... Financial Services & Insurance Attorney Auditor ** **This is a fully remote position, and...other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating… more
- Elevance Health (Mason, OH)
- **Diagnosis Related Group Clinical Validation Auditor -RN** **Virtual:** This role enables associates to work virtually full-time, with the exception of required ... granted as required by law. The **Diagnosis Related Group Clinical Validation Auditor -RN** is responsible for auditing inpatient medical records to ensure clinical… more
- City of Columbus (Columbus, OH)
- Income Tax Auditor I - EXAM Print (https://www.governmentjobs.com/careers/columbusoh/jobs/newprint/5048861) Apply Income Tax Auditor I - EXAM Salary $28.43 - ... position Job Type Full-time Job Number 25-0660-C1 Department 22 Columbus City Auditor Division Division of Income Tax Opening Date 08/20/2025 Closing Date 9/15/2025… more
- Humana (Columbus, OH)
- …cycle management (related to billing, coding, collections for Medicare and Medicaid claims ) + Experience with Auditing and monitoring of healthcare records + Must ... compliance, mainly primary care and risk adjustment, pharmacy knowledge a plus + Certified Coder (CPC, CRC, and/or CMC) + Experience with metrics and reporting… more
- Medical Mutual of Ohio (OH)
- …to utilize certified HEDIS software. + Ability to analyze clinical, claims , pharmacy, encounter, and quality measurement data. + Advanced knowledge of NCQA and ... to utilize certified HEDIS software. + Ability to analyze clinical, claims , pharmacy, encounter, and quality measurement data. + Advanced knowledge of NCQA and… more