• Diagnosis Related Group Clinical Validation…

    Elevance Health (Atlanta, GA)
    … Auditor -RN** is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and DRGs billed and reimbursed. ... **Diagnosis Related Group Clinical Validation Auditor -RN** **Virtual:** This role...years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of… more
    Elevance Health (08/13/25)
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  • Inpatient Coding Auditor

    BayCare Health System (Atlanta, GA)
    …BayCare Health System HIM Coding Department. + Interacts directly with coders, clinical personnel including Clinical documentation specialists, and/or ... PM + **Days:** Monday - Friday The Inpatient Coding Auditor is a full-time remote position. _Sign on bonuses...on a foundation of trust, dignity, respect, responsibility, and clinical excellence. Our team members focus on tomorrow by… more
    BayCare Health System (08/08/25)
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  • DRG Coding Auditor

    Elevance Health (Atlanta, GA)
    …for all lines of business, and its clients. Also responsible for performing clinical reviews of medical records and other documentation to evaluate issues ... **DRG CODING AUDITOR ** **_Virtual_** **_: _** _ _ _​_ This...and audits claims by integrating medical chart coding principles, clinical guidelines and objectivity in the performance of medical… more
    Elevance Health (08/13/25)
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  • Professional Coding Compliance Auditor

    Emory Healthcare/Emory University (Atlanta, GA)
    …leadership programs + And more! **Description** The Professional Coding Compliance Auditor develops and executes audit, monitoring, and education for professional ... billing, coding and documentation programs that confirm compliance, identifies reimbursement implications, and...all pertinent internal and external audits. + Collaborates with clinical and administrative staff and leadership to ensure audit… more
    Emory Healthcare/Emory University (09/02/25)
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  • HCC Risk Adjustment Auditor - Full Time…

    Datavant (Atlanta, GA)
    …adjustment and reimbursement purposes. You will play a critical role in translating clinical documentation into precise codes that reflect the complexity and ... We're Looking For:** As an HCC (Hierarchical Condition Category) Auditor you will review medical records that have been...a diagnosis level + Answer rebuttals entered on the auditor by coders and or auditors + Participate in… more
    Datavant (08/01/25)
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  • Coding Quality Auditor

    Houston Methodist (GA)
    …appropriate, utilizing the established physician query process. Provides assistance to Clinical Documentation Management Program (CDMP) with appropriate MS-DRG ... TX, LA, FL, TN, WA or GA** At Houston Methodist, the Coding Quality Auditor position is responsible for ensuring accuracy in code assignment of diagnosis and… more
    Houston Methodist (07/12/25)
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  • Coding Auditor Educator

    Highmark Health (Atlanta, GA)
    …Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code and modifier ... Promotes cooperation with CDMP and compliance programs to improve documentation which supports compliant coding. Interacts with external consultants regarding… more
    Highmark Health (08/08/25)
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  • Inpatient DRG Coding Auditor

    Emory Healthcare/Emory University (Atlanta, GA)
    …assignment, and abstracted data POA, Discharge Disposition. + Reviews discrepancies between the Clinical Documentation Specialist (CDS) DRG and the Coder DRG. + ... **Description** We are seeking an experienced **Inpatient DRG Coding Auditor ** to extract data from patient encounters ensuring the...the CDS team to educate physicians, nursing, and other clinical staff to improve documentation . + Review… more
    Emory Healthcare/Emory University (06/06/25)
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  • Auditor , HCC Risk Adjustment Coding - Full…

    Datavant (Atlanta, GA)
    …adjustment and reimbursement purposes. You will play a critical role in translating clinical documentation into precise codes that reflect the complexity and ... educational and life experiences to realize our bold vision for healthcare. As an Auditor , HCC Risk Adjustment Coder, you will review medical records to identify and… more
    Datavant (08/08/25)
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  • Senior Coding Data Quality Auditor , Coding…

    CVS Health (Atlanta, GA)
    …the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal regulations ... speak to such evidence across internal stakeholders with varying knowledge and clinical expertise in either written or verbal forms including communication with … more
    CVS Health (08/24/25)
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