• Inpatient Medical Coding Auditor

    Humana (Sacramento, CA)
    …of our caring community and help us put health first The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and ... and medical codes (eg, ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues… more
    Humana (05/03/25)
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  • Coding Auditor I - (Inpatient)

    Baylor Scott & White Health (Sacramento, CA)
    **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
    Baylor Scott & White Health (05/06/25)
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  • Coding Auditor & Educator

    WelbeHealth (CA)
    …is key to WelbeHealth values, team culture, and mission. At the direction of the Coding Supervisor, the Coding Auditor and Educator focuses on ensuring ... **Essential Job Duties:** + Assist with retrospective and concurrent coding for PACE (All-inclusive Care for the Elderly) Dual...programs to ensure compliance with CMS risk adjustments diagnosis coding guidelines + Work closely with Coding more
    WelbeHealth (05/02/25)
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  • Coding Auditor Educator

    Highmark Health (Sacramento, CA)
    …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
    Highmark Health (02/07/25)
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  • Coding Auditor SAMF Admin CBO Full…

    Trinity Health (Fresno, CA)
    …procedures; and ensuring proper assignment of diagnosis and procedure codes using coding guidelines established by the Centers for Medicare and Medicaid Services ... (CMS). Monitor's accuracy of centralized coder's charge capture and coding with proper International Classification of Diseases 10th Revision (ICD-10), Current… more
    Trinity Health (05/03/25)
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  • Inpatient DRG Quality Auditor

    Humana (Sacramento, CA)
    …This is a full-time, remote/work-from-home position. **Description** The Inpatient Medical Coding Auditor extracts clinical information from medical records and ... Quality Team is looking is an experienced and well-grounded medical coding auditor to quality review the inpatient hospital claims for proper reimbursement,… more
    Humana (05/03/25)
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  • Revenue Integrity Liaison

    Alameda Health System (Oakland, CA)
    …Epic Informaticist/Clinical Informaticist. Preferred Experience: Professional Coder, Hospital Coder, Coding Auditor , Medical Office or Facility Management ... to Information Systems, Revenue Integrity team members or leadership, and/or Professional Coding teams) 3. Maintains current list of Revenue Designees (one assigned… more
    Alameda Health System (05/06/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Costa Mesa, CA)
    **Diagnosis Related Group Clinical Validation Auditor -RN** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will live ... one of our PulsePoint locations. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure clinical… more
    Elevance Health (04/29/25)
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  • Compliance Auditor - Regulatory Compliance…

    Sharp HealthCare (San Diego, CA)
    …End Time** Certified Professional Coder (CPC) - AAPC; Certified Coding Specialist--Physician-based (CCS-P) - The American Health Information Management Association ... employer business practices. **What You Will Do** To identify and report coding and documentation practices and make recommendations which assure the accurate… more
    Sharp HealthCare (03/20/25)
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  • Certified Procedural Coder, SAMF Admin CBO, Full…

    Trinity Health (Fresno, CA)
    …of non-certified coding experience may substitute. 4. Certified Professional Medical Auditor (CPMA), Certified Coding Specialist (CCS)or Certified Coding ... Revenue Cycle Site Operations, Fresno, this position is responsible for auditing, coding and entering patient services into EMR system. Sorts and files paperwork… more
    Trinity Health (04/26/25)
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