• Coding Quality Auditor

    Houston Methodist (FL)
    …must live in TX, LA, FL, TN, WA or GA** At Houston Methodist, the Coding Quality Auditor position is responsible for ensuring accuracy in code assignment of ... - Registered Health Information Administrator (AHIMA) -- For inpatient/outpatient coding **OR** + CCS - Certified ...Coding Specialist Physician-based (AHIMA) -- For professional fee coding **OR** + CPC - Certified Professional… more
    Houston Methodist (07/12/25)
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  • Coding Auditor Educator

    Highmark Health (Tallahassee, FL)
    …(Inpatient or Outpatient): Registered Health Information Technician (RHIT), Certified Coding Specialist ( CCS ) + AAPC Credentials (Outpatient): Certified ... Professional Coder ( CPC ), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or physician coding and/or… more
    Highmark Health (08/08/25)
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  • Coding Data Quality Auditor

    CVS Health (Tallahassee, FL)
    CPC . + CPC (Certified Professional Coder) or CCS -P (Certified Coding Specialist-Physician) required. **Preferred Qualifications** + Computer proficiency ... internal policies and procedures. + Proven ability to support coding judgment and decisions using industry standard evidence and...+ Completion of AAPC/AHIMA training program for core credential ( CPC , CCS -P) with associated work history/on the… more
    CVS Health (08/09/25)
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  • Auditor , HCC Risk Adjustment Coding

    Datavant (Tallahassee, FL)
    …experience + High school diploma or GED equivalent + AHIMA certified credentials (RHIA, RHIT, CCS ) or AAPC certified credentials ( CPC , CPC -H, COC, CIC or ... to realize our bold vision for healthcare. As an Auditor , HCC Risk Adjustment Coder, you will review medical...to the table:** + Minimum 3 years of HCC coding experience + Minimum 2 years of HCC Auditing… more
    Datavant (08/08/25)
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  • Coding Auditor -Inpatient

    AdventHealth (Maitland, FL)
    …Information Technician (RHIT) - Cert Required + Certified Coding Specialist ( CCS ) Required + Certified Professional Coder ( CPC ) Required This facility is ... each year **The role you'll contribute:** Under the general supervision of the Coding Quality Manager, the Data Quality Reviewer is responsible for validating the … more
    AdventHealth (08/07/25)
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  • Quality Auditor & Educator

    AdventHealth (Daytona Beach, FL)
    …and maintain one of the following: Certified Coding Specialist ( CCS ), Certified Professional Coder ( CPC ), Registered Health Information Administrator (RHIA), ... Daytona Beach, FL 32117 **The role you'll contribute:** The inpatient or outpatient coding team Quality Auditor (QA)/Educator supports the operations of the… more
    AdventHealth (08/07/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Tampa, FL)
    …Documentation Improvement Practitioner (CDIP), Certified Professional Coder ( CPC ) or Inpatient Coding Credential such as CCS or CIC. + Experience with third ... **Diagnosis Related Group Clinical Validation Auditor -RN** **Virtual:** This role enables associates to work...+ Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance… more
    Elevance Health (08/09/25)
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  • HCC Risk Adjustment Auditor - Full Time…

    Datavant (Tallahassee, FL)
    …+ High school diploma or GED equivalent required + AHIMA certified credentials (RHIA, RHIT, CCS ) or AAPC certified credentials ( CPC , CPC -H, COC, CIC or CRC) ... We're Looking For:** As an HCC (Hierarchical Condition Category) Auditor you will review medical records that have been...by coders and or auditors + Participate in weekly coding project review meetings + Any other tasks asked… more
    Datavant (08/01/25)
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  • Clinical Provider Auditor II

    Elevance Health (Tampa, FL)
    …education and experience, which would provide an equivalent background. + Requires coding certification ( CPC , CCS , CPMA). **Preferred Skills, Capabilities, ... **Clinical Provider Auditor II** **Virtual:** This role enables associates to...aid in investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations.… more
    Elevance Health (08/08/25)
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  • Clinical Provider Auditor II

    Elevance Health (Miami, FL)
    …of education and experience, which would provide an equivalent background. + Requires coding certification ( CPC , CCS , CPMA). For candidates working in ... **Clinical Provider Auditor II** **Supports the Payment Integrity line of...aid in investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations.… more
    Elevance Health (08/08/25)
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