• Internal Coding Auditor

    Dayton Children's Hospital (Dayton, OH)
    …From Home - OhioDepartment:Payer Enrollment AdministrationSchedule:Full timeHours:40Job Details:The Internal Coding Auditor plays a pivotal role in ensuring ... processes for facility and professional services. The Internal Coding Auditor regularly conducts detailed coding...experience preferred + Previous training experience preferred Certifications + CPC , COC, CIC, CRC, CCS or … more
    Dayton Children's Hospital (09/18/25)
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  • Coding Auditor & Educator

    WelbeHealth (Columbus, OH)
    …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... experience in a managed care environment + Current CCS , CCS -P, CPC , CPC… more
    WelbeHealth (09/19/25)
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  • Coding Auditor Educator-Inpatient

    Highmark Health (Columbus, OH)
    …(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 (09/20/25)
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  • Medical Coding Auditor

    Robert Half Accountemps (Cincinnati, OH)
    …general surgery, anesthesiology, wound care, and neurological surgery. * Certification in medical coding (eg, CPC , CCS , or equivalent) is required. * ... 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… more
    Robert Half Accountemps (09/17/25)
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  • Coding Data Quality Auditor

    CVS Health (Columbus, OH)
    …in medical record documentation review, diagnosis coding , and/or auditing. + CPC (Certified Professional Coder) or CCS -P (Certified Coding ... 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 (09/27/25)
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  • Auditor , HCC Risk Adjustment Coding…

    Datavant (Columbus, OH)
    …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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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Mason, OH)
    …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 (CDI, MS-DRG, AP-DRG and APR-DRG)** **Virtual:** This...+ Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance… more
    Elevance Health (09/23/25)
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  • Clinical Provider Auditor II

    Elevance Health (Mason, OH)
    …education and experience, which would provide an equivalent background. + Requires coding certification ( CPC , CCS , CPMA). **Preferred Skills, Capabilities, ... **Clinical Provider Auditor II** **Location:** _Hybrid1:_ This role requires associates...aid in investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations.… more
    Elevance Health (09/26/25)
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  • Clinical Provider Auditor II

    Elevance Health (Columbus, OH)
    …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 (09/06/25)
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  • Quality Senior Analyst

    CVS Health (OH)
    …for CPC . + CPC (Certified Professional Coder) **or** CCS -P (Certified Coding Specialist-Physician) and CRC (Certified Risk Adjustment Coder) required. ... recommendations, and areas of concern to be delivered to coding resources. + Adhere to stringent timelines consistent with...+ Completion of AAPC/AHIMA training program for core credential ( CPC , CCS -P) with associated work history/on the… more
    CVS Health (09/30/25)
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