• Coding Quality Auditor

    Houston Methodist (GA)
    …remote 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 ... /SAFETY ESSENTIAL FUNCTIONS** + Maintains and achieves the highest standards of coding quality by assigning accurate ICD-9-CM/ICD-10-CM/ICD-10-PCS and CPT codes… more
    Houston Methodist (04/12/25)
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  • Coding Quality Audit Reviewer

    HCA Healthcare (Savannah, GA)
    …and you have the opportunity to make a difference. We are looking for a dedicated Inpatient Coding Quality Auditor like you to be a part of our team. **Job ... Do you want to join an organization that invests in you as a Coding Quality Audit Reviewer? At Work from Home, you come first. HCA Healthcare has committed… more
    HCA Healthcare (04/20/25)
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  • Inpatient DRG Quality Auditor

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

    Baylor Scott & White Health (Atlanta, GA)
    coding quality audits and providing feedback to coders. The Coding Auditor 1 utilizes the International Classification of Disease (ICD-10-CM/PCS), ... **JOB SUMMARY** The Coding Auditor 1 is proficient in...prior experience. **ESSENTIAL FUNCTIONS OF THE ROLE** Performs routine coding quality reviews on all coders including… more
    Baylor Scott & White Health (05/07/25)
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  • DRG Coding Auditor

    Elevance Health (Atlanta, GA)
    **DRG CODING AUDITOR ** **Location** : _This position will work virtually._ _Alternate locations may be considered._ The **DRG CODING AUDITOR ** is ... Coding / Clinical Validation Audit setting or hospital coding or quality assurance environment preferred. + Broad knowledge of medical claims billing/payment… more
    Elevance Health (05/08/25)
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  • Coding Auditor Educator

    Highmark Health (Atlanta, GA)
    …retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding , billing and documentation related to DRGs, ... Level II code and modifier assignments, ICD diagnosis and procedure coding , DRG/APC structure according to regulatory requirements. Reports findings both verbally… more
    Highmark Health (05/09/25)
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  • Inpatient DRG Coding Auditor

    Emory Healthcare/Emory University (Atlanta, GA)
    …leadership programs and more! **Description** We are seeking an experienced **Inpatient DRG Coding Auditor ** to extract data from patient encounters ensuring the ... staff. + Coordinates remediation when required. + Coordinates with the Coding leadership, Quality nurses and the CDS team to educate physicians, nursing, and… more
    Emory Healthcare/Emory University (03/08/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Atlanta, GA)
    **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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  • External Audit Facilitator

    Elevance Health (Columbus, GA)
    …is responsible for managing the process for claims and customer service audits/ quality control reviews, including implementation audits, for National and Large Local ... audit schedule. + Reviews, negotiates, and approves scope presented by external auditor . + For implementation audits, ensures the claims system is coded accurately… more
    Elevance Health (05/09/25)
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  • External Audit Facilitator

    Elevance Health (Atlanta, GA)
    …for managing the process for prior authorization and customer service audits/ quality control reviews, including implementation audits, for National and Large Local ... audit schedule. + Reviews, negotiates, and approves scope presented by external auditor . + For implementation audits, ensures the claims system is coded accurately… more
    Elevance Health (05/06/25)
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