• Inpatient DRG Quality Auditor

    Humana (Richmond, VA)
    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 (06/17/25)
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  • Coding Auditor I

    Baylor Scott & White Health (Richmond, VA)
    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...THE ROLE** ESSENTIAL FUNCTION OF THE JOB Performs routine coding quality reviews on all coders including… more
    Baylor Scott & White Health (06/07/25)
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  • Inpatient Coding Auditor

    HCA Healthcare (Richmond, VA)
    …**_Note: Eligibility for benefits may vary by location._** We are seeking an Inpatient Coding Auditor for our team to ensure that we continue to provide ... to apply! **Job Summary and Qualifications** As an Inpatient Coding Auditor , you will be responsible for...Auditor , you will be responsible for performing internal quality assessment reviews on Health Information Management Service Center… more
    HCA Healthcare (06/21/25)
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  • DRG Coding Auditor

    Elevance Health (Richmond, VA)
    **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 (06/24/25)
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  • DRG Coding Auditor Principal

    Elevance Health (Norfolk, VA)
    **DRG Coding Auditor Principal** _Virtual: This role enables associates to work virtually full-time, providing maximum flexibility and autonomy. This approach ... skill development. Alternate locations may be considered._ The DRG Coding Auditor Principal is responsible for auditing...Coding / Clinical Validation Audit setting or hospital coding or quality assurance environment preferred. +… more
    Elevance Health (06/05/25)
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  • Coding Auditor Educator

    Highmark Health (Richmond, VA)
    …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 Medical Coding Auditor

    Cognizant (Richmond, VA)
    …. Perform peer reviews of coding staff to maintain high standards of coding quality and consistency, ensuring a minimum accuracy rate of 98%. - **Drive ... playing a critical role in ensuring the accuracy, compliance, and quality of ICD-10-CM and ICD-10-PCS coding for inpatient records. You will be a valued member… more
    Cognizant (06/03/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Richmond, VA)
    **Diagnosis Related Group Clinical Validation Auditor -RN** **Virtual:** This role enables associates to work virtually full-time, with the exception of required ... onboarding and skill development. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure… more
    Elevance Health (06/10/25)
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  • Revenue Integrity Nurse Auditor

    Childrens Hospital of The King's Daughters (Chesapeake, VA)
    + GENERAL SUMMARY + The Revenue Integrity Nurse Auditor is responsible for the auditing and compliance functions necessary to effect accurate and complete ... special focus audits and reports findings. + Serves as a clinical resource for coding / denial management and customer service issues. + Participates as a member of… more
    Childrens Hospital of The King's Daughters (04/25/25)
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  • Coding Quality Audit Reviewer

    HCA Healthcare (Falls Church, VA)
    …**Introduction** Do you want to join an organization that invests in you as a Coding Quality Audit Reviewer? At Parallon, you come first. HCA Healthcare has ... make a difference. We are looking for a dedicated Coding Quality Audit Reviewer like you to...Summary and Qualifications** As a work from home Inpatient Coding Auditor , you will be responsible for… more
    HCA Healthcare (06/21/25)
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