• DRG Coding Auditor

    Elevance Health (Houston, TX)
    ** DRG CODING AUDITOR ** **_Virtual_** **_: _** _ _ _​_ This role enables associates to work virtually full-time, with the exception of required in-person training ... is determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** DRG CODING AUDITOR ** is responsible for auditing inpatient medical… more
    Elevance Health (08/13/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Grand Prairie, TX)
    **Diagnosis Related Group Clinical Validation Auditor -RN** **Virtual:** This role enables associates to work virtually full-time, with the exception of required ... Friday 8AM -5PM (local time) The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure clinical… more
    Elevance Health (08/09/25)
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  • Coding Auditor Educator

    Highmark Health (Austin, TX)
    …II code and modifier assignments, ICD diagnosis and procedure coding, DRG /APC structure according to regulatory requirements. Reports findings both verbally and ... systems, missed secondary diagnoses and procedures and ensures compliance with DRG /APC structure and regulatory requirements. Performs periodic claim form reviews to… more
    Highmark Health (08/08/25)
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  • Coding Quality Auditor

    Houston Methodist (Houston, TX)
    …TX, LA, FL, TN, WA or GA** At Houston Methodist, the Coding Quality Auditor position is responsible for ensuring accuracy in code assignment of diagnosis and ... **SERVICE ESSENTIAL FUNCTIONS** + Responds promptly to internal and external customer coding/ DRG requests. Responds promptly to Business Office requests to code or… more
    Houston Methodist (07/12/25)
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  • Inpatient Coding Quality Auditor

    HCA Healthcare (Houston, TX)
    …recognized. Submit your application for the opportunity below: Inpatient Coding Quality Auditor Parallon. **This is a fully work from home position.** **This ... position requires Inpatient Coding and DRG Validation Experience.** **Schedule: Monday-Friday Day Shift** **Benefits** Parallon...by location._** We are seeking an Inpatient Coding Quality Auditor for our team to ensure that we continue… more
    HCA Healthcare (08/28/25)
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  • Inpatient Audit Specialist

    Datavant (Austin, TX)
    …shape the future of healthcare from your own workspace! Preferred: Strong IP Auditor 3+ years experience, Cerner/3M a plus. Must have experience with onboarding QA, ... assignment of codes and other coding-related elements using MS DRG or APR DRGs. + Provides rich and concise...Strong organizational, teamwork, and leadership skills Preferred: Strong IP Auditor 3+ years experience, Cerner/3M a plus. Must have… more
    Datavant (08/13/25)
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  • Coding Educator FT-Katy CC (Hybrid)

    Houston Methodist (Houston, TX)
    …(AAPC) -- (CBO Coders only) **OR** + CPMA - Certified Professional Medical Auditor (AAPC) -- (CBO Coders only) **KNOWLEDGE, SKILLS, AND ABILITIES** + Demonstrates ... CPT) (for inpatient/outpatient coding) coding classification systems + For inpatient/outpatient coding: MS- DRG , APR DRG and APC assignment systems + Official… more
    Houston Methodist (07/23/25)
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  • Compliance Coding And Billing Analyst

    University of Texas Rio Grande Valley (Mcallen, TX)
    …related field from an accredited university. Licenses/Certifications Preferred:Certified Professional Medical Auditor ( CPMA ), Certified Professional Coder ( CPC ) ... of Current Procedural Terminology ( CPT ) and Diagnosis Related Group ( DRG ) coding. Knowledge of medical, billing and coding terminology and assignment of… more
    University of Texas Rio Grande Valley (08/20/25)
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  • Supervisor of Coding Operations

    Datavant (Austin, TX)
    …with ICD-10-CM/PCS and MS-DRGs. + Minimum 1-2 years in a coding lead, auditor , or supervisory role. + Associate's degree in Health Information Management, or related ... with strong problem-solving skills. + Expert knowledge of coding guidelines, DRG assignment, and reimbursement methodology. + Strong analytical and problem-solving… more
    Datavant (08/19/25)
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  • Coding Quality Audit Reviewer

    HCA Healthcare (Brownsville, TX)
    …remote/work from home!** **Schedule: Monday-Friday Day Shift** **Must have DRG Validation experience and Inpatient Coding experience** **Benefits** Parallon, offers ... team. **Job Summary and Qualifications** As a work from home Inpatient Coding Auditor , you will be responsible for performing internal quality assessment reviews on… more
    HCA Healthcare (06/21/25)
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