• DRG Coding Auditor

    Elevance Health (Richmond, VA)
    ** 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 (Norfolk, VA)
    **Diagnosis Related Group Clinical Validation Auditor -RN** **Virtual:** This role enables associates to work virtually full-time, with the exception of required ... granted as required by law. The **Diagnosis Related Group Clinical Validation Auditor -RN** is responsible for auditing inpatient medical records to ensure clinical… more
    Elevance Health (08/13/25)
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  • Coding Auditor Educator

    Highmark Health (Richmond, VA)
    …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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  • Inpatient Coding Quality Auditor

    HCA Healthcare (Richmond, VA)
    …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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  • Senior Inpatient Medical Coding Auditor

    Humana (Richmond, VA)
    …Inpatient Medical Coding Professional confirms appropriate diagnosis related group ( DRG ) assignments. Analyzes, enters and manipulates database. Responds to or ... clarifies internal requests for medical information. Begins to influence department's strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises… more
    Humana (08/02/25)
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  • Inpatient Audit Specialist

    Datavant (Richmond, VA)
    …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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  • Supervisor of Coding Operations

    Datavant (Richmond, VA)
    …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 (Falls Church, VA)
    …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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