• Diagnosis Related Group Clinical Validation…

    Elevance Health (Seattle, WA)
    **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS- DRG , AP- DRG and APR- DRG )** **Virtual:** This role enables associates to work virtually ... Friday 8AM -5PM (local time) The **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS- DRG , AP- DRG and APR- DRG )** is responsible for auditing… more
    Elevance Health (09/23/25)
    - Related Jobs

  • Inpatient Medical Coding Auditor

    Humana (Olympia, WA)
    …caring community and help us put health first** The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns ... codes (eg, ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis… more
    Humana (09/24/25)
    - Related Jobs

  • Coding Quality Auditor

    Houston Methodist (WA)
    …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 (10/10/25)
    - Related Jobs

  • Payment Integrity Auditor I

    Premera Blue Cross (Mountlake Terrace, WA)
    …serve through our Healthsource blog: https://healthsource.premera.com/ . As a **Payment Integrity Auditor I** , you will support the overall objectives of the ... + Validate coding accuracy for CPT, HCPCS, ICD-10-CM, and DRG . + Identify and report coding discrepancies or errors...Abilities** + Basic understanding of CPT, HCPCS, ICD-10-CM, and DRG coding. + Strong attention to detail and analytical… more
    Premera Blue Cross (09/24/25)
    - Related Jobs

  • Payment Integrity Auditor II

    Premera Blue Cross (Mountlake Terrace, WA)
    …serve through our Healthsource blog: https://healthsource.premera.com/ . As a **Payment Integrity Auditor II** , you will support the overall objectives of the ... and informing coding education material for internal and external audiences. The Auditor II plays a critical role in identifying audit opportunities, complex… more
    Premera Blue Cross (09/24/25)
    - Related Jobs

  • Inpatient Medical Coding Auditor

    Cognizant (Olympia, WA)
    **About the role** As an Inpatient Medical Coding Auditor , you will make an impact by auditing consultant inpatient. You will be a valued member of the Cognizant ... have to be considered** + CCS, RHIT or RHIA (AHIMA) certification + APR DRG experience + Minimum of five years of facility-based auditing experience with an… more
    Cognizant (10/14/25)
    - Related Jobs

  • Analyst, Configuration Oversight (Claims…

    Molina Healthcare (Bellevue, WA)
    …claim types of reimbursements not limited to payment methodologies such Stoploss, DRG , APC, RBRVS, FFS applicable for HD Inpatient, Outpatient and Professional ... claims. + 2+ years of comprehensive claim audits as preference + Knowledge of relevant CMS rules and/or State regulations with different line of business as: Medicare, Medicaid, Marketplace, Dual coverages/COB. + Knowledge of validating and confirming… more
    Molina Healthcare (09/17/25)
    - Related Jobs

  • Inpatient Audit Specialist

    Datavant (Olympia, WA)
    …to help shape the future of healthcare from your own workspace! Preferred: Inpatient auditor with 3-5 years of experience at a Trauma Level 1 facility. SMART ... medical records, utilizing ICD-10-CM, CPT, and appropriate coding references for accurate DRG and APC assignment. + Review non-CC/MCC records to assess proper coding… more
    Datavant (10/09/25)
    - Related Jobs